RC-19-1573Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit No.: RC-07-19-1573
Permit type: ft ing,(Reddential)
Work Clasalftiation: Alteration
Permit Status. Approved
Issue Date:07/09/2019 F Expiration:02/04/2020
Location Address Parcel Number
9315 N MIAMI AVE, Miami Shores, FL 33150 1132060130360
Contacts
MAXWELL MILLER Owner HOME OWNER Contractor
9315 N MIAMI AVE HOME OWNER
Inspection Requests:
Description: DRYWALL AND. PAINT REPAIR : BEDROOM APROX Valuation: $ 1,500.00 Inspec305-kion Re
1'X4' , BEDROOM CLOSET APPROX 1.5'X2 , BATHROOM CLOSET
APPROX 1.5'X1.5', KITCHEN APPROX 3'X1' AND 3'X0.5' Total Sq Feet: 13.75
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$117.10
Payments
Date Paid Amt Paid
Total Fees
$117.10
Credit Card
08/08/2019 $67.10
Credit Card
07/09/2019 $50.00
Amount Due:
$0.00
Building Department Copy
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
re
gulating-c,onstyctiQn and zoning. Futhermore, I authorize the above named contractor to do the work stated.
r / Applicant / Contractor / Agent
Date
August 08, 2019 Page 2 of 2
�\ Miami Shores Village C VF
019
Building Department JUL 9
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
FBC 20 q Master Permit No. W� -7 01 ` —I 13
Sub Permit No.
�Bi ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL 7 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
n CONTRACTOR DRAWINGS
JOB ADDRESS: �3) 5 l�! �AVh� Ayt �[-•�
City: Miami Shores County: Miami Dade Zip:33�7�
Folio/Parcel#: lk-3ao6 " M-5 ^ O3 6 6 Is the Building Historically Designated: Yes NO
Occupancy Type: R{S Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): MgYWrLI wil-W Phone#: 3n - 9 0% S�`I
Address: 051 S IJ M;4yA) QV2.
city: lV��..vvv sNwth State: qL Zip:331 so
Tenant/Lessee Name: N /ft Phone#:
Email: 1MOOAWeINV-% ,VkWe�iw►tiil•C06k
CONTRACTOR: Company Name: VW✓ Phone#:
Address:00S PJ �Ul•�.w�,
City: W'6'vv�' sly% s State:lrL Zip:3_-�%.S0
Qualifier Name: Phone#:
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: 1 City: State: Zip:
` Value of Work for this Permit: $ , 500.03 Square/Linear Footage of Work: �•�S SL'�{
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Wo
1
I.S' x
a B�croc GDMbX ), X II , U roi>,
Specify color of color thru tile:
Submittal Fee $ I Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
3kO'V1
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $ TOTAL FEE NOW DUE $ 6 —4•
(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."
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 low 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
Ao,�L,�,
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 �, by
�Ay-lt — N'1( who is personally known to
me or who has produced — as
`+aliiii1t11J1/!//
identification and who did take ant'�id�
NOTARY PUBLIC: %d�y
09L
Print:
Signature
CONTRACTOR
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 PUBLIC:
Sign:
Print:
Seal: ��// �iliti ���\\\\` Seal:
as
APPROVED BY / 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:MkUWtLL MU1,k'?- DATE:1 v OIh
ADDRESS: "l31 S 1\) M;C'W , Awe, I W,.,yv„ S6,s, fL 331 Sb
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.
Initial M VAA
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 Mk
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 lease, which violates 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 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.
InitialMm
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 0-4A
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 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 WM
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 kw\
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://www.myflorida license.com/dbPr/pro/ciIb/index.htmI
Initial WAN
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:
�315 N M:cw:, bot, h&,w,66ws,FL33)50
Initial 141116h
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 w1I�
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
ByLAAYweAl i- M;111VI/ who was personally known to me or who
Produced there License orb— M460-SS IAL3a2-a
OWNER
as id
NOTARY
NeaoN •• /��i
�Q
•
M—
Property Search Application - Miami -Dade County Page 1 of 1
i OFFICE OF THE PROPERTY APPRAISER
,'.' .9
Summary Report
Property Information
Folio:
11-3206-013-0360
Property Address:
9315 N MIAMI AVE
Miami Shores, FL 33150-2243
Owner
JEFFREY PUJALS
Mailing Address
9315 N MIAMI AVENUE
MIAMI SHORES, FL 33150 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds 1 Baths / Half
2/1/0
Floors
1
Living Units
1
Actual Area
1,574 Sq.Ft
Living Area
1,354 Sq.Ft
Adjusted Area
1,464 Sq.Ft
Lot Size
10,530 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2019
2018
2017
Land Value
_._
$284,033
$236,817
..........................
