DS-17-2098t,sii ZO18
Project Address
10626 NE 10 Court
Miami Shores, FL 33138-2102
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. DS -8-17-2098
■ Permit Type: Driveways/Sidewalks/Slabs
IMI Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 8/24/2017
Expiration: 02/20/2018
Parcel Number
1122320280960
Block: Lot:
Applicant
FRANK HERNANDEZ
Owner Information
Address
Phone
Cell
FRANK HERNANDEZ
10626 NE 10 Court
MIAMI SHORES FL 33138-2102
Contractor(s)
HOME OWNER
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 4,500.00
962
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: REPLACE / EXTEND EXISTING STAMPED
Bond Return :
Scanning: 3
Additional Info: REPLACE / EXTEND EXISTING STA
Classification: Residential
Fees Due
Bond Type - Owners Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$3.00
$2.00
$2.00
$1.00
$5.00
$125.00
$9.00
$4.00
$651.00
Pay Date Pay Type
Invoice # DS -8-17-64927
08/24/2017 Cash
08/18/2017 Cash
Bond #: 3497
Amt Paid Amt Due
$ 601.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
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
construction and zonin
erti
F he
Authorized Signatre: Owner / Applicant / Contractor / Agent
that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
more, I authorize the above-named contractor to do the work stated.
August 24, 2017
Building Department Copy
Date
August 24, 2017 1
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
BUILDING
PERMIT APPLICATION
1M BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL
LBY:
(Tit \TED
AUG 18 2017
FBC 2014
Master Permit No.DS 11— 209 V
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: 1 NtaW Ne- t
City: Miami Shores
Ca0sa:1
❑ CANCELLATION ❑ SHOP
DRAWINGS
County: Miami Dade
Zip: 1-)i3
Folio/Parcel#: (1— -"7- '2.— OV3 01(,O Is the Building Historically /Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: 1'-c BFE: 43 T FFE:
OWNER: Name (Fee Simple Titleholder): Fn_A ll- t 6 TL$Job, 9L .
Address: [ ()GIG . (Jl: (ofik (.DQQ
City: AW►i Rvtia,
Tenant/Lessee Name: 1-1 A
Email:
Phone#: 30S S £3 2-492.....
State: _. Zip: 3 I 3 c3
Phone#:
CONTRACTOR: Company Name:
Address:
c Owrc r
Phone#:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $ X 4500 • s
Certificate of Competency #:
Phone#:
City: State:Zip:
c��Square/Linear Footage of Work: )(, 1 Z
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work: fl -E LAce 1 !, Li1M') exit -0
L TN Pavil1/2
Repair/Replace E1 Demolition
e"-Xj N(o�!1 GFVII�I tt)Pul- T 7►L1vCWA1
Specify color of color thru tile: 044)6 l hF&uj peri)
Submittal Fee $ W /PGA Permit Fee $ I • w CCF $
Scanning Fee $ Radon Fee $ DBPR $
CO/CC $
Notary $ G UJ
Technology Fee $ • Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ - 03
TOTAL FEE NOW DUE$ I.c l `ca
(Revised02/24/2014)
60L O
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 approved d a reinspection fee will be charged.
Signature Signature
OWN" or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
16 day of US -1- , 20 17 , by day of , 20 , by
1(QYIYI011l0S 14t'(flOt 2 who is personally known to , who is personally known to
me or who has produced kt4ZY `1 C'FnS -R as me or who has produced as
identification and who did take
NOTARY P
Sign:
Print:
Seal:
• vA0 4 '-e 0
,VV.. YA PRIETO
' •.: MY COMMISSION # FF 214031
sTz
EXPIRES: March 25, 2019
•��f •...���
�,. Bonded Thru Notary Public Underwriters
***************************** ***
APPROVED BY
(Revised02/24/2014)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
•**************************** *************i **** ***ski*+k+k*+k********
(7
Plans Examiner
Structural Review
6 /' V? Zoning
Clerk
NAME:
ADDRESS:
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
C 4.411.MYt DATE: 1311(-k
16)674- log l i " w►'p,n; h HvRtA A. "”(3i4
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. 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 she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial
3. I 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. 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 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. 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 county 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 am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial 15(
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 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. 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 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. 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 responsible for the proposed construction activity at the following address:
CT•
14444 440cta I fl 3313(
Initial
12. I 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 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 6" day of A-UoaI)S-1- , 20 ri
By TronK CUrIOS rnOnd'eZ who was personally known to me or who has
Produced there LicenbrPi\/'eV
as identification.
