RF-18-132 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami shares,FL
Phone:(305)795.;2204 Fax: (;05)7664972
Inspection Number: IN P-308294 Permit Num er: F-1-18-132
Scheduled Inspection Date: March ,2018 Permit Type: Roof
Inspector:Naranjo,Ismael
Inspection Type: Final
Owner: LUIdA, LUISA FERIANDA Work Classification: 'utters
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Job Address:10090 N MIAMI Avenue
3 Miami Shares,FL 33150-1216 phare Number {30 5j757-3133
Project: <N£)NE> Parcel Number 1131010210,090
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Contractor: HOMEOWNER
M Building Department Comments
M GUTTERS lttfractlo Passed Comments
INSPE* TORZOMMENTS False
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Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-295590.
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Failed �.
Correction ,
Needed
e-Insctiah
Fee
o Additionallars: zs can be sr ed+s*d jrQ
reanspecom faeh paid
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1 March 27,2018 For Inspections please call:(305)762-4949 Page17of 19
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Perrmic NO. RF-'1-18-132
Miami Shores Village Permit Type:Roof
10050 N.E.2nd Avenue N Work Classification:GGutters Miami Shores,FL 33138-0000 Perill 't Permit StBtt/S. APPROVED
n Phone: (305)795-2204
FLORIDA'
Issue Date 1/291201°8 Expiration: 07/28/2018
Project Address Parcel Number Applicant
10090 N MIAMI Avenue 1131010210090
LUISA FERNANDA LUNA
Miami Shores, FL 33150-1216 Block: Lot:
Owner Information Address Phone Cell
LUIS A FERNANDA LUNA 10090 N MIAMI AVE (305)757-3133
MIAMI SHORES FL 33150-1216
Contractor(s) Phone Cell Phone Valuation: $ 750.00
HOME OWNER
Total Sq Feet: 22
Type of Work:Gutters Available Inspections:
Additional Info:GUTTERS
Inspection Type:
Classification:Residential
Final
Scanning:3 Review Building
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Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# RF-1-18-66152
DBPR Fee $2.00
DCA Fee $2.00 01/17/2018 Credit Card $50.00 $64.60
Education Surcharge $0.20 01/29/2018 Credit Card $64.60 $0.00
Permit Fee-Repairs $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Fut ermore,I authonz the ve-named contractor to do the work stated.
January 29, 2018
Authorized Signatu ner / Appli ant / Contractor / Agent Date
Building Department Copy
January 29, 2018 1 1
cet � oldhnA�
Sas � 9 3
. pis 7y
Miami Shores Village RECEIVED
Building Department JAN 17 20
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 i
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
F(BC20,14
BUILDING Master Permit No. l�T I I�
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
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❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ZIC-� C� �� .�-�� r /
City: Miami Shores * County: Miami Dade Zip: 3 tel'•
Folio/Parcel#: j/ fJC'-t-�4 Is the Building Historically Designated:Yes ;NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
� E
OWNER:Name(Fee Simple Titleholder);G_`L%,-= -'Q Phone#:
Address: �-K::> r> A,;' �
City: !fy �3✓ ./sem ���State: ?—' Zip:
Tenant/Lessee Name: / Phone#:
Email:
CONTRACTOR:Company Name: 10094 /� �C- ��-��
Address:
City: State: Zip:
Qualifier Name: Phone#: .
State Certification or Registration#: Certificate of Competency M. }
1 i ( r
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$�� �« Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ��%
--,M•+N�e-'"'+e++Hva n,:•nwrw.w,ao>.,A wn.:.«....r...cagy �
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ W • CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 2 ' DBPR$ 6D Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ to
(Revised02/24/2014)
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Bonding Company's Name(if applicable) '
Bonding Compary's Address
City'' State Zip
Mortgage Lender's Name,(if applicable)
Mortgage Lender's Address
City " ` _ t 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 Signature
OWNER or 4ENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of X�20 1 by day of .20 , by
Ir IDdaho�s�e'rsbna y kknown to who is personally known to
me or who has produced f t i Uy` 1'Sr'19—als 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. Sign:
' MY COMMISSION#GO 044602
Print: ' *' Print:
'1Q*;, %-'' Bonded Thru Nota Public Underwriters
Seal: Notary Seal:
****:*.**•*rs*sss*rss*sr***ss*****************ss**s***+e*s'*�***.*sss**s***********::::::*�**:***************:
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APPROVED BY Plans Examiner Zoning
' 1, Structural Review Clerk
(Revised02/24/2014)
1/17/2018 Property Search Application-Miami-Dade County
1Q.
