RC-18-1375Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
ermit
Issue Date: 5/
Permit NO. RC-5-18-1375
Permit Type: Residential Construction
Work Classification: Repair
Permit Status: APPROVED
/2018
Expiration: 11/17/2018
Parcel Number
Applicant
1201 NE 102 Street
Miami Shores, FL 33138-
1132050250160
Block: Lot:
MacDAM & DENISE GLINN
Owner Information
Address
Phone
Cell
MacDAM & DENISE. GLINN
1201 NE 102 Street
MIAMI SHORES FL 33138-2600
Contractor(s)
HOME OWNER
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 500.00
100
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: DRYWALL REPAIR
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted:
Certificate Date:
Bond Return :
Occupancy:
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info: DRYWALL REPAIR
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
P&Z Review Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.00
$2.00
$0.20
$5.00
$0.00
$100.00
$6.00
$0.80
$116.60
Pay Date Pay Type Amt Paid- Amt Due
Invoice # RC-5-18-67626
05/21/2018 Credit Card $ 116.60 $ 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 AFFIDAVI I erti that all the f information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an • . Fu , r,.: authorize the above -named contractor to do the work stated.
Authorize • ignature: Owner / Applicant / Contractor / Agent
May 21, 2018
Date
Building Department Copy
May 21, 2018 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
ILDING ❑ ELECTRIC ❑ ROOFING
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS
JOB ADDRESS: ?.c� 1 V11� (OZ.- 34-
City: MiamiShoresCounty:
Folio/Parcel#: '\ " .7 Zo s -O 7.S - Q' 60
Occupancy Type: Load: Construction Type:
FBC 20 17
Master Permit No. 11- — 13� S
Sub Permit No.
❑ REVISION + ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Dade Zip: 3 3 1 3
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Ilitk C. Cl 1 An
Address:
�p 12.0 � t Nk- (0 J
City: tvkzanni S(nOrAr State: IDri 01.0%
Tenant/Lessee Name:
Email:
Phone#: 30S —9 • I Z— 635
Zip:g3(3�,
Phone#:
CONTRACTOR: Company Name:
Address: };
City: State: Zip: \
Qualifier Name: -- i Phone#: . _ i )
State Certification or Registration #: Certificate of Competency #: e
Phone#:
tt OrM. Owrrex
DESIGNER: Architect/Engineer: -Phone#:
Address: City:
Value of Work for this Permit: $ Se)',TN)
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work:
State: Zip:
Square/Linear Footage of Work: ( DO
❑ Repair/Replace ❑ Demolition
•sr
ti
Specify color of color thru tile:
Submittal Fee $85tik
Permit Fee $ ' DO •1t& h CCF $ V by co/as
Scanning Fee $ 6 Radon Fee $ DBPR $ Z .Notary $
Technology Fee $ Q •$O Training/Education Fee $ 0 • Za ` i Double Fee $
Structural Reviews $
S
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City - w• . ' s .
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.
eel
I.
"WARNINGq0'4OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYINGTWICE FOR IMPROVEMENTS4OlYOUR'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 ofa building ' 'k pp permit with an estimated value exceeding $25b0, 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 ro ert is sub1ec`t to attachment. Also, a certf ied co r ' ` ` �
p p y � f' ' copy the recorded notice of commencement must gr 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 appro ed and a reinspection fee will be charged.
Signature
91 ,:.)
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this " The foregoing instrument was acknowledged before me this
LI day of
Mac Gk; � y
, 20 fS , 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
identificatio
NOTARY P
Sign:
Print:
Seal:
********
V
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
o di
,,,,,,, YANADY PRI
:,k; ;,,: MY COMMISSION # FF 214031
Ln`I
a•..�.Pa EXPIRES: March 25, 2019
gF,g4R•• Bonded Thru Notary Public Underwriters ,
APPROVED BY �' 1` 1 ` — Plans Examiner
Structural Review
r : Zoning
Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County
Page 1 of 4
IMPORTANT
MESSAGE
When buying real estate property, you should not assume that property taxes will remain the same. Whenever there is a
change in ownership, the assessed value of the property may reset to full market value, which could result in higher property
taxes. Please use our Tax Estimator to approximate your new property taxes.
The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collectors website
directly for additional information.
SEARCH:
Address Owner Name Subdivision Name Folio
1201 NE 102 St
PROPERTY INFORMATION
Folio: 11-3205-025-0160
Sub -Division:
BAY BREEZE SEC MIAMI SHORES
Property Address
1201 NE 102 ST
Miami Shores, FL 33138-2600
Owner
MACADAM GLINN
DENISE GLINN
Mailing Address
1201 NE 102 ST
MIAMI, FL 33138
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT
Beds / Baths / Half 2 / 2 / 0
Floors 1
Living Units 1
Actual Area 2,683 Sq.Ft
Living Area 2,016 Sq.Ft
Adjusted Area 2,350 Sq.Ft
Lot Size 11,690.9 Sq.Ft
Year Built 1951
Featured Online Tools
Suite
00
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5/21/2018
Pr.operty Search Application - Miami -Dade County Page 2 of 4
Comparable Sales Glossary Non -Ad Valorem Assessments
PA Additional Online Tools Property Record Cards' Property Search Help
Property Taxes Report Discrepancies Report Homestead Fraud
Tax Comparison Tax Estimator TRIM Notice
Value Adjustment Board
ASSESSMENT INFORMATION
Year 2017 2016 2015
=
=, Land Value $420,462 $391,339 $356,756 i
Building Value $117,030 $117,030 $117,030
Extra Feature Value $657 $666 $540
j Market Value $538,149 $509,035 $474,326
Assessed Value $344,738
TAXABLE VALUE INFORMATION
$337,648 $335,301
•
2017 2016 2015
COUNTY
Exemption Value $50,000 $50,000 $50,000
Taxable Value $294,738 $287,648 $285,301
!SCHOOL BOARD ' !
