FW-17-1671 rr -Ft
o Miami Shores Village 333 Permif Tjtje �$� .
10050 N.E.2nd Avenue NE ?t1k l� �t#1r7 Ironl�m #11t
Miami Shores,FL 33138 0000 �:m`i
�
Phone: (305)795-2204r •• 7it,�tatus-
61281201,7 3,. Expiration: 12/25/2017
Project Address Parcel Number Applicant
40 NE 91 Street 1131010200040
Miami Shores, FL 33138- Block: Lot: NANCY MORAN
Owner Information Address Phone Cell
NANCY MORAN 40 NE 91 Street
MIAMI SHORES FL 33138-
40 NE 91 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,060.00
HOME OWNER
_...._ ... -... _.w,.._�,.. ..:_._ __..._, _„_ ..... _ ._...._.� w., Total Sq Feet: 20
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Other Additional Info:REPLACE SIDE FENCE ALUMINUM Review Planning
Classification:Residential Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
Invoice# FW-6-17-64413
DBPR Fee $2.00 06/27/2017 Credit Card $50.00 $72.80
DCA Fee $2.00
Education Surcharge $0.60 06/28/2017 Credit Card $72.80 $0.00
Notary Fee $5.00
Permit Fee-Wire&Wood $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $122.80
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify It he-feegoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F ore,I authoriz`e)the above-named contractor to do the work stated.
_ --- June 28, 2017
Authori e:Qwner- f/ Applicant / Contractor / Agent Date
Buildin epartment Copy
June 28,2017 1
Miami Shores Villagec ,
1Cp Building Department Uri ���y
1� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 1�
BUILDING Master Permit No. FAN ��—
PERMIT APPLICATION Sub Permit No.
F—IBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-IPLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /-j
city: Miami Shores County: Miami Dade zip:
Folio/Parcel#:x d —`3 J O 1-(0')-0^VO-4 0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Nam (Fee Simples itleholder):
Address:-
City: �',a,4 - �' m�-�� State: / Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: i w-- Ocurn- Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: _City: State: Zip:
Value of Work for this Permit:$ 4 420® Square/Linear Footage of Work: 70
Type of Work: ❑ Additi n ❑ Alteration /❑ New ❑ Rep it/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ � �Y
Scanning Fee$ Radon Fee$ DBPR$ Notary$ co
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 Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will'be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS, HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appro ed and a r spection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 201 by day of 20 by
1lAX4�c,,--. 140 who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PU LIC: NOTARY PUBLIC:
�!
Sign:- LSign:
MAI
Print. :�2Print:
,opo "�•r.,� WW C.VALDES
Seal: r, o. Seal:
�> NN"P.ubild-State of Florida
Comadsslon•FF 820377
y'�%',��►�Q�' My Corms.Expires Now 1,2016
APPROVED BYI� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
f
Miami Shores Village
m� nm
Building Department
10050 N.E.2nd Avenue
>R
Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: �Grc9irJ.` / /�/ar! DATE:
ADDRESS:
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 asmy o n 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 res onsible for the construction and
is not hiring a licensed contractor to assume responsibility. 1
Initial N
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 n me.I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits a-nil contr
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 leas,which folates the exemption.
Initial 1VI
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the constructio�p.
Initial \vl
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons work on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by law and• 'coun or municipal ordinance.
Initial
}
7. 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-build4mawarf the limits of my insurance
coverage for injuries to workers on my property.
Initial8. tunderstand that I may not delegate the responsibility for supervising work to be a licensed conicenses 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 securAy contributions under the
Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employe I under nd 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 I 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 regulatio s.
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Rev a Service,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that I may c ntact th'Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvflor*idalicense.com/dbpr/pro/CilbAndex.html
Initial
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I a the party
legally and financially responsible for the proposed construction activity at the following address: )
Initial
V
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of linfor n that i have provided on
this disclosure.
Initial
J
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 =? day of U , 20
BYE VY VE-00N f GA who was personally known to me or who has
Produce there is rise or �� ( - �S� as identification.