0
OWNEAtY
%•, YANADY PRIETO
•
4;=_ MY COMMISSION # FF 214031
""4',./i4:0•'‘EXPIRES: March 25, 2019
q,,,tR�•• Bonded Thru Notary Public Underwriters
1
Property Search Application - Miami -Dade County
OFFICE OF THE PROPERT APPRA SE
Summary Report
Property Information
Folio:
11-2232-028-0960
Property Address:
10626 NE 10 CT
Miami Shores, FL 33138-2102
Owner
FRANK HERNANDEZ
Mailing Address
10626 NE 10 CT
MIAMI SHORES, FL 33138-2102
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/2 / 0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,022 Sq.Ft
Lot Size
12,000 Sq.Ft
Year Built
1951
Assessment Information
Year
2017
2016 2015
Land Value
$294,269
$219,010
$174,194
Building Value
$207,454
$207,940
$209,851
XF Value
$39,499
$39,919
$28,261
Market Value
$541,222
$466,869
$412,306
Assessed Value
$311,192
$304,792
$302,674
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$230,030
$162,077
$109,632
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 ESTATES PB 47-58
LOT 6 BLK 6
LOT SIZE 80.000 X 150
OR 19408-0459 12 2000 1
Page 1 of 1
Generated On : 8/18/2017
Taxable Value Information
Previous
Sale
Price
2017. 2016
2015
County
$225,000
19408 -Sales
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$185,000
$261,192
$254,792
$252,674
School Board
1428
Exemption Value
$0
$25,000
$25,000
$25,000
Taxable Value
00000
$286,192
$279,792
$277,674
City
Sales which are qualified
Exemption Value
4065
$50,000
$50,000
$50,000
Taxable Value
$261,192
$254,792
$252,674
Regional
Exemption Value
1
$50,000
$50,000
$50,000
Taxable Value
$261,192
$254,792
$252,674
Sales Information
Previous
Sale
Price
OR Book -
Page
Qualification Description
12/01/2000
$225,000
19408 -Sales
which are qualified
0459
06/01/1998
$185,000
18156-
Sales which are qualified
1428
01/01/1989
$0
00000-
Sales which are disqualified as a result
00000
of examination of the deed
12/01/1986
$84,300
13233-
Sales which are qualified
4065
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:
http://www.miamidade.gov/propertysearch/
8/18/2017
0
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LEGEND AND ABBREVIATIONS
= ElEVARON
DRW/. = DRIVEWAY
U.P. - UTILITY POLE
B.O.B. = BASIS OF BEARINGS
A/C - AIR CONOTOONING PAD
A = ARC DISTANCE
S.I.R.
P.O.C.
F.N.
P.T.
EN.C.
F.H.
- SET IRON ROD
POINT OF COMMEN-CEMENT
- FDUND NAIL
= POINT OF TANGENCY
- ENCROACHMENT
= FIRE HYDRANT
O - CATCH BASIN
- BOUNDARY CORNER
P.O.B. - POINT OF BEGINNING P/L
BLDG. - BUILDING F.I.P.
e ALUMINUM LIGHT POLE F.I.R.
C.B.S. - CONCRETE BLOCK STRUCTURE I.F.E
CH. - 0H080 DISTANCE 0
CL = CLEAR (M)
C/L = CENTER UNE (R)
- FIRE HYDRANT
- ELECTRIC METER
- PROPERTY UNE
- FOUND IRON PIPE
- FOUND REBA2
- LOWEST FLOOR ELEVATION
=8000 POWER POLE
- MEASURED
= RECORD
veh?
SWK
P.RC
P.C.
F.N.D.
P.C.C.
M/L
- WATER METER
= SIDEWALK
= POINT OF IN ItNOECTION
= POINT OF REVERSE CURVE
- POINT OF CURVATURE
= FOUND NAL/DISK
= POINT OF COMPOUND CUTNE
= MONUMENT UNE
25.00'
cam'
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w
w
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•
Li] 19_Q •
zoo•'.
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(-4> 25.00'
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LIJIVIv\7 vim.. 111M STA
BLDG DEPT , Nnia
SUB QCT TO COMPLI I� " IH ALL
STS7 AND COUNTY PLL ES AND PFGULATIONS
►� = WATER VALVE
N.T.S. - NOT TO cru F
4 = CENTRAL ANGLE
//— - WOOD FENCE
—X— -CHAIN UNK FENCE
® =C.8.S. WALL
= CONCRETE UGNT POLE
R = RADIUS
40
U.E
CONC.
