DEMO-18-196Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Date
1J2�
Permit NO. DEMO -1-18-196
Permit Type: Demolition
Work Classification: Building
Permit Status: APPROVED
2018
Expiration: 07/24/2018
Parcel Number
Applicant
1298 NE 95 Street
Miami Shores, FL
1132060144030
Block: Lot:
LESLEY NORTHUP
Owner Information
Address
Phone
Cell
LESLEY NORTHUP
1298 NE 95 ST
MIAMI SHORES FL 33138-2550
Contractor(s)
HOME OWNER
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 100.00
30
Type of Demo: Building
Additional Info: TAKE DOWN SMALL GARDEN TRELLIS PER
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee,
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$5.00
$100.00
$9.00
$0.80
$119.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # DEMO -1-18-66227
01/25/2018 Credit Card $ 119.60 $ 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 AF (DAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction ncj,zoning F thermore, I authorize the above-named contractor to do the work stated.
Authori e. :ture:Owner / Applicant / Contractor / Agent
January 25, 2018
Date
Building De • artment Copy
January 25, 2018 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-.2204 Fax: (305) 756-8972
I INSPECTION LINE PHONE NUMBER: (305)'762-4949 -Il
FBC 2019 -
BUILDING Master Permit No. DOM 0 8- 1 e c'
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
fi
PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS fl CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
RECEIVED
JAN 2 5./1
JOB ADDRESS: / Z9. We. 13-- �'%
City: Miami Shores County: Miami Dade Zip: 3i32 `
Folio/Parcel#: /13 20 d / f rp 3 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load:` Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Les /V f M 11 ` k Phone#: 50,...C -Td r7 yY
Address: %aft? N% 9X J
City: 14 /`Air/ Se e State: F Zip: .F3 / 3(
Tenant/Lessee Name: Phone#:
Email: h'0fr 14 f L t� - e_ -
CONTRACTOR: Company Name: 1 1lakk , OW KV Phone#:
Address:
City: State: Zip:
Oualifier•Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ V Square/Linear Footage of Work: 30 /
Type of Work: ❑ Addition ❑ Alteration ❑ New
e KWh sma//
Description of Work:
❑ Repair/Replace
111
Demolition
jaihs pc' /11_5- V
Specify color of color thru tile:
* Submittal Fee $ - Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $
Structural Reviews $
(Revised02/24/2014)
1
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: 1 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 o 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 ' pproved and a reinspection fee will be charged.
Signature
Signature
AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The Joregoing instrument was acknowledged before me this
1_25aiof G�k, tr\ (, 20 1� 8 , by day of , 20 , by
. 1 1V o r n511 known to who is personally known to
S� P M pY- c� , p Y
me or who has produced - \ , `I 0.X..r 1d�as me or who has produced _ as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
Seal:
•
NOTARY PUBLIC:
Sign:
Print:
Seal:
r
iiii*iiiiii**i***i*#iii*iii*****J*** *** i* *iii**************s********i**is****a*****a ******* ***.* *******
(
rr
APPROVED BY Plans Examiner...
(Revised02/24/2014)
Zoning
Structural Review Clerk
OWNER BUILDER DISCLOSURE STATEMENT
a - Le-C/
/U0-(7L4
� NAME: /�/I c'�r DATE: </ d
ADDRESS: / �' / A46 9�
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
T Tel: (305) 795.2204
Fax: (305) 756.8972
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
fo'r 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 isnot 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.
1
Initial
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible foi- 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 contra s.
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
f',.-•-- ;• bwlding 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
's construction is complete, the law will presume that I built or substantially improved it for sale or lease, hi violates the exemption.
4 l4
'S.�' .1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
1s i<. -, '
{e'er It
i1;X. 44" It
6:1 rt.,I un`derst iiiiind that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It
it <is my responsibility to ensure that the persons whom I employ have the license required by law and by county or $1unicipal ordinance.
s
Initial
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
8. I understand that I may not delegate the responsibility for supervising work to Jit a licensed contractor who is not licenses 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. 1 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:
/AM A16 --
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the inforT 'ation that I have provided on
this disclosure. y'
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
Prod
ced the
License
c.?•S'
day of VAN , 20 /
1^ Ugo was personally known to me or who has
as identification.
