ACT-19-389Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: ACT-02-19-389
ID b 'w" Permit Type: Awnings/Canopies/Tents
... � Work Classification: New
Permit Status: Approved
Issue Date: 08/13/2019 I Expiration: 02/10/2020
Location Address Parcel Number
185 NW 102ND ST, Miami Shores, FL 33150 1131010230070
Contacts
MARIA DEL CARMEN TOLENTINO Owner
185 NW 102 ST, MIAMI SHORES, FL 331501231
HOME OWNER Contractor
HOME OWNER
Description: ONE AWNING Valuation: $ 750.00 Inspection Requests:
f
05-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Notary Fee
$5.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Structural Review ($45)
$45.00
Structural Review ($45)
$45.00
Structural Review ($45)
$45.00
Structural Review ($45)
$45.00
Technology Fee
$2.50
Window Awnings
$50.00
Total:
$336.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$336.30
Cash
02/20/2019 $50.00
Credit Card
08/13/2019 $286.30
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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regul ting c�nst uctind oqi . Futhermore, I authorize the above named contractor to do the work stated.
t V-1 a'4Z'r-�
A thorized Signature: Owner / Applicant / Contractor / Agent Date
August 13, 2019 Page 2 of 2
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BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
Miami Shores Village RECEIVED
Building Department FEB 202019
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 20E-f
Master Permit No.��.
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
AlCl It CONTRACTOR DRAWINGS
'y JOB ADDRESS: / J W O Zi `� l A,, a o'11 I ` C 3 31 to
City: Miami Shores County: Miami Dade Zip: 33/.SO
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): /"! �dl' �- L !o le t'( Phone#: 3 V3 Z7
Address: / 8 S 1 W /O 2 06
City: Ad 0. V•') State:
L
Tenant/Lessee Name: Phone#:
Email: d0,, i'a, r / (� �Zc,
CONTRACTOR: Company Name: �Q 'e ��Q� N`Q Phone#:
Address:
p: 3 3/T0
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Certificate of Competency #:
Phone#:
Address: City: State:
Value of Work for this Permit: $ �r S C b Square/Linear Footage of Work:
Type of Work: ❑ Addition
Description of Work: C) h' Q
❑ Alteration New ❑ Repair/Replace
Specify color of color thru tile:
Submittal Fee $ S; w Permit Fee $ SO' CA CCF $ d
Scanning Fee $ Radon Fee $ 2 W DBPR $
Zip:
❑ Demolition
CO/CC $ a
Notary $ • CK-)
Technology Fee $ 2. - `-1 Training/Education Fee $ C--� ' a U Double Fee $
Structural Reviews $4S ` cj� 4,s' ` Ct) LtS• 00 Tom' m Bond $
�16� % a 1 Gb TOTAL FEE NOW DUE $ Z
(Revised02/24/2014)
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."
0
Notice to Applicant: As a condition to the issuance of a building permit with on 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.
Signature
OWNER or AGENT
The foregoing instrumenjjt wwias acknowledged before me this
day of ty� 20 -I��y� , by
Marl CACCJ Mais prIo II kribwnnoto
me or who has produced T 1 ' I MO/ as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
MAHARAI
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:
as
mw�lON # GG 044602 i
Seal: '% P°: EXPIRES: Nove Z P020 r Seal:
..... Y• Bonded Thru Notarytuber
public Underwriters
********************************** ** *******************************************************************
APPROVED BY Plans Examiner ri'' 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: M a 1(X T O 1 Q VA:L%_AO DATE: 0 Z R M
ADDRESS: / S /V kl 10 Z "�'— S 1— Al i OLM, R 331So
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 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 c tractor 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 re ons' a 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 n e. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits an c tr s.
Initial
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 I have built or substantially improved myself is sold or !pdsed within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or lease, ; h d ates the exemption.
Initial
S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons w9rkingon my building or residence. It
is my responsibility to ensure that the persons whom I employ have the license required by law and b unt municipal ordinance.
Initial
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 y property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder an am aw a 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 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 ghat 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 and 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 b 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. 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 co tact t e Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.htmi
Initial
11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I a� the party
legally and financially responsible for the proposed construction activity at the following address: 0
/FrAlkl101 "�- 0
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of thi,� infrma o at I have provided on
this disclosure. �/
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 day of eV +ja 20
yf Morio do coo ry�,_w i o rent; n o
By 7 % who was personally known to me or who has
Produced t ere Licen r
If
OWNER
as identification.
