RC-18-2970Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
1411 NE 103RD ST, Miami Shores, FL 33138
Contacts
Description: PLASTER CORNER OF THE HOUSE
Fees
Amount
Application Fee - Other
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
$50.00
$0.60
$2.00
$2.00
$0.20
$5.00
$50.00
$3.00
$2.50
$115.30
Issue Date: 11/29/2018
Parcel Number
1132050310140
Valuation:
TotalSq Feet: 0.00
$ 100.00
11
Permit NO.: RC-09-18-2970
Permit Type: Building (Residential)
Work Classification: Alteration
Permit Status: Approved
Expiration: 05/28/2019
Inspection Requests:
305-762-4949
Payments
Total Fees
Credit Card
Amount Due:
Date Paid
11/29/2018
Amt Paid
$115.30
$115.30
$0.00
Building Department Copy
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. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
November 29, 2018
Page 2 of 2
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Inspection Number. INSP-001966-2018
Permit Number. RC-09-18-2970
Scheduled Inspection Date: November 30, 2018
Inspector. Naranjo, Ismael
Owner. JOSE LIS
Address: 1411 NE 103RD ST
Project:
Miami Shores, FL 33138
Permit Type: Building (Residential)
Inspection Type: Building Final
Work Classification: Alteration
Phone Number
Parcel Number. 1132050310140
Contractor HOME OWNER Phone Number.
HOME OWNER
Building Department Comments
PLASTER CORNER OF THE HOUSE
Checklist Item
General Comments
Passed
False
Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -Inspection fee is paid.
November 29, 2018
For Inspections please call: 305-762-4949 Page 31 of 45
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
FBC 2011
BUILDING Master Permit No. 12, C t `20)-ro
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
LW ^� I CONTRACTOR DRAWINGS
I
JOB ADDRESS: LNC 1C -(4 �V
City: Miami Shores County: Miami Dade Zip: S? t 3 e
Folio/Parcel#: 11-?, 20--03143H Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: _ BFE: FFE:
OWNER: Name (Fee Simple Titleholder): A-- RAJ S Phone#: S l' R 3Q26
Address: 14<< L� 1C)3
t
City: M//i{, State: :„. Zip: n ( 3
Tenant/Lessee Name: Phone#:
Email: 4-'IEV\at- C0-144i)4 GE.4,k),65 9 --'i
CONTRACTOR: Company Name: vGO VX Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ co Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ NewRepair/Replace n Demolition
Description of Work:
QJ `Gf Jd' e_cpr ltiQif` 04-- ► `e7� thS
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ 3O
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 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 ATTORNEYIBEFORE 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. ti
1
Signature
CONTRACTOR
Signature
ThWNE or AGENT
Th. o oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of c��1 , 20 I , by day of , 20 , by
Ek%r YV\11,� 11--- C-IS who is personally known to ,who is personally known to
me or who has produced Dal \Irkft__
identification and who did take an oa\h\�,,a .9' 0I1Snd 41/
•
NOTARY PUBLIC: .>. ,,{jA d-9u0em�o•'6,, ,.. NOTARY PUBLIC:
Sign: s •-
Print: - V4--, � �o Qom : t- Print:
Seal: s/��ii db.�/1o1S S�\Z \'`' Seal:
as me or who has produced i as
identification and who did take an oath.
*************************** ***** *** *******************************************************************
APPROVED BY
Plans Examiner
Structural Review
•
�r S
(Revised02/24/2014)
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
1 OWNER BUILDER DISCLOSURE STATEMENT
NAME: E Vag 1� L I S DATE: a� .2c9? Y
ADDRESS: K) E to 3 r S l I t 1� SLr/YS Qi 3 3 (3 P
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 youimust 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 myn contractor with certain
restrictions even though I do not have a license.
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 hiringa 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 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 racts.
Initial
4. I 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, wl}iSh violates the exemption.
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 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 coyi or municipal ordinance.
Initial /�/// .—
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, 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. 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 ustand that my failure to follow
these may subject to serious financial risk.
} r'
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 regulations.
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 contact the Florida 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:
1 Li I I (\ (0'3 5--7
Initial
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the inf ation 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
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 worker's 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
off- cr4 day of J 20 1 p
By ev4.. h a-14-- J S
Produced there License or
who was personally known to me or who has
VrE101,f,
as identification.
NOTARY
Property Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-3205-031-0140
Property Address:
1411 NE 103 ST
Miami Shores, FL 33138-2625
Owner
JOSE AITKEN &W EVA M LIS
Mailing Address
1411 NE 103 ST
MIAMI SHORES, FL 33138-2625
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
3,000 Sq.Ft
Living Area
1,926 Sq.Ft
Adjusted Area
2,372 Sq.Ft
Lot Size
9,810 Sq.Ft
Year Built
1951
Assessment Information
Year
2018
2017
2016
Land Value
$353,458
$353,458
$328,969
Building Value
$180,488
$167,597
$167,701
XF Value
$25,859
$26,165
$26,471
Market Value
$559,805
$547,220
$523,141
Assessed Value
$268,566
$263,043
$257,633
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$291,239
$284,177
$265,508
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
RE -PLAT OF TR C MIAMI SHORES BAY
PARK ESTS PB 64-97
LOT 12 BLK 6
LOT SIZE 90.000 X 109
OR 18196-0516 0798 1
Generated On : 9/28/2018
Taxable Value Information
2018j 2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$218,566
$213,043
$207,633
School Board
Exemption Value
$25,000
$25,000
$238,043
$25,000
Taxable Value
$243,566
$232,633
City
Exemption Value $50,000
$50,000
$50,000
Taxable Value $218,566
$213,043
$207,633
Regional
Exemption Value
$50,0001 $50,000
$50,000
Taxable Value
$218,566 $213,043
$207,633
Sales Information
Previous
Sale
Price
OR Book -
Pa 9a
Qualification Description
07/01/1998
$186,000
18196
0516
Sales which are qualified
05/01/1993
$0
16086-
4741
Sales which are disqualified as a result
of examination of the deed
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:
https://www.miamidade.gov/propertysearch/
9/28/2018