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RF-17-2858Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. RF -12-17-2858 Permit Type: Roof Work Classification: Gutters Permit Status: APPROVED Issue Date: 12/5/2017 Expiration: 06/03/2018 Parcel Number Applicant 355 NE 93 Street Miami Shores, FL 33138-2854 1132060136290 Block: Lot: ADAM & JESICCA NEWMARK Owner Information ADAM & JESICCA NEWMARK Contractor(s) HOME OWNER Address 355 NE 93 Street MIAMI SHORES FL 33138-2854 Phone CeII Valuation: Total Sq Feet: $ 1,100.00 0 Type of Work: Gutters Additional Info: GUTTERS AROUND HOME Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee - Repairs Scanning Fee Technology Fee Total: Amount $1 20 $2.00 $2.00 $0.40 $5.00 $100.00 $9.00 $1.60 $121.20 Pay Date Invoice # 12/05/2017 12/05/2017 Pay Type RF -12-17-65812 Credit Card Credit Card Amt Paid Amt Due $ 71.20 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Building 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 -rtify tt,.t all the fo going information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni,uthe,re, I aut ize the above-named contractor to do the work stated. December 05, 2017 AuthSignature: Ow rfer / Applicant / Building Department Copy Contractor / Agent Date December 05, 2017 1 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Master Permit No. Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION 0RENEWAL r%ECEIVED Dg Q. 5 IN S -h Fec Zai R -r -2358 ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS S gE, etsQ City: MiamiShores/County: Miami Dade Zip: J� folio/Parcel#: i 1- J�-o6 - 4 (S —61;1 0 Is the Building Historically Designated: Yes NO JOB ADDRESS: Occupancy Type: Load: OWNER: Name (Fee Simple Titlehholder)I: Address: 3 SS U 3 r`L- S I r^ City: Construction Type: Flood Zone: A3011N. ,E State: Fly BFE: FFE: Phone#: 716 (13$ I/ Zip: "V313 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: «"`^Q -01.11etfc— 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: $ I) 0.0 Square/Linear Footage of Work: Type of Work: ❑ Additionti❑ Alterationtig New E Repair/Replace ❑ Demolition Description of Work: C7 U't`f(yl/� S '"j 71 Specify color of color thru tile: , ---- Submittal Fee $ Permit Fee $ ( 30 ' O° CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ 5 ,c3.. Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ )I • 2-0 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address s w 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 occur seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved a�pection 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 220 `, by day of , 20 , by rr1\jelors p�r�sbnally known to , who is personally known to me or who has produced -' 1 Q .. f 'tas me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: Seal: **************************** *********.*s**************************************************************•*** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) w Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 t� OWNER BUILDER DISCLOSURE STATEMENT NAME: ACtjitWPA0 DATE: 2- 16/1-1- ADDRESS: 5S NE el c�� Do hereby petition the Village cf 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. I 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. I understand that building permits are not required to be signed by a property owner unless he or sh s rgsponsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. !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 an•, co racts. Initial 4. I 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. orsubstantially 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,wl) ch violates the exemption. --- 5. - 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. I 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 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. 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 arJawpre of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I 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. Initial 9. I 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. I understand that I may obtain more information regarding my obligations as an employer from the Internal Rev nue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may coact jie Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I 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 resporAi le for proposed construction activity at the following address: 355 VA IStc$ 3D3e Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the ipfor giation 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 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 , 20 l By iqCV N P W {OC 111 who was personally known to me or who has V Produced ther OWNER as identification. 12/5/2017 Property Search Application - Miami -Dade County F CE OF THE PROPERTY APPRAISI Summary Report Property Information Folio: 11-3206-013-6290 Property Address: 355 NE 93 ST Miami Shores, FL 33138-2854 Owner ADAM NEWMARK JESSICA M NEWMARK Mailing Address 355 NE 93 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,183 Sq.Ft Living Area 1,742 Sq.Ft Adjusted Area 1,936 Sq.Ft Lot Size 6,350 Sq.Ft Year Built 1966 Assessment Information Year 2017 2016 2015 Land Value ............... $190,410 $158,758 $152,227 Building Value $139,237 $140,360 $141,483 XF Value $1,839 $1,864 $1,576 Market Value $331,486 $300,982 $295,286 Assessed Value $271,393 $265,8111 $263,964 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $60,093 $35,171 $31,322 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 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 24 BLK 46 LOT SIZE 50.000 X 127 OR 19581-1723 03 2001 1 Generated On : 12/5/2017 Taxable Value Information 2017; 20161 2015 County Exemption Value $50,0001 $50,000 $50,000 Taxable Value $221,393 $215,811 $213,964 School Board Exemption Value $25,000 $25,000 $25,000 $238,964 Taxable Value $246,393 $240,811 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $221 393 $215,811 $213,964 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $221,393 $215,811 $213,964 Sales Information Previous Sale Prices OR Book -Page Qualification Description 08/30/2011 $320,000 27812-2799 Qual by exam of deed 03/01/2001 $220,000 19581-1723 Sales which are qualified 04/01/1984 03/01/1983 $96,500 $94,400 12106-2928 Sales which are qualified 11742-1821 Sales which are qualified 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://www.miamidade.gov/info/disclaimer.asp Version: CUSTOMER: Seamless Rain Gutters 8040 NW 103 St. Bay #44 • Hialeah FL 33016 Ph: (305) 226-3995 Licensed & Insured tCC: 00 6I Commercial & Resident lal • Seamless Rain Gutter's • Canales Para LLuvias Sin Ernpa Customer Fann -)-10"1-1( OB SITE: Satisfaction n Seamless • Aluminurn • Galvanized Sin mpate • Mu•n o • Co • G a •-11 e • izado •••• • • •••• •••• • • •••• Address: • • Address: ity, State Phone Z • • • OEC# 09BS00361 ❑ WHITE 0 MUSKET BROWN ❑ BRONZE. CL.CAMEO 'g . I�. - AANDTONE ❑ GREEN 0 CLASSIC CREAM ❑GRAY 0 ROYAL ❑ ALMOND BROWN 0 OTHER 0 ❑ WHITE ❑ BRONZ ❑ MUSKET BROWN MEO 3GSHEL ANDTONE,' ❑ GREEN 0 CLASSIC ❑ GRAY CREAM ❑ ALMOND ❑ BROWN ❑ 2x3 ❑ 3x4 ❑ 4x5 ❑ CONDUCTOR HEAD 0 OTHER TOTAL F TOT OTAGE 1/100 tri DEP. IT $ BALANCE $ OTAL D SALES REP FANOR (786) 246-6151 ❑ CASH ❑ CHEC ❑ CREDIT CARD ❑ ALUMINUM ❑ COPPER ❑ GALVANIZED o STAINLESS STEEL 5 YEAR GUARANTEE ON LABOR 120 YEAR GUARANTEE ON MATERIAL EXCEPT: Damage resulting from accident, misuse. abuse, neglect, or from other than normal and ordinary use of thelpr TERMS OF PAYMENT Payment in full due upon completion. Contracts which state a draw cut off date and payment release date are and must be signed by representatives &both parties. FINANCE CHARGE. Finance charge in amount of the lesser of 1.5% per month or the maximum allowed by law. II added to all invoices that are 30 ays past e. APPROVAL. No alterations or additional .rk unless agreed to by ABC Se aeYt es einGutters, Inc, beforehand, in riting.W=;are not responsible for damage to roof tiles, shin • CLIENT SIGNATURE• E-mail: abcraingutters@msn.com DATE. AUTHORIZED SIGNATU uct. e only exceptions 18% per annum), all be performed s or fascia boards. Seamless Rain Gutter