0 N E R NOTARY ; ' , Notary Public State of Florida
Sindia Ah,arez
,Q My Commission FF 156750
of V9 Expirpf 19/0312018
Propeq Search Application- Miami-Dade County Page 1 of 1
0 FICE OF THE PROPERTY APPRAISER
Summary Report
Generated On:6/27/2017
Property Information W
F M
Folio: 11-3101-020-0040
40NE91ST � �
Property Address: EE
Miami Shores,FL 33138-2808
t� x
Owner NANCY VERONICA MORAN
40 NE 91 STREET
Mailing Address ,, y , r.
MIAMI SHORES,FL 33138 USA
PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ
io'
0101 RESIDENTIAL-SINGLE y ,
Primary Land Use , k
FAMILY:1 UNITz
Beds/Baths/Half 2/1/0
Floors 1
.e s �
qi
Living Units 1
Actual Area 2,090 Sq.Ft
Living Area 1,366 Sq.Ft ts.
Adjusted Area 1,657 Sq.Ft
Taxable Value Information
Lot Size 10,125 Sq.Ft
2017 2016 2015
Year Built 1950
County
Assessment Information Exemption Value $50,000 $50,000 $50,000
Year 2017 2016 2015 Taxable Value 1 $210,378 $205,023 $203,251
Land Value $303,831 $253,192 $164,192 School Board
Building Value $116,232 $116,301 $116,371 Exemption Value $25,000 $25,000 $25,000
XF Value $1,584 $1,608 $1,224 Taxable Value 1 $235,378 $230,023 $228,251
City
Market Value $421,647 $371,101 $281,787
Assessed Value $260,378 $255,023 $253,251 Exemption Value $50,000 $50,000 $50,000
Taxable Value $210,378 $205,023 $203,251
Benefits Information Regional
Benefit Type 2017 2016 2015 Exemption Value 1 $50,0001 $50,0001 $50,000
Save Our Homes Assessment Taxable Value $210,378 $205,023 $203,251
Cap Reduction $161,269 $116,078 $28,536
Homestead Exemption $25,000 $25,000 $25,000 Sales Information
Second Previous OR Book-
Homestead Exemption $25,000 $25,000 $25,000 Sale PricePage
Qualification Description
Note:Not all benefits are applicable to all Taxable Values(i.e.County, 06/28/2013 $80,000 28723-2910 Corrective,tax or QCD;min
School Board,City,Regional). consideration
08/17/2012 $249,500 28259-1150 Qual by exam of deed
Short Legal Description Financial inst or"In Lieu of
EL PORTAL SEC 3 PB 9-148 09/02/2010 $500 27422-1579 Forclosure"stated
LOT 7&E1/2 LOT 8 BLK 9 07/01/2006 $580,000 24723-0858 Sales which are qualified
LOT SIZE 75.000 X 135
OR 18082-1193 0198 4
COC 24723-0858 07 2006 1
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:/A~.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 6/27/2017
T MW 72ad AVIAW SIJJTE8028 ' SURVEYNo. 12.0021-1
TMIAM,ELEM °'�A33128 JOHN MARRA & ASSOC. INC.
TELEf'NONJ�(30S)161-0IDO
FAX:(30S)?8111407
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MIAMI,SHORES FL,33139
LEGALDES
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AS MORTGAGE ELECTRONIC REGISTRATION SYSTEM,INC AS THE INSURED O1,AL LA01�
L 1A 7806 SEAL
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80 LBS HIGH STRENGTH CONCRETE PER POST •• • • • • ••• •
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CUSTOM CONCEPTS MIAMI PROJECT QRA�'1/II�G.• •.; ; ;NOTES SCALE:
7242 NW 33RD ST. LAUTARO DESIANO ••• •• • •• • DRAWN BY:MITCHAEL HERNANDEZ
MIAMI,FL 33122 1. ELIEVATIOPI
40 NE 91 ST. 2, PLAN DATE: 8/7/17
T:(305)551-4645 F:(305)503-6896 MIAMI SHORES,FL 33138
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