N.G.V.0
0.0.
P.B.
P.C.P.
P.G.
- MANHOLE
- UDUTY EASEMENT
- CONCRETE
= NATIONAL GEODEDC VERTICAL DATUM
= OVERHEAD ELECTRIC UNE
= PUT BOOK
= PERMANENT CONTROL POINT
= PAGE
O - CLEAN OUT
STY - STORY
(R . M) - RECORD .4 MEASURED
RAD. - RADIAL
RES. - RESIDENCE
5/11/ = RIGHT OF WAY
SEC. = SECTION
S.I.P. = SET IRON PIPE
11,0CCA IFI ON EICETCH
SCALE: NTS
1/ I NE 125th ST I L
/1 l\cam.
/
SITE LOCATIO
NF 107th ST
JOB No 08-2171(B) CUENT:
SURVEY TYPE' BOUNDARY SURVEY (FINAL SURVEY) • •
,
PROPERTY ADDRESS 10626 NE 10th COURT, MIAMI SHORES, FLORIDA 33138 •0
LEGAL DESCRIPTION: (FURNISHED BY CLIENT)
LOT 6, BLOCK 6, OF "MIAMI SHORES ESTATES", ACCORDING TO THE PLAT THEREOF AS
RECORDED IN PLAT BOOK 47, PAGE 58, OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA.
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SURVEYOR'S NOTES
1-) IF SHOWN, BEAR/NGS AND ANGLES ARE FIELD MEASURED
2-) THE RELATIVE CLOSURE IN THE FIELD MEASURED BOUNDARY 6 BhIIFJt THAN: 1 FOOT IN 7,500 FEET; UNEAR (SUBURBAN).
3-) A TITLE REPORT WAS NOT PROVIDED FOR THIS SURVEY. THEREFORE, THERE MAY BE RESTRICTIONS ON THIS PARCEL THAT ARE NOT SHOWN
THAT MAY BE FOUND IN THE PUBLIC RECORDS OF BROWARD COUNTY, FLORIDA. NO EXPRESSED OR WPUED DETERMINATION OF TIRE OR
OWNERSHIP TO THE LAND DESCRIBED IS MADE
4-) THERE MAY BE UNDERGROUND UTILITY LOCATIONS AND SUBSURFACE FEATURES WITHIN THE PARCEL THAT ARE NOT SHOWN. THERE
6 NO VISIBLE SURFACE OR OVERHEAD ENCROACHMENT, OTHER THAN SHOWN ON THIS SURVEY.
5-) IT 6 A VIOLATION OF RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE TO ALTER THIS SURVEY DRAWING WITHOUT THE PRIOR WRITTEN
CONSENT OF THE SURVEYOR.
6-) ALL SET IRON PIPES (S.I.P.) OR SET IRON RODS ARE 18 INCHES IN LENGTH AND 1/2' DWA.(I.D.) OR No.4 REBAR, RESPECTIVELY, AND HAVE
A PLASTIC GP MARKED: LB.7433
7-) ORANFIELD LOCATION IS APPROXIMATE
ELEVATION INFORMATION'
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR
REVISED 0609/11/2009 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE AE
BASE FLOOD ELEVATION 8 FT. COMMUNITY 120652 PANEL NUMBER 0306 SUFFIX L
ELEVATIONS(WHEN SHOWN) REFER TO N.G.V.D., 1929 DATUM, NE 104 ST--BRIDEGE OVER CANAL USQ1
17 24' NGVD BRASS DOT DISC IN TOP OF CONC.
COUNTY BENCHMARK USED325OS B -26 -RA ELEVATIONS FEET B.M. LOCATION GUARDRAIL AT SE CORNER OF BRIDGE.
THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
CERTIFIED TO
HERNANDEZ, FRANK
VILLAGE OF MIAMI SHORES, FL
SURVEY DATE 06/25/2008
REVISED
DESCRIPTION
04/17/2009
FINAL SURVEY
02/02/2010
UPDATE SURvEY
05/03/2011
UPDATE FOUL SURVEY
M RK A. HIGGINS
PROFESSIONAL SURVEYOR & MAPPER
FLORIDA REGISTRATION }15549
'NOT VALID WITHOUT THE SIGNATURE. DATE AND THE ORIGINAL
RASED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.'
DATE. 05/03/201 1