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PT-17-1699 4 i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-285311 Permit Number: PT-6-17-1699 f Scheduled Inspection Date: March 02,' 2018 Permit Type: Paint Inspector: Naranjo, Ismael Inspection Type: Final Owner: ODALYS ACOSTA, STEPHEN HARPER Work Classification: Addition/Alteration Job Address:29 NW 94 Street ,. I Miami Shores, FL 33150- Phone Number Parcel Number 1131010340140 Project: <NONE> Contractor: HOME OWNER Building Department Comments PAINT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed t Re-Inspection ❑ { Fee No Additional Inspections can be scheduled until re-inspection fee is paid. I , March 01,2018 For Inspections please call: (305)762-4949 Page 4 of 36 Permit NO. PT-6-17-169,9 ;° ,oMiami Shores Village Permit Type: .. Paint � �� 10050 N.E.2n -d Avenue NW Work Ctassifit at%on:Addition/Alteration ' .. Miami ShoresFL 331380000 Perlill T Permit Status:APPROVED -- .• Phone: (305)795-2204 :i F�ORiD�' Issue Date:7/6/2017 Expiration: 01/0212018 Project Address Parcel Number Applicant 29 NW 94 Street 1131010340140 Miami Shores, FL 33150- Block: Lot: STEPHEN HARPER ODALYS AC Owner Information Address Phone Cell STEPHEN HARPER ODALYS ACOSTA 29 NW 94 Street MIAMI SHORES FL 33150-2237 Contractor(s) Phone Cell Phone Valuation: $ 500.00 HOME OWNER Total Sq Feet: 0 Type of Work:Exterior Available Inspections: Color: Inspection Type: Additional Info: Final Classification:Residential Color:_Approved Code Comments: Color:_Approved_ Color:_Denied r � Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# PT-6-17-64454 Education Surcharge $0.20 Notary Fee $5.00 06/29/2017 Credit Card $66.60 $0.00 Permit Fee $60.00 Technology Fee $0.80 Total: $66.60 I 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. i OWNERS AFFIDAVIT: I certifyA*thallthe for oing information is accurate and that all work will be done in compliance with all applicable laws regulatingconstruction and zoning. Fu ari the above-named contractor to do the work stated. r July 06, 2017 Authorized Signature:16wrfer / Applicant / Contractor / Agent Date Building Department Copy July 06, 2017 1 Miami Shores Village g RECEIVED Building Department Judd 2 9 2017 •I 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 Q,�L INSPECTION'S PHONE NUMBER: (305)762.4949 BUILDING Permit No.P 1-1-4 1(g9 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PAINT CO 7 OWNER:Name(Fee SimpleTitle older): " Phone#: J OJ- 0 Address: Izl /V- 1%___ City: %Wil"1' r4 0,4JJ' Stater Zip: �� J Tenant/Lessee Name: Phone#: Email: tR,,f A4 C? ly Af N-01 JOB ADDRESS: -2,'f J\/ L, '7q J_/ City: Miami Shores County: Miami Dade Zip: 3 �JJ� Folio/Parcel#: f Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR: Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: Value of Work for this Permit: Square/Linear Footage of Work: Description of Work: 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and AIR CONDITIONERS,ETC..... "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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the building permit is issued. In the absence of such posted notice,the inspection will not be approved and an inspection fee will be charged. Permit Fee$ CCF$ Notary$ Training/Education Fee$ //�� / Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$ &(0 - v00 e­�(lV r PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted DIRECTIONS: Please circle corresponding number to appropriate color sample. Walls: 1 2 3 4 Fascia: 1 2 3 4 Attach color sample with name and number Drip edge: 1 2 3 4 Soffit: 1 121 3 4 1' f Roof: 1 2 3 4 Flower Bins: 1 2 4 Shutters: 1 2 3 4 Awnings: 1 2 3 4 2' Chimney: 1 2 3 4 Doors&Jambs:1 2 3 n4 Garage Doors: 1 2 3 4 i Railings: 1 2 3 4 3' .- Fences: 1 2 3 4 All Brick: 1 2 3 4 Stucco Bands: 1 2 3 4 ' Other Stucco 4' Feature: 1 2 3 4 Accessory Bldg: 1 2 3 4 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 regulatin c nstruction and zoning. Signature: Signature: Owner or Agent Con actor The foregoing instrument was acknowledged before me this� The foregoing instrument was a owledged before me this day of�QY-,20 "y,by�_� \.�QY) day of ,20 ,by who is personally known tom or who has produced "'� who is personally known to a or who has produced '— As identification and who did take an oath. as id ntification and who did take an oath. NOTARY PUBLIC: NOTARY PU IC: Wlsl'- My raya Ledesma Sign: TARY PU : �.