NOTARY
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2/20/2019 Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-3101-023-0070
Property Address:
185 NW 102 ST
Miami Shores, FL 33150-1231
Owner
MARIA DEL CARMEN TOLENTINO
Mailing Address
185 NW 102 ST
MIAMI, FL 33150-1231
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/1/0
__..............._....__._.___........._
Floors
------
1
Living Units
1
Actual Area
1,494 Sq.Ft
Living Area
901 Sq.Ft
Adjusted Area
1,229 Sq.Ft
Lot Size
8,025 Sq.Ft
Year Built
1940
Assessment Information
Year
2018
2017
2016
Land Value
$176,539
$176,539
$176,539
Building Value
$92,355
$85,747
$85,789
XF Value
$276
$276
$276
Market Value
$269,170
$262,562
$262,604
Assessed Value
1 $121,515
$119,016
$116,569
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$147,655
$143,546
$146,035
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
1 53 41 PB 24-71
BONMAR PARK ADD A RE -SUB
LOT 16 E25FT LOTS 17-18-19-20
BLK 1
LOT SIZE 75.000 X 107
Generated On : 2/20/2019
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $71,515
$69,016
$66,569
School Board
Exemption Value
1 $25,000
$25,000
$25,000
Taxable Value
$96,515
$94,016
$91,569
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $71,515
$69,016
$66,569
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value 1
$71,515
$69,016
$66,569
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
11/01/1999
$87,000
18900-1343
Sales which are qualified
04/01/1991
$64,000
15003-0985
Sales which are qualified
04/01/1973
$36,000
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:
RECEIVED
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To whomever it may concern,
I am providing description of the Awning Addition located in 185 NW 102"d Street, Miami Shores, FL
33150. It is affixed to outer columns of patio wall with standard fixtures for awnings. Please refer to the
following:
Cloth Material : Black Cloth Woven Waterproof
Dimensions: Dimension A = 14 Feet
Cost :
VIMEN
Sincerely,
Maria Tolentino
Dimension B = 13 Inches
Dimension C = 7 feet 10 Inches
Dimension D = 6 inches
Distance from Ground = 6 Feet 11 Inches
$750
To whomever it may concern,
I am providing description of the Awning Addition located in 185 NW 102"d Street, Miami Shores, FL 33150. It is affixed
to outer columns of patio wall with standard fixtures for awnings. Please refer to the following:
Cloth Material:
Black Cloth Woven Waterproof
Wind Resistance:
125 km/Hour
Frame:
Structural welded aluminum frame
. .
....
......
•
Fixture:
Sleeve Anchors %" X 4"
......
•
.. .
......
Dimensions:
Dimension A = 14 Feet
....
• • • • • •
.
.....
Dimension B = 13 Inches
......
.. ..
. ..
•
....
.....
......
Dimension C = 7 feet 10 Inches
: :
....:.
Dimension D = 6 inches
Dimension F = 8 Inches (Distance from Edge of Wall, East Side)
Distance from Ground = 6 Feet 11 Inches
Cost:
$750
Sincerely,
Maria Tolentino
loll
C
} z
0 0
w
o0
4 1 3
2'-0" CL TO CL CL TO CL
I - 14'-0" OVERALL CANOPY WIDTH
PLAN VIEW
2
EXISTING BUILDING, BY OTHERS I D
I A U,02 94
EVE° RF>-I
"o
J
0 1 /2" x 4" SLE VE
zuj ANCHORS
z g BLACK CLOTH WOVEN
0 a WATERPROOF
2'-0" [— CL TO CL CL TO CL -7 2'-0"
B-------------
14'-0" OVERALL CANOPY WIDTH - ' 7'-10" CANOPY
PROJECTION
FRONT ELEVATION SIDE ELEVATION
SPECIFICATIONS:
FRAME: STRUCTURAL WELDED ALUMINUM FRAME. ALL SHOP CONNECTIONS TO BE WELDED AND ARE TO DEVELOP THE FULL
STRENGTH OF THE MEMBERS BEING JOINED. ALL FIELD CONNECTIONS TO BE AS SHOWN.
VAIN) RESISTANCE: 125 KMIHOUR
SLEEVE ANCHORS 12" x 4'. ALL FASTENER HOLES NOT OTHER WISE NOTED TO BE DRILLED INFIELD.
NOTES:
IINSTNSTALLATION TO BE COMPLETED IN ACCORDANCE WITH MANUFACTURERS SPECIFICATIONS.
i DO NOT SCALE DRAWING.
3. ALL INFORMATION CONTAINED HEREIN WAS CURRENT AT THE TIME OF DEVELOPMENT BUT MUST BE REVIEWED AND APPROVED BY
THE PRODUCT MANUFACTURER TO BE CONSIDERED ACCURATE.
ALUMINUM AWNING SYSTEMS
STRUCTURAL WELDED ALUMINUM FRAME. PLAN AND ELEVATIONS
3
OWNER MA IA TO
• . PARCEL 1113101 f
•• ••• ••� ••• • a • mm8/1/2019
CHM
• • • • • •
• • •• ••• •�• • • APPR
•
EXISTING BUILDING,
BY OTHERS
1/2" x 4" SLEEVE
ANCHORS
CI
STRUCTURAL WELDED ALUMINUM FRAME
AWNING
185 NW 102ND ST
MIAMI SHORES, FL 33150 A
EM IFSCM NO DWG NO REV
- 01
SCALE NM lwmff %*rr 01
1