$236,817
Building Value
$92,712
$92,837
$92,963
XF Value
$3,704
$3,724
$3,744
Market Value
$380,449
$333,378
$333,524
Assessed Value
$366,715
$333,378
$228,899
Benefits Information
Benefit
Type
2019
2018
2017
Save Our Homes
Cap
Assessment
Reduction
$104,625
Non -Homestead Cap
Assessment
Reduction
$13,734
Homestead
Exemption
$25,000
Second Homestead
Exemption
$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 12 & S1/2 LOT 11 BLK 3
LOT SIZE IRREGULAR
OR 17857-2666 1097 1
COC 24701-3388 06 2006 1
Generated On : 7/9/2019
Taxable Value Information
2019
2018 2017
County
Exemption Value
$0
$0
$50,000
Taxable Value
1 $366,7151
$333,3781
$178,899
School Board
Exemption Value
$0
$0
$25,000
Taxable Value
$380,449
$333,378
$203,899
City
Exemption Value
$0
$0
$50,000
Taxable Value
1 $366,715
$333,378
$178,899
Regional
Exemption Value
$0
$0
$50,000
Taxable Value
$366,715
$333,378
$178,899
Sales Information
Previous
OR Book -
Pace
Qualification Description
Sale
Page
28301-
09/10/2012
$285,000
Qual by exam of deed
3292
26930-
06/22/2009
$246,000
Qual by exam of deed
0630
26820-
Financial inst or "In Lieu of Forclosure"
03/27/2009
$130,000
1555
stated
26573-
Sales which are disqualified as a result
08l08/2008
$100
0465
of examination of the deed
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:/hvww.miamidade.gov/info/disclaimer.asp
https://www8.miamidade.gov/Apps/PA/propertysearch/ 7/9/2019
PREPARED BY AND RETURN TO:
Santiago Eljaiek III, Esq.
Marin, Eljaiek, Lopez & Martinez, P.L.
2601 South Bayshore Drive, 18" Floor
Coconut Grove, FL 33133
Our File No.: 0037-005
CFN: 20190375808 BOOK 31486 PAGE 1460
DATE:06/18/2019 10:54:38 AM
DEED DOC 2,881.20
HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY
Property Appraisers Parcel Identification (Folio) Number: 11-3206-013-0360
Space above this Line for Recording Data
WARRANTY DEED
THIS WARRANTY DEED, made the 7th day of June, 2019 by Jeffrey Pujals, a single man, whose
post office address is 1360 Lombard Street, Unit 102, San Francisco, CA 94109, herein called the Grantor.
to Maxwell K. Miller and Sarah M. Coleman, husband and wife, whose post office address is 9315 N.
Miami Avenue, Miami Shores, FL 33150, hereinafter called the Grantee:
(Wherever used herein the terms "Grantor "and "Grantee" include all the parties to this instrument and the
heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations)
W I T N E S S E T H: That the Grantor, for and in consideration of the sum of TEN AND 00/100'S ($10.00)
Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains,
sells, aliens, remises, releases, conveys and confirms unto the Grantee all that certain land situate in MIAMI-
DADE County, State of Florida, viz.:
Lot 12 and the South 1/2 of Lot 11, Block 3, AN AMENDED PLAT OF MIAMI SHORES
SECTION NO.1, according to the map or plat thereof as recorded in Plat Book 10, Page 70, of the
Public Records of Miami -Dade County, Florida.
Subject to easements, restrictions and reservations of record and taxes for the year 2019 and
thereafter.
TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND, the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee
simple; that the Grantor has good right and lawful authority to sell and convey said land, and hereby
warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;
and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2018.
IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first
above written.
Signed, sealed and delivered in the presence of:
[2916467/11
CFN: 20190375808 BOOK 31486 PAGE 1461
Witness #1 Signature
Witness #1 Printed Na
(�m-
Witness'#2 Signature
� t4l wojvrA
Witness 42 Printed Name
STATE OF -HQ 60
COUNTY OF �/VIA1' I -D(tU
The foregoing instrument was acknowledged before me this 31 day of - �44j , 2019, by Jeffrey
Pujals, wh is"i ersonallknown to me or has produced Ls identification and
❑ did LIff did not take an oath.
SEAL
pILAR M. AYILE$
a" MY COMMISSION # 0GO55741
-'A EXPIRES December 18, 2020
I
My commission expires:
Notary Public
Pi( ffi4 ��
Printed Notary Name
[2916467/11
OR
:C
♦
r
>'�[i1 .°,.riN98ltlrn`
FZO
RIV
PERMIT ADDRESS:
9315 N MIAMI AVE
Miami Shores, FL 33150
APPLICATION DATE:
07/09/2019 SQUARE FEET
EXPIRATION DATE:
01/06/2020 VALUATION:
CONTACTS NAME
Contractor HOME OWNER
HOME OWNER
Owner MAXWELL MILLER
PARCEL: 1132060130360
13.75 DESCRIPTION: DRYWALL AND PAINT REPAIR : BEDROOMAPROX
$1,500.00 1'X4' , BEDROOM CLOSET APPROX 1.5'X2 ,
BATHROOM CLOSETAPPROX 1.5'X1.5', KITCHEN
APPROX TXV AND 3'X0.5'
COMPANY ADDRESS
HOMEOWNER
HOMEOWNER
9315 N MIAMI AVE
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: 1. Electrical approval require.
2. Provide smoke detectors as require under section R314.2.2
3. Plans provided are incomplete. The plans should comply with the requirements of section 107.2 of FBC, Building and section 8-10 of Miami Dade
County Code. Also, Please make sure to reflect the work areas.
Electrical v.1 Requires Re -submit Michael DeVaney email: nu119
Comments: NEED:
1.ELECTRICAL PERMIT APPLICATION
2.ELECTRICAL PLANS SHOWING KITCHEN AND BATHROOM RECEPTACLES, CIRCUIT NUMBER AND GFI /AFCI PROTECTION.
3.ADD SMOKE DETECTORS
Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov
August 06, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1