Exemption Value $25,000 $25,000 $25,000
Taxable Value $319,738 $312,648 $310,301 i
....___.__,..............-................___
I CITY !
Exemption Value $50,000 $50,000 $50,000
Taxable Value $294,738 $287,648 $285,301 1
REGIONAL
Exemption Value
$50,000 $50,000 $50,000 Taxable Value $294,738 $287,648 $285,301
BENEFITS INFORMATION
Benefit Type 2017 2016 2015
Save Our Homes Cap Assessment Reduction $193,411 $171,387 $139,025 I
Homestead Exemption $25,000 $25,000 $25,000 !
Second Homestead Exemption $25,000 $25,000 $25,000
i
I Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional).
FULL LEGAL DESCRIPTION
PB 42-25
BAY BREEZE SEC MIAMI SHORES
LOT 8 BLK 186
i LOT SIZE 89.930 X 130
COC 22795-2392 10 2004 4
SALES INFORMATION
Previous Sale Price OR Book -Page
Qualification Description
Previous Owner 1
10/12/2012 $400,000 28323-0172 Qual by exam of deed TEENA S DEBERRY
10/01/2004
$0 22795-2392 Sales which are disqualified as a result of examination of the deed
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Property Search Application - Miami -Dade County Page 3 of 4
For more information about the Department of Revenue's Sales Qualification Codes.
2017 2016 2015
LAND INFORMATION
Land Use Muni Zone
PA Zone
GENERAL R-25, R-26 1400 - SGL FAMILY - 3001-3250 SQ
BUILDING INFORMATION
Building Number
Sub Area
1
Building Sketches Available!
1
EXTRA FEATURES
Description
Chain -link Fence 4-5 ft high
ADDITIONAL INFORMATION
Year Built
1951
Actual Sq.Ft.
2,683
Unit Type
Front Ft.
Living Sq.Ft.
Year Built
1987
2,016
Units
Calc Value
89.93 $420,462
Adj Sq.Ft.
2,350
Units
90
$117,030 '°
Calc Value',
$657
• The information listed below is not derived from the Property Appraiser's Office records. It is provided for convenience and is derived from
other government agencies.
LAND USE AND RESTRICTIONS
Community Development District: NONE
Empowerment Zone: NONE
Urban Development: INSIDE URBAN
DEVELOPMENT
BOUNDARY
Government Agencies and Community Services
Community Redevelopment Area: NONE
Enterprise Zone:
Zoning Code:
Existing Land Use:
NONE
R25 -
10 - SINGLE-
FAMILY,
MED.-DENSITY (2-5
DU/GROSS ACRE).
OTHER GOVERNMENTAL JURISDICTIONS
Business Incentives
Environmental Considerations
PA Bulletin Board
South Florida Water Mgmt District
Childrens Trust
Florida Department Of Revenue
Non -Ad Valorem Assessments
Tax Collector
City of Miami Shores
Florida Inland Navigation District
School Board
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
For inquiries and suggestions email us at http://www.miamidade.gov/PAPortal/ContactForm/ContactFormMain.aspx.
Version: 2.0.3
EXEMPTIONS 5 BENEFITS
Deployed Military
REAL ESTATE
40 Yr Building
Re -Certification
TANGIBLE PERSONAL PROPERTY
Appealing your Assessment
https://www.miamidade.gov/propertysearch/ 5/21/2018
OWNER BUILDER DISCLOSURE STATEMENT
NAME: kLG ct,
ADDRESS'.\ 0 k O E) C) SA
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shore's, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE: r,0. 1/ 1
.--)
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
allowsyou, as the owner of our' ro e y p p rty, 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 commercialbuilding 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. 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.
a
Initial
2. I understand that building permits are not required to be signed by a property owner unless he or shis responsible for 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 mypwn j ayie. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on per
Initi
4. I understand that I may buildor 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 formy 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 mysel sold o ed within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale o : • j:� .r: e exemption.
. t
Initial
5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction
Initial
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons
is my responsibility to ensure that the persons whom I employ have the license required by law and
6 t` 1
}
Ini
y building or residence. It
unicipalordinance.
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, maybe 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 yjware 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 be a licensed contracto&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 fo"r 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 regulatioo
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. I also understand that I may cthe ida 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:
\Z0OZ sfi
Initia
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of : "•form at I have provided on
this disclosure.
I itia
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 indivi ual 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 2- day of
By Ma
� �IMYi ' ,
Produced there License7or
20 18
who was personally known to me or who has
as identification,
11-V
RY
atAkni:'' YANADYPRIETO
`:.= MY COMMISSION # FF 214031
EXPIRES: March 25, 2019
Bonded Thru Notary Public Underwriters