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DS-18-1916tyH :9 �F+tORiDA Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit No. DS-7-18-1916 Permit Type: Driveways/Sidewalks/Slabs Work Classification Addition/Alteration P1, owl h, r I I I Permit Status: APPROVED Parcel Number Issue Date: 7/17/2018 1 Expiration: 01/13/2019 Applicant 270 NE 104 Street 1121360130320 Miami Shores, FL 33138-2016 Block: Lot: JOESPH BASSETT Owner Information Address JOESPH BASSETT 270 NE 104 Street MIAMI SHORES FL 33138- 270 NE 104 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone HOME OWNER In Review Date Approved:: In Review Date Denied: Type of Work: RE -TILE WALK STEPS AND LANDING Bond Return Scanning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Notary Fee $5.00 P&Z Review Fee $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $119.60 (305)484-6527 Valuation: _�_.,_..�..._ $� 600.00mWw�~ W�W Total Sq Feet: 90 Additional Info: RE -TILE WALK STEPS AND LANDIN Classification: Residential Pay Date Pay Type Arnt Paid Amt Due Invoice # DS-7-18-68246 07/17/2018 Credit Card $ 119.60 $ 0.00 Avauanle Inspection Type: Final Foundation Review Planning Review Building In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compli ,ince with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the prof er 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 forELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL wort. OWNERS FIDAVIT: I kertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd zonin rmore, I authorize the above -named contractor to do the work stated. July 17, 2018 Authorized Signature: Owner / Applicant Buildi4 Department Copy / Contractor / Agent Date July 17, 2018 1 Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 f _ _POST ON SITE ------ PermitNO.-7-18-1916 Permit Type -Driveways/Si wa@k$/SEabs Wok Cla. Oication: AdditionlAlteration Issue Date: 7/17/201I Expires: 0 1/ 13/20 1 9 INSPECTION REQUESTS: (305)762-4949 or Log on at https://bidg.miarnishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Driveways/Sidewalks/Slabs Parwm -112136011032 � Owner's Name: JOESPH BASSETT Owner's Phon:a` ,(?nc}'�ir S��t_ F7-7 3 Job Address: Total Square Feet:Miami Shores FL 313E-2018 i(flifly Bond Number: a 811W jjjjj4j IaNtal Joh Valuation; S 600.00 IT T W ALLOW -O: M THROU GH FRIDAY, 8:G{1AIV, - 7:t;0PNi. Contractor(s) Phone ri onIMONDAY SA AY 8:00AM - 6:OOPM. HOME OWNER 1' � O WORK 9S A! 4.>Ytf L :jrt SJ*+Day O2 PiCIC'D®,Y;'.gUILDINGAN7 � R�'?OF'N''F,��nFCTtC`ifJS .3REDONE THROUGH FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE RcA-,L'(AVAItABLE. PT iS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES, NEITHER THE BUILDING OFFICIAL NOR. THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED !N THE REMOVAL OR RE-PLACEMENTOF AtMY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR. iMPROVEME TS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR. LENDER OR AN ATTORNEY BEFORE COMMENCING WORD CAR RECORDING YOUR NO IC'E OF COMMENCEMENT. INSPECTION RECORD STRUCTURAL INSPECTION DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS WINDOWSDOORS INSPECTION DATE INSP Attachment WORKSPUBLIC INSPECTION DATE INSP Excavation ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough Telephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With ELECTRICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm PLUMBING INSPECTION DATE INSP Rough Water Service 2 d Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final PLUMBING COMMENTS MECHANICAL INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum MECHANICAL COMMENTS Miami Shores Village , r i -VVV '-c - l Building Department JUL 1.7 ro18 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 lKO FBC 20 r- BUILDING master Permit No. PERMIT APPLICATION Sub Permit No. gBUILDING ❑ ELECTRIC ❑ ROOFING C7 REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 'L N � o `� szrr� E.<7 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: i k 2 13(00 V;0 314) Is the Building Historically Designated: Yes NO tK Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 3ASS1;7 t I —Ja PNyJC "-LESuv Phone#: 3o29- `{ T L(' G5 2j Address: City: \0,— ,..: s ass State: Zip: 33 13.9 Tenant/Lessee Name: N Phone#: Email: CONTRACTOR: Company Name: ONNq_Y11- [S�4 /kga.�<<, Phone#:3Q5_-`'9Lk- 6SZ� Address: City: State Zip: Qualifier Name: Phone#: State Certification or Registration M Certificate of Competency #: DESIGNER: Architect/Engineer: N -A • Phone#: Address: City: State: Zip: Value of Work for this Permit: $ GQtD Square/Linear Footage of Work: 610 Sa 1 FC Type of Work: ❑ Addition ❑ Alteration ❑ New // 9 Repair/Replace ❑ Demolition Description of Work: '�ZE T-L ILL�Lo � W ��G � f—gwp 'S'17 E PS 4 L^ 0j 01,N (r Specify color of color thru tile: s►L..