RC-17-1727 (2)Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
tonto�
Permit No. RC-7-17-1727
Pe
!� Permit Type: Residential Construction
r I work Classification.
Alteration
Permit Status: APPROVED
Issue Date: 7/2012017 1 Expiration: 011612018
Project Address Parcel Number Applicant
500 NE 103 Street 1132060170930
Miami Shores, FL 33138-2458 Block: Lot: ANGELA CARBONA
owner mrormation Address Phone Cell
ANGELA CARBONA 500 NE 103 Street (516)849-1536
MIAMI SHORES FL 33138-
500 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
ANN CREST CONSTRUCTION INC (305)986-8981
In Review
Valuation: $ 16,500.00
Total Sq Feet: 152
Date Approved:: In Review
Date Denied:
Type of Construction: REMOVE & REPLACE EXISTING KI
Occupancy:
Stories:
Exterior:
Front Setback:
Rear Setback:
Left Setback:
Right Setback:
Bedrooms:
Bathrooms:
Plans Submitted:
Certificate Status:
Certificate Date:
Additional Info: REMOVE & REPLACE EXISTING Kll
Bond Return :
Classification: Residential
Fees Due
Amount
CCF
$10.20
CO/CC Fee
$50.00
DBPR Fee
$7.43
DCA Fee
$7.43
Education Surcharge
$3.40
Permit Fee
$495.00
Plan Review Fee (Engineer)
$80.00
Scanning Fee
$9.00
Technology Fee
$13.60
Total:
$676.06
Pay Date Pay Type Amt Paid Amt Due
Invoice # RC-7-17-64483
07/20/2017 Check #: 1275 $ 476.06 $ 200.00
07/05/2017 Check #: 1239 $ 200.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Window Door Attachment
Framing
Insulation
Drywall Screw
Fill Cells Columns
Window and Door Buck
Review Planning
Review Electrical
Review Structural
Review Plumbing
Review Building
Review Mechanical
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
construction and zoning. Futhermore, I authorize the above-naTej
Authorized Signature: Owner / Applicant /
Building Department Copy
July 20, 2017
and that all work will be done in compliance with all applicable laws regulating
to do the work stated.
/ - Agent
July 20, 2017
•.
L. tA
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
Miami Shores Village
Building Department Ju 0520»
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 — _ -
INSPECTION LINE PHONE NUMBER: (305) 762-4949 s}L
FBC 201`�
Master Permit No. k I 1
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
F-JPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5 w N IE 10,37 5+
City: Miami Shores County: Miami Dade Zip: .331.35
Folio/Parcel#: I I — 32-DCv _ Dtq— O-QL3 V Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): AN&EtA e=j9.2� iet J f�'v Phone#61(a� (53 �D
Address: 5C70 1V 16; 103
City: M �-A 1A\ 5�k Dg Q.-S State:
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name
' Address: II4v5W�
City: IV`WW\
Qualifier Name: %5[k
Phone#:
A VIN —t ,5A 60r4�W�i4 '�v � T� Phone#: O� � l� It��
F- Zip:
State Certification or Registration #: CGU-6 SM63 Certificate of Competency #:
DESIGNER: Architect/Engineer:
2
Address: ID 32— .SW ` //` �V(n City: ��AM\ Stater "�`�T Zip: 33�
Value of Work for this Permit: $ 6 &'s Square/Linear Footage of Work: I c,-Z
Type of Work: ❑ Addition 1� Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru file: c� (��
Submittal Fee $ 2DO � d Permit Fee $ kJ ' CCF $ • L I CO/CC $ �O�r
Scanning Fee $ l • � pp�� Radon Fee $ � • DBPR $ 'T 3 Notary $ '
Technology Fee $ 13 • 6 V Training/Education Fee $ 3 L%� Double Fee $ P
Structural Reviews '$ 83 ` 0) Bond $
TOTAL FEE NOW DUE $ 96 - (3rc>
(Revised02/24/2014)
r
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 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
inspectinn will not be annroved and a reinsoection fee will be charged.
Signature
WNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 by
who is personally known to
me or who has roduced- DL r--4-? 3 $t as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: YP(e
4+=MY COMMISSION 4 FF151364
Print: °�� EXPIRES: August 14, 2018
Seal:
Signature ROM
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of % 20 7 by
cad who is personally known to
me or who —has produced as
identification and who did take an oath.
NOTARY PUBLIC:
P?iy Pu,
Sign: B`ti ANDREW !ZAOUIRRE
°�` EXPIRES: August 14, 2018
Print:
Seal:
APPROVED BY�'lln Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
$'m;4
I � 0. , r ,, r
7,'' I I 11,11"'L OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-017-0930
Property Address:
500 NE 103 ST
Miami Shores, FL 33138-2458
Owner
ANGELA CARBONA
Mailing Address
_. _--
.. . .....................
