FW-10-20-2482Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
173 NW 95TH ST, Miami Shores, FL 33150 1131010240220
Contacts
DAVID APONTE Owner HOME OWNER Contractor
165 NW 95 ST, MIAMI SHORES, FL 331501711 HOME OWNER
Other: 3056875031 HOMECAREENT@AOL.COM
.....�..M......-....�.�..........._.._ _.. _.-- --
i Ins ection Requests:
Description: wood fence Valuation: $ 500.00 r -449
v 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
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Wire and Wood Fence Fee
$50.00
Total:
$151.30
Payments
Date Paid Amt Paid
Total Fees
$151.30
Credit Card
11/24/2020 $101.30
Cash
10/28/2020 $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: certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constructs nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized SignZature: wne / Applicant / Contractor / Agent Date
November 24, 2020 Page 2 of 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
173 NW 95TH ST, Miami Shores, FL 33150 1131010240220
Contacts
DAVID APONTE Owner HOME OWNER Contractor
165 NW 95 ST, MIAMI SHORES, FL 331501711 HOME OWNER
0
Other: 3056875031 HOMECAREENT@AOL.COM
Inspection Requests:
Description: wood fence ;Valuation: $ 500.00 3Q5 7�r� 494�. �,� �� � pia
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
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Wire and Wood Fence Fee
$50.00
Total:
$151.30
Applicant Copy
Payments
Date Paid Amt Paid
Total Fees
$151.30
Credit Card
11/24/2020 $101.30
Cash
10/28/2020 $50.00
Amount Due:
$0.00
For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
November 24, 2020 Page 1 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village cj jvE,3
Building Department OCT o
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 20
Master Permit No. :rVJ - 10 - 2-()- 2�SZ
Sub Permit No.
tBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
2 n CONTRACTOR DRAWINGS
JOB ADDRESS: F 1 3 N W —1 5 S Jye-C4 - M`1 l g m i 5 60 res . R. 33 ►S (i,
City: Miami Shores County: Miami Dade Zip: 3315E
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): �CI\1 kc� AM f1Tc. Phone#: Mt - 5ok - 59 0
Address: 1 SOS NVIA C S '_sAlct c+
City: m\ S�i3'r-r_S State: 7t Zip: 3_31.5 C'
Tenant/Lessee Name: Phone#:
Email: �e�V IIaQ T �q0�• CD r1n
CONTRACTOR: Company Name: Phone#:
Address:
City:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
zip:
Phone#:
of Competency #:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 5- Square/Linear Footage of Work: Fce �r
Type of Work: ❑ Addition ❑ Alteration XNew ❑ Repair/Replace ❑ Demolition
Description of Work: C'00-06 Fe.i(ZC_e
�l�i`h, "Y (TT lCa i tom/ �/ �. / .✓n 1 t>�7 7 ewedlI f .tv . , Gs i i C 0< T7_114 1.
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ ( -�
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
ME
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 rein
soction fee will be charged.
ER dr AGENT
The foregoing instrument,was acknowledged before me this
day of C, by
—be�y ► d A oG; o 1 C , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
o�,,m pu,� BARBARA ZEEMAN
Seal: * * MY COMMISSION # GG 061186
N oQ EXPIRES: February 15, 2021
�T<` of r �P Bonded Thru Budget Notary Services
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20, by
as me or who has produced
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
APPROVED BYs _ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014) ! I S I Zv Lu T`
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
NAM E: 7 Ol\j ld r X E'e DATE: I s l a ao
ADDRESS: I"I3 N�.j qS S-I-et_ - tllLctrni '5kQr-5 ram- 33150
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 contractor 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 responsible for the construction and
is not hiring a licensed contractor to assume responsibility.
