PT-17-1700 r
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-285313 Permit Number: PT-6-17-1700
Scheduled Inspection Date: August 30, 2017 Permit Type: Paint
Inspector: Naranjo, Ismael Inspection Type: Final
Owner: CALDWELL, SEKOU RASHAD Work Classification: Addition/Alteration
Job Address: 142 NW 101 Street
Miami Shores, FL 33150- Phone Number
Parcel Number 1131010220180
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
PAINTING FRONT DOOR Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Co ments
Passed i �•
Failed C �
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
k
August 29,2017 For Inspections please call: (305)7624949 Page 3 of 20
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUN 2 91017
V Tel:(305)795.2204 Fax:(305)756.8972
..t INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No. '�
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type:PAINT
OWNER:Name(Fee Simple Titleholder):Sekou R. Caldwell Phone#:(206) 512-4708
Address-142 NW 101 st Street
City: Miami Shores State: FL Zip: 33150
Tenant/1-essee Name: NSA `` Phone#:N/A
Email: `&_kdL CaI a uW6kI 01— �' Ma l I Caws
1
JOB ADDRESS: 142 NW 101 st Street
City. Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-31-01-022-0180
Is the Building Historically Designated:Yes NO X Flood Zone:
CONTRACTOR: Company Name: Owner - Sekou Caldwell Phone#: (206) 512-4708
Address: 142 NW 101 st St
City: Miami Shores State: FL zip: 33150
Qualifier Name: N/A Phone#: N/A
State Certification or Registration#: NSA Certificate of Competency#: N/A
Contact Phone#: (206) 512-4708 Email Address: sekoucaldwell@hotmail.com
Value of Work for this Permit:$50.00 Square/Linear Footage of Work: The door is about 20 sgft
Description of Work: Painting the exterior of the front entrance door to the house.
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 �:T�CE VOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND " 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$2500,the applieWm mk VW faith that a copy of
the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject t ;::44 p,4 certifhed copy of the
recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(7)days after the b pa is =wd',In the absence of
such posted notice,the inspection will not be approved and an inspection fee will be charged.
***************************************Fees********************************************
Permit Fee$ CCF$ Notary$ Training/Education Fee$
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Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$ 0,0
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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: 12 3 4
Fascia: 1 2 3 4
Attach color sample with name and number
}
Drip edge: 1 2 3 4 r7
1.
Soffit: 1 2 3 4
Roof: 1 2 3 4
r
Flower Bins: 1 2 3 4 F
Shutters: 1 2 3 4
2.
Awnings: 1 2 3 4
Chimney: 1 2 3 4
t
Doors&Jambs•1 2 3 4
Garage Doors: 1 2 3 4
Railings: 1 - 2 3 4
Fences: 1 2 3 4 j
All Brick: 1 2 3 4
Stucco Bands: 1 2 3 4
. 4.
Other Stucco
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 regul g construction and zo
Signa e:, Signature:
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of. f ,20]�,by SZ' VnQ t) f rA I�� I,I day of ,20_,by ,
who is personally known to me or who has produced Lu 3u" who is personally known to me or who has produced
����"�Q As�'depnttification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: OTARY PUBLIC:
MAHARAI K.GONZALEZ
�' MY COMMISSION#GG 044602 I
Sign: `; ES:November 2,2020 ign:
Bonded Thru Notary Public Underwriters ,
P,t
Print: t:
My Commission Expires: My Commission Expires:
APPROVED BY: Code Official
Preservation Board
,
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O1ws Miami Shores Village
,,, N-" Building Department
10050 N.E.2nd Avenue
R Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAMEt0�IC0.1 ��p61� DATE:
ADDRESS: I�� IV W -15 . �? ,,,Aj
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 empto edbY You have licenses required'by statelaw 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.
E
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.
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 contracts.
i 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
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 f _
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
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
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial
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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 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. 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 1 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.mvfloridalicense.com/dbpr/i)ro/cilb/index.htmi
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 aptivity at the following address:
Initial
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.
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
i
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.
to p i
Was acknowledged before me this 2 day of U 1 `' ' 20 I k
BYE r l'ID U �,� I who was personally known tome or who has
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•Property Search Application - Miami-Dade County Page 1 of 1
APPRAISER
OFFIAUXUN THE PROP"ERTY
# X r
Summary Report
'Generated On:7/3/2017
Property Information P �
Folio: 11-3101-022-0180
Property Address: 142 NW 101 ST
Miami Shores,FL 33150-1214
Owner SEKOU RASHAD CALDWELC , �
t.
142 NW 101 ST �
Mailing Address MIAMI SHORES, FL 33150 USA '
PA Primary Zone 0800 SGL FAMILY-1701-1900 SQ " p.
Primary Land Use
0101 RESIDENTIAL-SINGLE
FAMILY: 1 UNIT
Beds/Baths/Half 2/1 /0
Floors 1
Living Units 1 '
Actual AreaR
1,332 Sq.Ft
Living Area 1,080 Sq.Ft
Adjusted Area 1,203 Sq.Ft Taxable Value Information
Lot Size 8,100 Sq.Ft
2017 2016 2015
Year Built 1948
County
Assessment Information Exemption Value $0 $0 $0
Year 2017 2016 2015 Taxable Value $261,486 $237,715 $216,105
Land Value $178,398 $178,398 $131,771 School Board
Building Value $83,729 $83,729 $83,729 Exemption Value $0 $0 $0
XF Value $787 $797 $605 Taxable Value $262,914 $262,924 $216,105
_................-_.___ _ .___..____.
Market Value $262,914 $262,924 $216,105 City
Assessed Value $261,486 $237,715 $216,105 Exemption Value $0 $0 $0
Taxable Value $261,486 $237,715 $216,105
Benefits Information Regional
Benefit Type 2017 2016 2015 Exemption Value $0 $0 $0
Non-Homestead Cap Assessment Reduction $1,428 $25,209 Taxable Value $261,486 r $237,715 $216,105
Note:Not all benefits are applicable to all Taxable Values(i.e.County,
School Board,City, Regional). Sales Information
Previous Sale Price OR Book-Page Qualification Description
Short Legal Description 03/23/2017 $385,000 30469-4274 Qual by exam of deed
GOLD CREST PB 21-56 08/26/2014 $300,000 29291-1516 Qual by exam of deed
LOT 1
W1/2 OF LOT 2 BLK 3 07/01/1996 $80,000 17279-3628 Sales which are qualified
LOT SIZE 75.000 X 108 10/01/1992 $67,000 15684-0207 TSales which are qualified
OR 17279-3628 0796 1
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/ 7/3/2017