ER
NOTARY
1/25/2018
Property Search Application - Miami -Dade County
fFICE OF THE PROPERTY APPRA
Summary Report
Property Information
Folio:
11-3206-014-4030
Property Address:
1298 NE 95 ST
Miami Shores, FL 33138-2550
Owner
LESLEY A NORTHUP &
EDITH DAYLE PECK
Mailing Address
1298 NE 95 ST
MIAMI SHORES, FL 33138-2550
PA Primary Zone
1700 SGL FAMILY - 4001 SQFT &
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/3/0
Floors
2
Living Units
1
Actual Area
3,900 Sq.Ft
Living Area
3,052 Sq.Ft
Adjusted Area
3,382 Sq.Ft
Lot Size
12,687.5 Sq.Ft
Year Built
1940
Assessment Information
Year
2017
2016
2015
Land Value
$456,750
$469,945
$386,715
Building Value
$316,839
$316,994
$317,148
XF Value
$2,268
$2,290
$1,972
Market Value
$775,857
$789,229
$705,835
Assessed Value
$492,701
$482,568
$479,214
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$283,156
$306,661
$226,621
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 ('.e. County, School
Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 3 PB 10-37
LOTS 1 & 2 LESS W75FT
BLK 85
LOT SIZE 101.500 X 125
OR 17563-3788 0397 1
Generated On : 1/25/2018
Taxable Value Information
Previous Sale
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$442,701
$432,568
$429,214
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$467,701
$457,568
$454,214
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$442,701
$432,568
$429,214
Regional
Exemption Value
$50,000 $50,000
$50,000
Taxable Value $442,7011 $432,568
$429,214
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
03/01/1997
$380,000
17563-3788
Sales which are qualified
05/01/1981
$220,000
11101-1907
Sales which are qualified
11/01/1978
$140,000
10223-1319
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:
CONCREE WALK
ORTION
LOT i
)CK 85
RRA. 00'
t.' iO0' 0&' 27'
A'4L 68'
(FILO)
A PORTION
OF LOT i
BLOCK 88
' RESIDENCE
FINISHED FLOOR
ELEYAT I ON - 8.48'
FOUND 14DOC AHCHORS
NAIL POWER
IC. 7' N. I PULES
AND ECM UAYLE PECK
I I 1 LE INSURANCE COMPANY
C()ItEN 8 LUHPK I N
T UNION (
LAND DESCRIPTION:
ALL OF LOTS i ANO 2, BLOCK 85,- 'MIAMI
SHORES SECTION NO. 3', ACCORDING TO THE
PLAT THEREOF, AS RECORDED IN PLAT BOOK
10, PAGE 37 OF THE PUBLIC RECORDS OF DADE
COUNTY, FLORIDA, LESS THAT PANT LYING
WEST OF THE FOLLOWING DESCRIBED LINE;
Ff1OM A POINT IN -THE NORTH LINE OF LOT
I. A DISTANCE OF 75.00 FEET EAST OF THE
NORT - .,, R -8i' SAID LUT t PUN FNC
17 45OU i HEA(: YID FEET TO A POINT IN THE I . A/C
'SOUTR-rtN r '4 .L2.4_i:FT P. B.
—EAS` a OF tip T &iJC ONIcB901 SAID O.C.R.LOT 2.
APPROVED BY
A
A
N.
TVP.
LEGEND:
CBS
CK0
CONC
OWN
FB/PG
SR
.FIR
FIP
ZONING DEPT
MINI IOC S I ONA I Ii1R Mll) INF Oirlicai+.IPWiFrl
(IUIUA I I(:f N't n WlVl Ylln AND )4All1 {1.
A RIGHITTO CC�y1PLIF.NCE VIVINEIILO F f?t'YI TI(A) THE ATTACHED `SKETCH OF SURVEY' OF THE HEREON
ur.nFnN WIT NOT A113i11AC.TED FDA R,CHIS-01�tA ,
,„--- tn:,r ,m rnnnrrr Tfl TNP REST RF 14Y KNOWLEDGE
STATE ANti a;UNlY r3UL S AND REGULATIONS
DATE
CONCRETE BLOCK STRUCTURE
CHECKED BY
CONCRETE
DRAWN BY
FIELD BOOK AND PAGE
WOOD FENCE / CHAIN LINK FENCE
SET 5/8' IRON ROD AND CAP 6448
FOUND IRON ROD
FOUND IRON PIPE
FOUND NAIL AND CAP
AIR CONDITIONER SLAB
PLAT BOOK
DADE COUNTY RECORDS
OVERHEAD POWER LINES
RADIUS
CENTRAL ANGLE
ASC
NORTH
TYPICAL
•
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756.8972
Inspection Number: INSP-296030
Scheduled inspection Date: February 08, 2018
Inspector: Alvarez, Manny Angel
Owner. NORTHUP, LESLEY
Job Address: 1298 NE 95 Street
Miami Shores, FL
Project <NONE>
Contractor
E OWNER
Permit Number. DEMO -1-18-196
Permit Type: Demolition
inspection Type: Final
Work Classification: Building
Phone Number
Parcel Number 1132060144030
Building Depa
nt Comments
T,
a
SMALL GARDEN TRELLIS PER MSV
Re4nspection
Fee
can be scheduled until
Into
Passed Comments
INSPECTOR COMMENTS
inspector Comments
False
For Inspections please cal
305)762.4949
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