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_
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 w n 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 41
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 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 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.mvfloridalicense.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 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 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 0�k , 20 /
By I A-�d who was personally known to me or who has
Produced there se or
OWNER
as identification.
t V ayel O MMISSION # G 0
MY COMMISSION# GG 061186
N oe EXPIRES: February 15, 2021
OTA RY 9lFpF F�pe Bonded Thru Budget Notary Services
Property Search Application - Miami -Dade County Page 1 of 1
-
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3101-024-0220
Property Address:
173 NW 95 ST
Miami Shores, FL 33150-1711
W
Owner
EVELYN J VRHOVNIK LE
REM DAVID APONTE
Mailing Address
PA Primary Zone
173 NW 95 $T
MIAMI SHORES, FL 33150 USA
0800 SGL FAMILY - 1701-1900 SQ
_.._......__.-................................ ............................_......._.......-
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
1,786 Sq.Ft
Lot Size
9,225 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2020
2019
2018
Land Value
$212,839
$212,839
$203,198
Building Value
$134,273
$134,303
$134,332
XF Value
$0
$0
$0
Market Value
$347,112
$347,142
$337,530
Assessed Value
$112,872
$110,335
$108,278
Benefits Information
Benefit
Type
2020
2019
2018
Save Our Homes
Assessment
$234,240
$236,807
$229,252
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Widow
Exemption
1 $500
$500
$500
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
BONMAR PARK PB 17-11
LOT 21 & W1/2 LOT 20 BLK 4
LOT SIZE 75.000 X 123
OR 15873-4990 0493 4
Generated On : 10/27/2020
Taxable Value Information
2020
20191_ 2018
County
Exemption Value
$50,500
$50,500
$50,500
Taxable Value
1 $62,372
$59,835
$57,778
School Board
Exemption Value
$25,500
$25,500
$25,500
Taxable Value
$87,372
$84,835
$82,778
City
Exemption Value
$50,500
$50,500
$50,500
Taxable Value
$62,372
$59,8351
$57,778
Regional
Exemption Value
�$50,500
$50,500
$50,500
Taxable Valu
1 $62,372
$59,835
$57,778
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
31536-
07/19/2019
$100
Life Estate interest
1626
15873-
Sales which are disqualified as a result of
04/01/1993
$0
4990
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://www.miamidade.gov/info/disclaimer.asp
https://www.miamidade.gov/Apps/PA/propertysearch/ 10/27/2020
U /U-
Mliemi Shores Village
APPROVED
BY
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(305) 865.1200
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ROOD ZONE: X
PANEL: 0302
PROPERTY ADDRESS: 173 NW 95 ST., MIAMI SHORES, FL. 33M
LEGAL DESCRIPTION: LOT 21 AND WEST 1/2 OF LOT 20, IN BLOCK 4, OF BONMAR PARK,
ACCORDING TOT HE PLAT THEREOF, AS RECORDED IN PLAT BOOK 17, AT PAGE 11, OF THE
PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
SURVEYOR'SNOIES:
1) OWNERSHIP SUBIECr TOOPNION OF TTILE.
2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
3) THE SUflVEY DEPICTED HERE IS NOT COVERED BY PROiF5510NAL HABILITY INSUPANCE,
Q LEGAL DESCRIPTION PROVIDED BY CLIENT.
S) UNDERGROUND ENCROACHMENTS NOT LOCATED.
61 ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929.
7) OWNERSHIP OF FENCES ARE UNKNOWN.
B) THERE MAYBE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAYBE FOUND IN THEPUBLIC RECORDS OF
THIS COUNTv.
9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION.
10) EXAMINATION OF THE ABSTRACT OF TIRE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY,
AFFECTING THIS PROPERTY.
11)ELEVATIONS BASED OFF OF BM4 LOCH ELEV.
ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNNG PARTY OR PARTIES
IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB: 17 PG: 11
SINCE 1"7 NOT VALID UNLESS EARIOSSED WI
BLANCO SURVEYORS INC. SURVEYORS SEAL
Engineers . Lend Surveyors . Mennera • L.BM0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33147
Email: blancosurveyorsinc@yahoo.com F= (305) 885.7810
SUFFIX L FIRMA DATE: 09/11/09 BASE: WA
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