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DS-18-3427Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: ©S-11-18-3427 Permit Type: (Driveways/Sidewalks/Slabs work Classification: Addition/Alteration Permit Status: Approved issue Date: 12/07/2018 ) Expiration: 05/13/2019 Location Address Parcel Number 274 NW 92ND ST, Miami Shores, FL 33150 1131010331280 Contacts DANIEL MAFRA Owner HOME OWNER Contractor 274 NW 92 ST, MIAMI SHORES, FL 33150 HOME OWNER Silverlight Permit Solutions Agent Arlenis Silvera 10050 Ne 2 Ave, miami shores, FL 33138 Business: 3051234567 silvera@mailinator.com Description: REPLACECONCRETE DRIVEWAY AND SIDE SLAB Valuation: $ 4,200.00 Inspection Requests: 305-762-4949 WITH NEW CONCRETE Total Sq Feet: 1,000.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 Concrete/asphalt/pavers, slabs, dways, $75.00 swalks DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $1.00 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $3.13 Total: $180.13 Building Department Copy Payments Date Paid Amt Paid Total Fees $180.13 Credit Card 12/07/2018 $180.13 Amount Due: $0.00 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 AFFIDAV : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con u ion and zoning. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date December 07, 2018 Page 2 of 2 I 'i LTA I MIZZI` • Miami ,RioresVillage RECEIVED Building Department Nov 1 10050 N.E2nd Avenue, Miami Shores, Florida 33138 T' I Tel: (305) 795-2204 Fax: (305) 756-8972 1NSPEOnON U NE PHONE NUM BER (305) 762-4949 \T-BC2oFA- Master Permit No.il—S>s (SLA Sub Permit No. 10-64\�CTCR DRAWINGS JOB ADDFEM 122'4 N W g-2 N -1) 5 aty Miami Shores (bunty• Miami Dade Zp: 3 3 05 D -.�B Folio/Parcel#. If - 3101 - ID33 ` �2 a © Isthe Building Historically Designated: Yes NO Occupancy Type:Ou/IjERLoad: Construction Type: Rood Zone: BFE FFE OWNER Name (Fee Simple Titleholder): T)A AJ I E-L AA FA 4 Phone 8 (e - S5 � �f Address. 2'� Lf A/ *'-'✓ g2 aty: M S Tenant/Lessee Name: Email: — CONTRACTOR Company Name: Address: CRY: Qualifier Name: ;late Certification or ftistration #. _ DESIGNER Architect/Engineer: ,Rate: L Zp• 33/50 Phone#. Certificate of Competency #. one#. Address: ` 1 aty: Rate: Zip:Value of Work for this Permit: $ , A t �9tuare/ Linear Footage of Work: 1000 SQ a" r Type of Work: ❑ Addition ❑ Alteration ❑ New KFqepair/Replace ❑ Demolition Description of Work: R rL�G C GOn/ G T L D 4Z I ✓6 L✓R y AND 5 l iD> S L, A '� UV I T c-t N e w G -o Al C-(z 6 i c Soecify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Fadon Fee $ Training/ Education Fee $ 06 Notary $ Double Fee $ ,Rructural Paviews$ (Fevised02124/2014) Bond $ TOTAL FEE NOW DUE $ Bon[% OorhpanMame (f applicable) BonCgig (brnpanUffM City State Mor[aige LenC 'fName (if applicable) Clty State Zp 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 B_ECRCs PLUMBING, SIGNS, POOLS, FUF;IACE� BO ILB;!� FEAT9R� TANKS; MR00NUTON6FEA ErC.... OENERS AFRDAMT: 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. "EARNING TO OEIN YOUR FAILURE TO RECORD A NONCE OF COM M ENCEM ENT MAY RESULT IN YOUR PAYING TWICE FOR I M PROVEI\A ENTS TO YOUR PROPE>• W I F YOU INTEND TO OBTAIN R NANCI NG, CONaJLT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDI NG YOUR NOME OF COM M ENCEM ENT" 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 issubject 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 m days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection feewill be charged. SIgnature (y// �y OWNER or ACBIfT The foregoing instrument was acknowledged before me this day of GC'T�— 20 4 by PN r&­t­- ' who is personally known to me or who has produced tk- V� 62­ l tC�F Nas identification and who did take an oath. NOTARY PU C0 Sign: Print: Seal: / . FAN APPFCV® BY (Revised02l2412014) l A a.LJV (_P9-� $INDIA ALVAREZ MY COMMISSION # GG 238273 EXPIRES: September 3, 2022 SIgnat The foregoing instrument was acknowledged before me this day of me or who has produced 20 , by who is personally known to identification and who did take an oath. NOTARY PUBLJ C Print: E- li****.#***.