EL-19-2860Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:12/13/2019 Parcel Number 89 NE 102 ST, Miami Shores, FL 33138-2322 1132060131690 :ontacts Permit No.: EL-12-19-2860 Permit Type: Electrical - Residential Work Classification: Low Voltage Permit Status: Approved Expiration: 06/10/2020 PALOMATEPPA Owner PALOMATEPPA Applicant 89 NE 102 ST, MIAMI SHORES, FL 331382322 89 NE 102 ST, MIAMI SHORES, FL 331382322 Business: 7862084005 Business: 7862084005 HOME OWNER Contractor HOME OWNER Inspection Requests: Description: \LOW VOLTAGE SPEAKER CABLE, CABLE TV Valuation: $ 250.00 Inspec ion Re COAXIAL CABLE DATA CABLE 49 TotalSq Feet: 850.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $116.30 Payments Date Paid Amt Paid Total Fees $116.30 Credit Card 12/13/2019 $66.30 Credit Card 12/02/2019 $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. regu I It:edtifv khatiall the forje�nq i is accurate and that all work will be done in compliance with all applicable laws *,awed contractor to do the work stated. Sigrfature: Owner `,' V Applicant / / Agent Date December 13, 2019 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑ BUILDING JKECTRIC ROOFING ENTERED DEC 0 2 2019 BY: (0�_h FBC ZORc_ 10-20@0 Master Permit No. Sub Permit No.f L-12 -19- 28(o a ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 8 C1 WF_ 1025T City: Miami Shores County: Miami Dade Zip: �3,31lJ Folio/Parcel#: 1 I — a Z o (D — O (3 —I & � o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): YR I P-MP P—C,(a5C(AP VMl: (,/ EF} LCMA Phone#: Address: F20� Nam- IO2 TEQpA City: WMA l S U GzfF'7 State: i 11— Zip: Tenant/Lessee Name: Phone#: Email: yC(l� p`Gtrl�}1�+et c,l-�-c.tre. Cd1/1 T CONTRACTOR: Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $Z 50 Square/Linear Footage of Work: 000 Lth/(--A2i Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition Description of Work: Lvw VOLTit 6 S0AY101(. CPALE, Specify color of color thru tile: Submittal Fee $ D Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (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 an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee ?011—be--cliorged. mjent�was acknowledged before me this nt '�1 C— 20 (� by \ 1-111 C. I I 1 FtL-L,l,\�'Jt-rWh1dd fssppeersonally known to me or who has produced I ✓ L1u rV as identification and who did take an oath. NOTARY PUBLIC: Print: Signatu CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: 11111 Sign:_ Si•:�A/���i._ Print: as 'G�acch6,2 Fes•. al: Seal: Je O�•. #FF954760 : Q APPROVED BY Ze11f1A`T ��s`Examiner Zoning Structural Review Clerk (Revised02/24/2014) �5 .3 nr Al AM AFtt AFCI( A -34 AT AT 50 FR A-36 A36 SOFFIT -36 A 36 A-34 O FI -AFCI �_ _— — _ _ IL "% / x :-� ,k r s • .IAf• r• I� ;FF • Cl i CLfi.. .3 �.' / }� _ �-' "/ / ! ��i 7 ST: 1 !.?—r..S,FYi>L • k - • � ,. _ t :.3 • c I— E` 707 ?'A37t-'A24 LFC O a•OT►;3 •w•A-36 A-24 A-24 / t %A� AFCI { AFCI AFCI I �f� '/ AFOI ED$,-" M #Z • • �•••s• ';.Fa NEW OFFICE , j, / E /� ,_, EXIST- AT L6. • • • • • HOME AFCI �f /// / A-3 • r • • s • • r uct AFCI A-37. -0 r AFC G? r / .- I 1, I � r' _ _ _ _ r _ � /, f � - ln•••• ����11�����' 'Y • v( _ ..,7� ( (FCC I— / i 3 d/,/. 1� AHU j • • • • �.•r•s} 6� s _�A-7'� //,// A-7- f a-t7 tq i' n5 • • • • •-. �� G-2A _-�... • AFCI OWD— t�. . 4 / / / - -EXIST. /, >' /� / iF �At EXIST PEL�4T f• CN�. •% A-37 % ,137✓ / 21 -24 �� / /� AT( • • a • • jjc '(j1,, BATH #,A,14 • • A4.�..._,......-24'` -i4'f ;cicl ACFCI AFCIO /,� fFnl�i•E L�FFq` E lIETER ! 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PNL C r i AFG f-AFG a `I �. u LIVING f/' �6t 1-7 / C-1 - C- C-1 A i HE $ AFCi Fi FCI AFCI AFCI AFCI fiFGI , / I A`6�p` d2� 8 '-M A-B BATH i A-7 A7 EXIST..� 4 r FCIL1 4F Ci©.. f.F C'� i l t MASTER 1' ?ECRGOr1 ,'� i Cr2A�c� AFC l a -a AFCI t P o _ AFCI O� A 4© F N 0 A-b \ Iltip ' ' _ p.: Ad --AFC, AFC 0q L C21E0o A-4 - 0� A- 777 �= 1 SL4 � L � � - w '_ iTl Fi PCI.