OFFICE"m OF "THE PRO PER20101"Y"' APPRAISER
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Summary Report
Generated On: 1/17/2018
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Property Information
Folio: 11-3101-021-0090
10090 N MIAMI AVE
Property Address:
Miami Shores,FL 33150-1216 _
Owner LUISA LUNA
10090 NORTH MIAMI AVE
Mailing Address MIAMI SHORES,FL 33150 USA � r ,
h: <q
PA Primary Zone 1000 SGL FAMILY-2101-2300 SQ ? r
Primary Land Use 0101 RESIDENTIAL-SINGLE
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FAMILY: 1 UNIT r
Beds/Baths/Half 3/2/0
Floors 1 t
Living Units 1 i.
Actual Area 2,074 Sq.Ft
Living Area 1,876 Sq.Ft 2 " ri� by tf
� F
Adjusted Area 1,869 Sq.Ft
Lot Size 8,064 Sq.Ft Taxable Value Information
Year Built 1965 2017 2016 2015
County
Assessment Information Exemption Value 1 $50,000 $50,000 $50,000
Year 2017 2016 2015 Taxable Value $62,469 $60,156 $59,391
Land Value $168,810 $168,810 $124,386
School Board
Building Value $123,578 $123,578 $124,619 Exemption Value $25,000 $25,000 $25,000
XF Value $1,908 $1,936 $1,572 Taxable Value $87,469 $85,156 $84,391
Market Value $294,296 $294,324 $250,577 City
Assessed Value $112,469 $110,156 $109,391 Exemption Value 1 $50,000 $50,000 $50,000
Taxable Value $62,469 $60,156 $59,391
Benefits Information
Regional
Benefit Type 2017 2016 2015 Exemption Value $50,000 $50,000 $50,000
Save Our Homes Assessment
$181,827 $184,168 $141,186 Taxable Value $62,469 $60,156 $59,391
Cap Reduction
Homestead Exemption $25,000 $25,000 $25,000 Sales Information
Second Homestead Exemption $25,0001 $25,000 $25,000 Previous OR Book-
Note: Not all benefits area applicable to all Taxable Values i.e.County,School Price Qualification Description
PP _ � Y Sale Page
Board,City,Regional).
02/05/2013 $0 21089 Corrective,tax or QCD;min consideration
- 1089
Short Legal Description "
04/01/1994 $0 16381- Sales which are disqualified as a result of
HAMILTON TERR A SUBIDV PB 15-75 3527 examination of the deed
LOT 1 BILK 2 11889-
LOT SIZE 56.000 X 144 08/01/1983 $92,000 3092 Sales which are qualified
O R'16381-3527 0494 4
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
9
Version:
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�SN�, Miami Shores Village
sale ,,,,,R! Building Department
10050 N.E.2nd Avenue
��Ripp Miami Shores, Florida 33138
'Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT I
NAME: 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 t6t 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 I �
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible i for the construction and
is not hiring a licensed contractor to assume responsibility.
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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 name.I also understand that the
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contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
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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
t1 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
.t: l 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.
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` 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
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I understand that I may not hire an unlicensed person to act as m contractor or to supervise persons Working on m building or residence. It
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�is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
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7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneousiy
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. 1 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 provi&e workers compensation for the employee.I understand that my failure to follow
these may subject to serious financial risk.
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9. 1 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.
10. 1 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/cilli/index.htmi
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11. 1 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:
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12. 1 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.
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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 l day of Y� , 20
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ab1VI9 �By��JA 0 fY �0 � 1 V who was personally known to me or who has
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Produced there/ se-94 as identification. o r"�'
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WNER NOTARY
MORERA ADVANCE
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",SEAMLESS RAIN GUTTERS DOWN SPOUTS Licensed Ind d,
6�, C�� ALES PARA LLUIA SIN EMPAT r'
ES Y BAJ�ANTES CCOMS06 1 -.
305. 6 ` `T S —77Z—7QZZ MIAMI DADE•BRQWARD-MONRQE
--..3� � AMOUNT
PERMIT
CustoE:�wr: ------
�// SUS TOTAL
Street: L .�.� fi. LESS DEPOSIT
City c state; TOTAL 1 r�
Chone: Fax: 1. ft2 �� Y�3`aE ftGy. 1���J IEa��r�rd��YE Rs RRAVEGilllbsYi� ask
EXCER i: fa reg?5ng if m accdznts,misuse,abuse,
Gutter Color: �, L- ne�lector from oncrth rrrnaiandadmayused ofthe1roduel.
f to,nteratims or additional wvk.shin he pefioned cvdess ogee by
Down spouts, color. r J11'AWRERAADL'ANCEDGUTTERS INC.B&MtMdinAIi,19
Leader Head: Comm. DO o N. 'Whenexecinedarid signed byCestager.this Proposal becaffesaoxtract.
r# �� ay e vtrg fM:p�rmra Ccstcre<agree that the job is cm Meted and all the
Date. S m2iefizis are 0n SLE
i TOTAL!�MOUNT IS DUE WHEN JOB IS COMPLETED LSTIM >Y3�a �'s 'i RCE:
CUSTOMER SIGNATURE
We Propose to furnish the following material and necessary for the work specified Below:
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