PL-18-1403 Permit NO. PL-5-1$-1403
Miami Shores Village Permit Type:Plumbing-Residential
Fr•: �0 10050 N.E.2nd Avenue NE rl', ' Work Classifrcation.Addltlon#Alteration
" Miami Shores,FL 33138-0000 P Admkk
Permit Status:APPROVED
Phone: (305)795-2204
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issue Date:3123/2018 FExpi
11119/2018
I
Project Address Parcel Number Applicant
1559 NE 104 Street 1122320320150
Miami Shores, FL 33138-2665 Block: Lot: TIMOTHY VODA
Owner Information Address Phone Cell
TIMOTHY VODA 1559 NE 104 Street
MIAMI SHORES FL 33138-2665
Contractor(s) Phone Cell Phone Valuation: $ 100.00
HOME OWNER
... ._ _ _..., ......m. ....... Total Sq Feet: 40
t
Type of Work:REPLACE WATERLINE FROM METER TO HOU Available Inspections:
Type of Piping: InspectioLType:
Additional Info:REPLACE WATERLINE FROM METER TO HOU Top OutBond ReturnFinalClassification:Residential Scanning:3 Review PlUndergro
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 1
Invoice# PL-5-18-67656
DBPR Fee $2.00 05/22/2018 Cash $50.00 $69.60
DCA Fee $2.00
Education Surcharge $0.20 05/23/2018 Cash $69.60 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $119.60
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. Fu auth the ve-named contractor to do the work stated.
May 23, 2018
Authorized Si e:Owner / Appht / Contractor / Agent Date
Building Department Copy
May 23, 2018 1
1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FIL (�
I
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-304838 Permit Number: PL-5-18-1403
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Scheduled Inspection Date:June 05,2018 Permit Type: Plumbing -Residential
Inspector: Hernandez, Rafael
Inspection Type: Final
Owner. VODA,TIMOTHY Work Classification: Addition/Alteration
Job Address:1559 NE 104 Street
Miami Shores,FL 33138-2665 Phone Number
Parcel Number 1122320320150
Project <NONE>
Contractor: HOME OWNER
.Building Department Comments
REPLACE WATERLINE FROM METER TO HOUSE Infractio Passed comments
INSPECTOR COMMENTS False
3
1
Inspector Comments
Passed 305-389-9219
Failed
Correction
Needed ❑
Re-Inspection a
Fee
No Additional Inspections can be scheduled until
reinspection fee is paid.
June 04,2018 For Inspections please call: (305)762-4949 Page 28 of 50
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v � r
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Miami Shores Village
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Building Department MAY 222018
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
BUILDING Master Permit No.
PERMIT APPLICATION Sub Kermit No.
ILDING ❑ ELECTRIC ❑ ROOFING' ❑ REVISION ❑ EXTENSION ❑RENEWAL
XPLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS '
JOB ADDRESS: 1559 NE 104 Street
City: Mlaml Shores - Miami Dade Zi'
I11-2232-032-0150
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Timothy & Cris Voda Phone#i: 305-389-9219 ;
Address: 1559 NE 104 Street
City: n Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phoria#: 1
Email: tlm@re9attarealestate.com
CONTRACTOR:Company Name: Owner Phone#
Address:
City State Zip:
Qualifier Name: Phone#; :
State Certification or Registration# Certificate of Competency#: -
DESIGNER:Architect/Engineer: Phone#: ,
Address: City: State Zip:
k
Value of Work for this Permit:$ $100.00 Square/Linear Footage of Work: 40'
Type of Work: ❑ Addition ❑ Alteration ❑ New - ® Repair/Replace ❑D Demolition
Replace waterline from meter to house
#
Description of Work: P
Specify color of color thru We:
Submittal Fee$ Permit Fee$ CCF$ F' CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond
TOTAL FEE NOW DUE$
(Revlsedo2/24/2014)
t L
Bonding Company's Name(if applicable) c
Bonding Company's Address
City State Zip
Mortgage Lender's Name(0 applicable)
Mortgage Lend'er's Address
City`�' .* State Zip
Application is hereby made to obtain a permii-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
construct`on 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 ail the foregoing-iriformation 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°!7J 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 AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
120�L20 �by day of 20 by
who is personally known to who is personally known to
me or who has produced as me or who has produced as
Ident!flcatlon and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:'
Print: i Print:
Seal; ♦♦.,�Y P�", DAVID C.CLAMISIBURG Seal:
♦ PV,,
Notary Public State of Florida
•�' Commission# FF 199827
My Comm.Expires Jun 2,2019
sssis#ssss #1r'�°/„`*,l�`r'gffiEdtlKffR7f19bNaN�NeLllot?WrA6if� ##ilii#!ss#ii###iiiiiiii#i##isssisit#ssss#!#i#fit###iii#s##is
APPROVED BY r-+----- ZZ'�t� Plans Examiner Zoning
Structural Review = -= — -- _..._=Clerk
(1"Sedoz/24A014)
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ASN°mss Miami Shores Village
Building Department
10050 N.E.2nd Avenue
�Rmp Miami Shores, Florida 33138
Tel:(305)795.2204 t
5 '
a Fax: (305)756.8972 1
OWNER BUILDER DISCLOSURE STATEMENT
NAME: DATES: �� Z
ADDRESS: `7_~ q
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 I
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
i
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 1
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 contactor.Ii is your responsibility to make j
sure the people employed by—you have license`s required by state law and'by'county or municipal licensing ordinances.Any person working on 1
t 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 1
i 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. := i
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 as my own con attor with certain
restrictions even though 1 do not have a license.