� 5ATE OF FLORIDA Print: mm#FF9jW86 Commission Expires: CE Expires 1/5/OCo mission Expires: APPROVED BY: �` Code Official r Preservation Board P300A { 4 S5 ,� i ti5t4° Miami Shores Village Building Department iy` 6 10050 N.E.2nd Avenue Riup Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 'OWNER BUILDER DISCLOSURE STATEMENT NAME: �xJ �'C L ' 4 �OS 1A— DATE: & 7 ADDRESS: 2 / /v(yV qLpy O f f��Pt J�! S� 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 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. I Initial 2. 1 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. 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 contractor is required by law to be licensed in Florida and to list his or license numbers on permits and co tracts. Initial 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 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 F 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, hich violates the exemption. Initial 5. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. t Initial_ 6. 1 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 i is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. r Initial i ' I '. 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously 1 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__ XIII/1� 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 provide workers compensation for the employee.1 understand that my failure to follow these may subject to serious financial risk. Initial r 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 r Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations. Initial i 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.mvfioridalicense.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: raw CH S-T Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the in rmation 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:Itis 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. l Was acknowledged before me this day of 20 1� By 'CbAt' S > (_O v ' A who was personally known to me'or who has XX Produced there License oras identific \N�4o311�js!�i,,� o�.• a • y TuP.,.qb• i Ro�2�• o y lye; �•'� W ft :1= ,a 0 •� '0� OWNER NOTARY S,d•.•yo 9y�i:''�n'sIN icy ....:. I Property Search Application- Miami-Dade County Page 1 of 1 -OFFICE M THm "E PROPERTY APPRAISER Summary Report Generated On:7/3/2017 Property Information -xi� ,- wu 7""rT Folio: 11-3101-034-0140 Property Address: 29 NW 94 ST G Miami Shores,FL 33150-2237 * ; STEPHEN K HARPER&ODALYS Owner ,` ACOSTA Mailing Address 29 NW 94 ST MIAMI SHORES,FL 33150-2237 PA Primary Zone 0800 SGL FAMILY-1701-1900 SQ � 0101 RESIDENTIAL-SINGLE Primary Land Use FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 • �c Living Units 1 a - Actual Area 2,158 Sq.Ft Living Area 1,870 Sq.Ft Adjusted Area 2,052 Sq.Ft Taxable Value Information Lot Size 9,675 Sq.Ft 2017 2016 2015 Year Built 1948 County Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable Value $176,1201 $171,4701 $169,931 Year 2017 2016 2015 School Board Land Value $212,773 $212,773 $157,498 Exemption Value $25,000 $25,000 $25,000 Building Value $143,318 $143,567 $143,817 Taxable Value $201,120 $196,470 $194,931 XF Value $880 $880 $704 City Market Value $356,971 $357,220 $302,019 Exemption Value $50,000 $50,000 $50,000 Assessed Value $226,120 $221,470 $219,931 Taxable Value $176,120 $171,470 $169,931 Regional Benefits Information Exemption Value $50,000 $50,000 $50,000 Benefit Type 2017 2016 2015 Taxable Value 1 $176,120 $171,470 $169,931 Save Our Homes Assessment $130,851 $135,750 $82,088 Cap Reduction Sales Information Homestead Exemption $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description Second Exemption $25,000 $25,000 $25,000 04/01/2002 $199,000 20357-2236 Sales which are qualified Homestead 05/01/1989 $89,900 14113-0276 Sales which are qualified Note:Not all benefits are applicable to all Taxable Values(i.e.County, 05/01/1987 $77,000 13290-3601 Sales which are qualified School Board,City, Regional). Short Legal Description MIAMI SHORES SEC 6A PB 12-54 LOTS 23&E1/2 OF LOT 22 BILK 167 LOT SIZE 75.000 X 129 OR 20357-2236 04 2002 1 i t 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 hftp://www.miamidade.gov/info/disciaimer.asp http://www.miamidade.gov/propertysearch/, 7/3/2017 1