�WAL FLOOR PLAN Property Search Application - Miami -Dade County Page 1 of 1 ia OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-1690 Property Address: 89 NE 102 ST Miami Shores, FL 33138-2322 Owner PALOMA TEPPA Mailing Address 89 NE 102 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 1,965 Sq.Ft Living Area 1,512 Sq.Ft _ Adjusted Area 1,723 Sq.Ft Lot Size 11,923.76 Sq.Ft Year Built 1948 Assessment Information Year 2019 2018 2017 �_............................ Land Value $357,590 $297,664 $297,664 Building Value $119,921 $130,361 $130,361 XF Value $1,847 $1,872 $1,898 Market Value $479,358 $429,897 $429,923 Assessed Value $374,534 $376,699 $368,952 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Cap Assessment Reduction $104,824 $53,198 $60,971 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption F $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 LOTS 22 & 23 BLK 12 LOT SIZE IRREGULAR OR 13718-2883 0688 4 Generated On : 12/2/2019 Taxable Value Information 2019 20181 ..._.._. 2017 ................. County Exemption Value $50,000 $50,000 $50,000 Taxable Value $324,534 $326,699 $318,952 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $349,534 $351,699 $343,952 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $324,534 $326,6991 $318,952 Regional Exemption Value $50,000 $50,000 $50'000 Taxable Value .77± $324,534 $326,699 $318,952 Sales Information Previous OR Book - Price Qualification Description Sale Page 29287 Qual by verifiable & documented 08/14/2014 $421,500 4381 evidence 28906- Financial inst or "In Lieu of Forclosure" 10/30/2013 $100 0068 stated 28876- Financial inst or "In Lieu of Forclosure" 10/01/2013 $200,100 1270 stated 13718- Sales which are disqualified as a result 06/01/1988 $0 2883 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 hftp:ltwww.miamidade.gov/info/disclaimer.asp Version https://www.miamidade.gov/Apps/PA/propertysearch/ 12/2/2019 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: *1� *9-COSC.URMFe_/e�11,yh W 5 - DATE: l/&G Z, 19 ADDRESS: �/ 1 Nr �Zj +'►�11f1"/�Il S�ICQ S'L"3 i 3X Do hereby petition the Wlage 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 � y 2. 1 understand that building permits are not required to be signed by a property owner unless he or sh 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 understandft I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead ofown name. 1 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 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuildinge.y o 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 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the constructio Initial 4 a 6:* -I.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 ,i is my responsibility to ensµre that the persons whom 1 employ have the license required by law and by county or municipal ordinance. L �, •. , � 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 — A 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contract r 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 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 10. 1 understand that 1 may obtain more information regarding my obligations as an employer from the Int rnal 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.mvfloridalicense.com/dbpr/pro/cilb/index.htmi Initial —V 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understani Is that I am the party legally and financially responsible for the proposed construction activity at the following address: g� tiE 1O1- SA VS rZ, -731-3, Initial 12. i 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 OAM Licensed contractors are regulated by laws designed to protect the public. If you contract with a person vho 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 C10,91 day of B�Q� 20 Bre iv 12 YOLW��� u �' ` 1 who was personally known to me or who has Produced there License or •�.1v1v1\jam as identification. SIND g1LwEZ 0N ## GC 238273 NOTARY , my p1�ES' SeP�mv °�;,�°`�ThruNoteryPu