i 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.
_ l
Initial �
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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 1
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.
i
Initial c/ 4
,
4. (.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 viola s the exemption.
{ S Initial r ]
5.= I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
iv rcOLZd 'qq 4
Initial
10
:I 6 1 understand that I may not hire an unlicensed person to act as m contractor or to supervise e�sons workin or�m bbildin or residence.It
Y P Y P p B Y g
is my responsibility to ensure that the persons whom I employ have the license required by law and by count_or nicipal ordinance.
1 i Initial
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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-builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Iiti
B. 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. 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.
Initial
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/cilb/index.html
Initial
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:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the informati t 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 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 /7 y
'2' da of 20 �-
BY LIPa L% who was personally known to me or who has K
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Produced ter Licenseas identification. Er 3 0
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OWNER NOTARY N
5/22/2018 Property Search Application-Miami-Dade County
OFFICE OF THE PROPERTY APPRAISER
• Summary Report
Generated On:5/22/2018
Property Information
Folio: 11-2232-032-0150 L
a
1559 NE 104 ST +� "
Property Address: "`.„. t " V
Miami Shores,FL 33138-2665 �- • 1-
Owner TIMOTHY J VODA&W CRIS
Mailing Address 1559 NE 104 ST
MIAMI SHORES,FL 33138-2665 r
PA Primary Zone 1300 SGL FAMILY-2801-3000 SQ
0101 RESIDENTIAL-SINGLE '
Primary Land Use FAMILY: 1 UNIT
Beds/Baths/Half 4/2/0
Floors 1
1
Living Units 1 - e �-�,,,- •� �
Actual Area 2,946 Sq.Ft
Living Area 2,291 Sq.Ft 17 e ,
Adjusted Area 2,561 Sq.Ft
Lot Size 8,925 Sq.Ft Taxable Value Information
Year Built 1954 2017 2016 2015
County
Assessment Information Exemption Value $50,000 $50,000 $50,000
Year 2017 2016 2015 Taxable Value $360,243 $351,806 $349,013
Land Value $477,544 $339,136 $312,324 School Board
Building Value $216,381 $217,019 $217,658 Exemption Value $25,000 $25,000 $25,000
XF Value $29,133 $29,282 $23,922 Taxable Value $385,243 $376,806 $374,013
Market Value $723,058 $585,437 $553,904 City
Assessed.Value $410,243 $401,806 $399,013 Exemption Value $50,000 $50,000 $50,000
Benefits Information Taxable Value $360,243 $351,806 $349,013
Regional
Benefit Type 2017 2016 2015 Exemption Value $50,000 $50,000 $50,000
Save Our Homes Assessment
Cap Reduction $312,815 $183,631 $154,891 Taxable Value 1 $360,243 '$351,8061
$349,013
Homestead Exemption $25,000 $25,000 $25,000
Sales Information
Second Homestead Exemption $25,000 $25,000 $25,000
Previous OR
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Price Book- Qualification Description
Board,City,Regional). Sale Page
9
03/01/2001 $340,000 19571 Sales which are qualified
Short Legal Description 3775 q
RIVER BAY PARK ADDN PB 40-72 18373- Sales which are disqualified as a result of
LOT 16 BLK 3 09/01/1998 $0
4421 examination of the' deed
LOT SIZE 75.000 X 119
OR`19571-3775 03 2001 1
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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:
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