181 HEMPSTEAD AVENUE
ROCKVILLE CENTRE, NY 11570
USA
PA Primary Zone
.......... ___u.._........_...__.......................................
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
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,047 Sq.Ft
Lot Size
12,200 Sq.Ft
Year Built
1950
Assessment Information
Year
2017
2016
2015
Land Value
.............._... _
$329,183
$274,319
$263,700
Building Value
$97,089
_._.._
$121,101
$121,101
XF Value
$0
$0
$0
Market Value
$426,272
$395,420
$384,801
Assessed Value
$426,272
$395,420
$163,078
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes Cap
Assessment Reduction
$221,723
Homestead
Exemption
$25,000
Second Homestead
Exemption
$25,000
Senior Homestead
Exemption
$50,000
Widow
Exemption
$500
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
SHORES SEC 4 AMD PLAT
PB 15-14
LOTS 11 & 12 BLK 93
LOT SIZE 100.000 X 122
OR 13490-1974 17719-1241 1187 1
Generated On : 7/5/2017
Taxable Value Information
20171 20161
2015
County
Exemption Value
$0
$0
$100,500
Taxable Value
$426,272
$395,420
$62,578
School Board
Exemption Value
$0
$0
$25,500
Taxable Value
$426,272
$395,420
$137,578
City
Exemption Value
$0
$0
$50,500
Taxable Value
I $426,272
$395,420
$112,578
Regional
Exemption Value
Taxable Value
$0
$426,272
$0
$395,420`
$50,500 11
$112,578
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
06/06/2016
$468,800
30107-4280
Qual by exam of deed
Corrective, tax or QCD; min
05/17/2016
$100
30088-2952
consideration
Corrective, tax or QCD; min
03/23/2016
$100
30051-4904
consideration
11/01/1987
$83,000
13490-1974
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:/hvww.miamidade.gov/info/disclaimer.asp
http://www.miamidade.gov/propertysearch/ 7/5/2017
�. . -� ��,��' ��� , K * $ � J•f'` . •-�—� l,�^�';r��'id � '-�'' 'v' ti� ?.�,�".���' .�� ;.Q ��`,(.jL°'��'F �.�r': .`�} 1'"-� ;'i
. 'l i f' !3► lie L:, ���r�.� y��j�7-✓� j �� ` � ��` � ;- �' � '�j+4
Certificate of Completion
�^ } Miami Shores Village
,F 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Building Inspection Department
Description: REMOVE & REPLACE EXISTING KITCHEN
A � I
Permit Type Building (Residential) Bldg. Permit No. RC-7-17-1727
Owner ANGELA CARBONA Contractor ANN CREST CONSTRUCTION INC
Subdivision/Project Date Issued
Construction Type V-B Occupancy R-3
Type
Square Footage 152.00 Flood Zone X
Location If the building is located in a special flood hazard area documentation of the as -built lowest floor
=�" } 500 NE 103 ST elevation or lowest horizontal structural member has been provided and is retained in the records of
,r Miami Shores , FL 331382458 Miami Shores Village.
r .. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the
i N` oRFs time of issuance this structure was in compliance with the various ordinances of the jurisdiction
,~t; `�l►f f << regulating building construction or use.
4Lcb) -z
Building Officials Approval
Not Transferable
POST IN A CONSPICUOUS PLACE
Ismael Naranjo, CBO
i
Y
U
INSPECTION RECORD
Permit NO.RC-7-17-1727
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
�LORXOp'
Permit Type +enttal constuctlon
Glassifrcat��tlon
INSPECTION REQUESTS: (305)7624949 or Log on at https://bidg.miamishoresvillage.conVcap
REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3 pm for following day inspections.
Residential Construction Parcel #A 132060170930
'Owner's Name: ANGELA CARBONA Owner's Phone.
Job Address: 500 NE 103 StreQtotal Square Feet: 152
Ka i Shores FL tat Job Valuation: $ 16,500.00
Bond Number:
� WO ALLOWED:
Contractors Phone "' Prima O THROUGH FRIDAY, 8:OOAM - 7:OOPM.
RDAY 8:OOAM - 6:OOPM.
ANN CREST CONSTRUCTION INC (305)986-89 RK IS ALLOWED ON SUNDAY OR HOLIDAYS.
1 ING AND ROOFING INSPECTIONS ARE DONE°'
MONDAY THROUGh1 -
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT 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 IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
REQUIRED TO ALLOW INSPECTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
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 WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
INSPECTION RECORD
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
DOCUMENYS II
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWS
:DOORS
INSPECTION
I DATE F INSP
Attachment
PUBLIC
INSPECTION
WORKS
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 Rou
RougTeAq4±QiT%
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 Wit
ELECTRICAL COMMENTS
INSPECTION DATE INSP
Final Sprinkler
Final Alarm
INSPECTION I DATE I INSP
Rough MC -
Water Service
2nd 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
INSPECTION DATE INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
MECHANICAL COMMENTS