RC-18-3347.fie `�-
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Certificate of Completion-,x
Miami Shores Village
#" 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
fiuY .. Tel: 305-795-2204 Fax: 305-756-8972:
- Building Inspection Department
r t
Description: REMODEL BATHROOM NEW TILE AND PAINT IN THE MASTER BEDROOM
Permit Type Building (Residential) Bldg. Permit No. RC-11-18-3347 F
Owner NEIL HART Contractor HOME OWNER5s
Subdivision/Project Date Issued 04/01/2019 c �.
Construction Type V-B Occupancy Single Family}-
A Type k.
t+; Square Footage 0.00
� q 9 Flood Zone X
xst Location If the building is located in a special flood hazard area documentation of the as -built lowest floor 7
�- elevation or lowest horizontal structural member has been provided and is retained in the records of y `> t"
,t. 295 GRAND CONC P :.'.
Miami Shores, FL 33138 Miami Shores Village. t
Ritit This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the
MORES time of issuance this structure was in compliance with the various ordinances of the jurisdiction
�S INC. 1931 V� p � .
x << regulating building construction or use.
Building Officials Approval
Not Transferable
POST IN A CONSPICUOUS PLACE
7r
i�i
t n}f h�7t'/?Ili'W" r i r.S .4�# d V': Q'v 11C1�
:- !��r.+ss�fw;,:.,��•c�,{•h-:.,
Ismael Naranjo, CBO
4y{ORES
so
RION
Miami Shores Village
Building Department
10050 NE 2 Ave
Miami Shores FL 33138
Type: Building (Residential)
Workclass Alteration
Permit Status: Approved
Issue Date: 11 /29/2018 Expires: 05/28/2019
INSPECTION REQUESTS: (305)762-4949 or log on at https://bldg.msvfl.gov/energov_prod/selfservice
Requests must be received by 3:30pm
WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - T.00PM
SATURDAY 8:OOAM - 6:00PM.
NO WORK IS ALLOWED ON SUNDAYOR HOLIDAYS
BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY .
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEENAPPROVED . PLANS ARE
READILYAVAILABLE . 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 OFANY MATERIAL REQUIRED TO ALLOW INSPECTION .
Owner's Name: NEIL HART
Job Address: 295 GRAND CONC
Miami Shores, FL 33138
Contractor(s)
HOME OWNER
Phone
Address
POST ON SITE
1132060133600
Owner's Phone: (305)962-4547
Total Square Feet: 0
Total Job Valuation: $ 17,000.00
Description: REMODEL BATHROOM NEW TILE AND PAINT IN THE MASTER BEDROOM
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.
Page of 1
INSPECTION
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
INSPECTION RE%.'."ORD
DATE I INSP
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 I 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 Ro
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
V�cti beAq
1 v kA %(
PBe CNkeUV00_1
INSPECTION
Final Sprinkler
Final Alarm
INSP
INSPECTION I DATE I INSP
Rough ;.0 e4 11A1_1 �
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 a
3d 14
PLUMBING COMMENTS
INSPECTION DATE INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Fi*ECHANICALCOMMENTS
m
weuti c� ilgl15
BUILDING
PERMIT APPLICATION
Miami Shores Village RECEIVED
Building Department NOV 012018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ICU
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949 `
FB� C 201
Master Permit No. fzc I R — ,3,
io
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
ca
CONTRACTOR DRAWINGS
JOB ADDRESS: `� —1 (�C%°�I i �L[ k:0C
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: `I Flood Zone: BFE: ��/FFE: (,
OWNER: Name (Fee Simple Titleholder): � 1 � Phone#:-WTq/off"/ !`f 7
Address:
City: 0 r"i UA4,%
Tenant/Lessee Name:
Email: r—f- J ('I-t'T
State: _ Zip: -SLS( 1jV6j
Phone#:�"�)
CONTRACTOR: Company Name: /( 0-4— J 6 y 6A-- Phone#:
Address:
City: State: Zip:
Qualifier Name:
State Certification or Registration #:
Phone#:
Certificate of Competency #:•
DESIGNER: Architect/Engineer: Phone#: _
Address: City: State:
Value of Work for this Permit: $ 9 ! /ter ���c ^ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Specify color of color thru tile:,
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
Zip:
❑ Demolition
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $ E�w
TOTAL FEE NOW DUE $ �h(�
(Revised02/24/2014)
.i .,i •"' ! ~'; a 7.f f
Bonding Company's Name (if applicable)
Bondirig 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 ai 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 instrument was 'facknowledged before me this
�_ day of O``v 20 16 , by
Q ho is personally known to
e
me or who has produced s
identification and who did take an oath.