�C.✓L a��`'f c,��Q"L Submittal Fee $, Scanning Fee $ Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ (Rev1sed02/24/2014) TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip 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: 1 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 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 a reinspection fee will be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this 1� day of, 20, by '/b is personally known to me or who has produced : l it ,n�s identification and who did take an oath. Pflnt`� 11 w_in?v"Ye:•.. MAHARAIK.GONZALEZ Seal::o EXPIRES: November2,2020 Bonded Thru Notary Public Underwriters Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of . 20 by . who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as APPROVED BY 7t7 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: <bSV;9 3A<-9 -Z DATE: 9 , rl, 1� ADDRESS: 2 �-O 1J'-'-- \d\{ t-W f 4:�:Q 3 3 1 3g 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 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 1, 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. Initial J 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 1 have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that 1 built or substantially improved it for sale or lease, which violates the exemption. Initial � ' 1, , 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initialy .?�' 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 0 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 6—, S 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 7j�_,y , 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:/Iwww.mvfioridalicense.com/dbpr/pro/ci!b/index.htmi Initial J ` �� 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: 2Ris fs£- \01T", Si, V's_ I;'L 3?138' Initial _S'Z, 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 T'cl - ` 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 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 1. day of , 20 By \CS LJQ� C"� �` Produced t ere icense r OWNER NOTARY who was personally known to me or who has as identification. 1p1Axvoa Wo _ 1 Z zQ c 3 u Z 6 G N. 5 moo r N N a Property Search Application - Miami -Dade County Page 1 of 1 411 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-013-0320 Property Address: 270 NE 104 ST Miami Shores, FL 33138-2016 Owner JOSEPH BASSETT JOANNE GREEN Mailing Address 270 NE 104 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half ._.�................. 3/2/0 Floors 1 Living Units 1 Actual Area 1,734 Sq.Ft Living Area 1,714 Sq.Ft Adjusted Area 1,607 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1949 Assessment Information Year 2018 2017 2016 Land Value $230,638 $230,638 $198,007 Building Value $111,847 $111,847 i� $111,847 XF Value $20,395 $20,683 $20,972 Market Value $362,880 $363,168 $330,826 Assessed Value $344,866 $337,773, $330,826 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $18,014 $25,395 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 MIAMI SHORES SEC 5 PB 10-47 LOT 4 & E1/2 LOT 5 BLK 119 LOT SIZE 75.000 X 123 OR 15996-2425 0793 1 COC 22332-1977 05 2004 5 Generated On : 7/17/2018 Taxable Value Information 20181 20172016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $294,866 $287,773 $280,826 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $319,8661 $312,7731 $305,826 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $294,866 $287,773 $280,826 Regional Exemption Value $50,000 $50,000 $50,000 __._..._...__.. Taxable Value $294,866 _._. $ 187,773 ......... $280,826 Sales Information Previous OR Book - Price Qualification Description Sale Page Financial inst or "in Lieu ofForclosure" 05/27/2015 $385,000 29638-0925 stated Financial inst or "In Lieu of 03/18/2015 $0 29548-2883 Forclosure" stated 07/01/1993 $120,000 15996-2425 Sales which are qualified 05/01/1985 $67,500 12499-1220 1 Sales which are qualified 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/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/ 7/ 17/2018 EXIST DRAII TO R EXIS9 SEPT TO R N.E. 104 STREET . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . . ....... .... 1 ewoe t Steps/Landing Tile e DATE LOT 1 T isil5 C(-,NIPIJPMCE WI FH ALL FEIJERAL IN 0 1 , PAGE 47 OF THE PUBLI RECORDS OP MUM DAM COUNTY, nvm STATE ANv l C l/fv f l L_S APl" rlt 0� W 0 x ra a m E w 4¢i a F U, SCOPE OF WORK O TILE WALKWAY AND STEM W z v o LIST OF DRAWINGS A- am PUN Y+ C1 1 SHE= TOTAL aD '� d � M �/12/t8 f A-1