DS-5-18-1175, 705 NE 94th StMiami 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 ❑ ELECTRIC ❑ ROOFING
AY 3 2 8
v
FBC 2dl I^
Master Permit No. ia Is - I I I
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: �� - 3y2a - o 1Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): C. �Gw/�/� ��%/C� Phone#: _5e —4<4 2_6
Address: 7U4 /,1/C-- 174 '% TY—
City: j'G l: d�l�•t i , &x&—� State: Zip: 3:/3 B
Tenant/Lessee Name:
Email: Q 071"obl-1,= ,
& , C aF-t
hone#:
CONTRACTOR: Company Name: m`� (,� �'(' Phone#:
Address:
City:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ 6 (.) U
Type of Work: ❑ Addition ❑ Alteration
Description of Work: .zull 6r - Gv.�'i
Zip:
Phone#:
Certificate of Competency #:
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
❑ New [ Repair/Replace ❑ Demolition
j ,,
) C) P.S Z
Specify color of color thru tile:
Submittal Fee $ I Permit Fee $ �A CCF $ CO/CC $
Scanning Fee $ Radon Fee $ CA) DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
—Pq' : :3s;
(Revised02/24/2014)
Double Fee $
`jDU - C�)
TOTAL FEE NOW DUE $ aok ' 6 0
sz�- 9,ro(3
Bond $
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
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,41FN reinspection fee will be charged.
Signature - 1. i 11 Signatu
The foregoing instrument was acknowledged before me this
day of /e1 .2 by
who i �eionally known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sig
......'n
Print: * , * MY COMMISSION # FF 949075
s aP EXPIRES: February 22, 2020
Seal: 'FOF Fjo'p Bonded Thru Budget Naaty $w*es
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:
as
**:*s*as#ssssssssssssssssssss *ssss;7t*7****P*la*n*s**Ex*a**m*in**er***********
APPROVED BY �� Zoning
Structural Review Clerk
(Revised02/24/2014)
JUHN IUAHKA & AtljtuUUIA I 1=ZS. INU.
Professional and Surveyors &Mappers
tr -2ARRALANDSURVEYORS COM 777 N.W. 721W AVENUE 2804 DEL PRADO OLVO SOUTH
SUITE 3025 SUITE NO, 202 UNIT I
MIAMI. FLORIDA 33126 CAPE CORAL, FL 33904
PH: (305) 252-04GO PH: (239) 540-2660
f�AX; (3Q5) 262-0401 FAX12393 S40-7664
MAP OF BOUNDARY SURVEY
705 NE 94TH STREET, MIAMI SHORES, FLORIDA 33138
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CERTIFIrA770N.
CECILIA RENE
FIELD DATE. 0310812016
SURVEY NO: 15-003743,
SHEET: 2OF2
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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: ( G C I /i 3 'Cey -S DATE:
ADDRESS: 705- �4'-' -T
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 ail
applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I 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. no
Initial— —L1.-
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, 1 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
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, violates the exemption.
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the constructio
Initial_N,
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.
Initial— (aLl�
I 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. 7
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 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 y �
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 regulation
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 contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.myfloridalicense.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 the inntormation that I have provided on
this disclosure. (7(j
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 3rd day of A , 20__
By C=ili'a C'OIVJ%a �` ff S who was personally known to me or who has
there`L1'�Cense or
ER
:ation-
—
t`H�"flN
ON PF,�t70
MY 10Mr�fISSK ; a FF �1 �31
-
�
C�'' iES M cIi r; 2Q19
I
'
_ jt
Property Search Application - Miami -Dade County Page 1 of 1
FICE OF THE PROPERTY ArPRAISER
Summary Report
Property Information
Folio:
11-3206-014-1960
Property Address:
705 NE 94 ST
Miami Shores, FL 33138-2914
Owner
CECILIA GLAUDIA RENES
Mailing Address
705 NE 94 ST
MIAMI, FL 33138
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds / Baths I Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,648 Sq.Ft
Living Area
2,398 Sq.Ft
Adjusted Area
2,358 Sq.Ft
Lot Size
9,675 Sq.Ft
Year Built
1956
Assessment Information
Year
2017
2016
2015
Land Value
$290,008
$251,390
$232,460
Building Value
$163,627
$164,037
$164,446
XF Value
$3,930
$3,959
$3,028
Market Value
$457,565
$419,386
$399,934
Assessed Value
$433,096
$393,724
$357,931
Benefits Information
Benefit
Type
2017
2016
2015
Non -Homestead
Assessment
$24,469
$25,662
$42,003
Cap
Reduction
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
5-6 53 42
MIAMI SHORES SEC 3 PB 10-37
LOT 15 & W1/2 OF LOT 16 BLK 67
LOT SIZE 75.000 X 129
OR 12684-764 1085 5
Generated On : 5/3/2018
Taxable Value Information
2017
2016: 2015
County
Exemption Value
$0
$0
$0
Taxable Value
$433,096
$393,724
$357,931
School Board
Exemption Value
$0
$0
$0
Taxable Value
$457,565
$419,38
$$399,934
City
Exemption Value
$0
$0
$0
Taxable Value
$433,096
$393,724
$357,931
Regional
Exemption Value
Taxable Value
�$433,096
$0 $0
__... ..
3,724 $357,931
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
25078
11/12/2006
$779,000
Sales which are qualified
0444
25025-
Sales which are disqualified as a result
10/01/2006
$0
1103
of examination of the deed
24908-
..... ..........
Sales which are disqualified as a result
09/01/2006
$0
3181
of examination of the deed
23468-
02/01/2005
$550,000
Sales which are qualified
2353
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://www.miamidade.gov/info/disclaimer.asp
Version
https://www.miamidade.gov/propertysearch/ 5/3/2018
` SytORES Gam!
a �
fiinriioA
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
705 NE 94 Street � 1132060141960
Miami Shores, FL 33138- Block: Lot: CECILIA RENES
1
Owner Information
CECILIA RENES
Address
705 NE 94 Street
FL
Contractor(s) Phone Cell Phone
HOMEOWNER
In Review
(786)587-0701
I Valuation: $ 800.00
Total Sq Feet: 160
Comments:
Date Approved:: In Review
Date Denied:
Type of Work: REPLACE WALKWAY TO FRONT DOOR V\ Additional Info: REPLACE WALKWAY TO FRONT DC
Bond Return: REPLACE WALKWAY TO FRONT DOOR V\ Classification: Residential
Scanning: 3
Fees Due
Amount
Bond Type - Owners Bond
$500.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
P&Z Review Fee
$35.00
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$649.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS-5-18-67393
05/08/2018 Check* 1166
05/03/2018 Credit Card
Bond #: 3750
$ 599.60 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Building
Review Planning �JEE
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 a
construction and zoning. Futhermore, I authorize the above -named contractor to
Authorized Signature: Owner / Applicant / Contractor /
all work will be done in compliance with all applicable laws regulating
work stated.
May 08, 2018
Building Department Copy
May 08, 2018 1