NOTARY PUBLIC:
Pri
MAHARAI K. GONZALEZ I�
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20, by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: :�J P ' EXPIRES: November 2, 2020 Seal:
Bonded Thru Notary Public Underwriters
11
******************************* ***************************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
NAME:
ADDRESS: 21
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE: 1 1 — i `l
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 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.
Initi
2. 1 understand that building permits are not required to be signed by a property owner unless he or she i onsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial
ZI&
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understan 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 ontracts.
Initial rV
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 leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or le e, hich violates the exemption.
J _
Initial
S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction
a Initial
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 an county or 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 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 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 l 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 wi i e 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. 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.mVfioridalicense.com/dbpr/pro/cilb/index.html
Initial
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:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of tFj information 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 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 20
By 1 V L/l Wky, �� who was personally known to me or who has
Produced theft Licen
identification
OWNER NOTARY
11/1/2018 Property Search Application - Miami -Dade County
APPRAISER
OFFICE OF THE RO' E
Summary Report
Property Information
Folio:
11-3206-013-3600
Property Address:
295 GRAND CONIC
Miami Shores, FL 33138-2852
Owner
JOANN HART (TRUST)
JOANN & NEIL P HART TRS
Mailing Address
295 GRAND CONCOURSE
MIAMI SHORES, FL 33138-2852
PA Primary Zone
1300 SGL FAMILY - 2801-3000 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
2,548 Sq.Ft
Living Area
1,711 Sq.Ft
Adjusted Area
2,155 Sq.Ft
Lot Size
12,067.9 Sq.Ft
Year Built
1952
Assessment Information
Year
2018
2017
2016
Land Value
$424,721
$424,721
$386,110
Building Value
$149,988
$149,988
$149,988
XF Value
$734
$741
$747
Market Value
$575,443
$575,450
$536,845
Assessed Value
$197,617
$193,553
$189,572
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$377,826
$381,897
$347,273
Homestead
Exemption
$25,000
$25,000
$25,000
Second Homestead
Exemption
1 $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 1 AMD PB 10-70
LOT 1 BILK 27
LOT SIZE 92.830 X 130
OR 19564-4337 02 2001 5
Generated On : 11/1/2018
Taxable Value Information
2018
2017 2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$147,617
$143,553
$139,572
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$172,617
$168,553
$164,572
City
Exemption Value
1 $50,000
$50,000
$50,000
Taxable Value
$147,617
$143,553
$139,572
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$147,617
$143,553
$139,572
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
02/01/2001 $0
19564-
Sales which are disqualified as a result of
4337
examination of the deed
08/01/1985 $75,000
12620-
Sales which are qualified
2159
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
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
295 GRAND CONC, Miami Shores, FL 33138 1132060133600
Contacts
Permit No.: RC-11-18-3347
Permit Type: Building (Residential)`
Work Classification: Alteration
Permit Status: Approved
Expiration: 05/28/2019
NEIL HART Owner HOME OWNER Contractor
295 GRAND CONCOURSE, MIAMI SHORES, FL 331382852 HOME OWNER
Other:3059624547
Inspection Requests:
Description: REMODEL BATHROOM NEW TILE AND PAINT IN Valuation: $ 17,000.00 305 762 4949
THE MASTER BEDROOM
h Total Sq Feet:0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$10.20
Certificte of Completion for Single Fam
$50.00
and Duplex
DBPR Fee
$7.65
DCA Fee
$5.10
Education Surcharge
$3.40
Permit Fee
$460.00
Scanning Fee
$24.00
Technology Fee
$12.75
Total
$623.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$623.10
Credit Card
11/29/2018 $573.10
Credit Card
11/01/2018 $50.00
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
mRulaiJing construckn and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Sig6ature:bwner / Applicant / Contractor / Agent Date
November 29, 2018 Page 2 of 2