**************#***********###****##****###**###***##**# Plans Examiner �>' ///Zoning Structural RMew Clerk 11/13/2018 Property Search Application - Miami -Dade County 'C E OF T k T Y"" AP P R A is'' ' L h 160 F Summary Report Property Information Folio: 11-3101-033-1280 Property Address: 274 NW 92 ST Miami Shores, FL 33150-2231 Owner DANIEL MAFRA Mailing Address PA Primary Zone Primary Land Use 274 NW 92 ST MIAMI SHORES, FL 33150 USA 0800 SGL FAMILY - 1701-1900 SQ , 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,682 Sq.Ft Living Area 1,373 Sq.Ft Adjusted Area 1,523 Sq.Ft Lot Size 9,375 Sq.Ft Year Built 1940 Assessment Information Year 2018 2017 2016 Land Value $206,250 $206,250 $206,250 Building Value $114,225 $106,001 $106,001 XF Value $0 $0 $0 Market Value $320,475 $312,251 $312,251 Assessed Value $201,921 $197,768 $193,701 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment $118,554 $114,483 m $118,550 Cap Reduction 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 6 PB 10-39 LOT 10 & E1/2 LOT 11 BLK 136 LOT SIZE 75.000 X 125 OR 13330-1802 0687 1 Generated On : 11/13/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $151,921 $147,768 $143,701 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $176,9211 $172,768 $168,701 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $151,921 $147,768 $143,701 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $151,921 $147,768 $143,701 Sales Information Previous Sale Price OR Book -Page Qualification Description 06/06/2012 $157,900 28144-1583 Affiliated parties 06/01/1987 $38,000 13313-1664 Sales which are qualified 01/1987 $53,500 13330-1802 Sales which are qualified L06/01/1974 $37,000 00000-00000 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 http://www.miamidade.gov/info/disclaimer.asp Version OWNER BUILDER DISCLOSURE STATEMENT NAME: j�Anl l iF,, P1 AV V_ ADDRESS: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 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 1 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 tease. 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. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial l- Z') 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understa at I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead f y 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 permif.may cts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilo build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or 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 *C-Iolates r leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, w the exemption. 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the constructio Initia 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise perso s drki g on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law: n cou�y 0 municipal ordinance. w , , 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. 1, 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 contract o is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my dire upe vision 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 and stand that my failure to follow these may subject to serious financial risk. Initial i 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, /,w I 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 regulation Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Intern Re enue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may(centa t ie Florida Construction Industry LicensingBoard at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html ,1 I In 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and unders7�lr "s that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any o th 01, on that I have provided on this disclosure. -n / Licensed contractors are regulated by laws designed to protect the public. If you contract with a person Ydoes not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may Wunable 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 wi;l 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 day of Q_ , 20 l 6 By� lam`-- Mc-.l= e-P- who was personally known to me or who has Produced there License or T�_ L'`-ov_o--� as identification. SIND6A ALVAREZ My COMMISSION # GO 238273 EXPIRES: September 3, 2022 Bonded Thru Natmy Public Underwrb-fs 1 SKETCH OF SURVEY SCALE' 1"a20' I t j NW 92nd ST. 16' A$PHA11 PAVEAItNY J •; ...... • ��6r� vti�si� �9Nc�z�r� c� IJ / OO R J , .... *00 FtP 112" F I P 'R• VW 11'EWA-1 (NO ID CAP) • (NO 10 CAP) ' . • • to • 75.60' ' • 5• SIDEWALK. _ _'is''.00'a�� •� � - r• is.o• . 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