DS-01-22-27Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
357 NE 97TH ST, Miami Shores, FL 33138
Permit No.. DS-01-22-27
Permit Type: Driveways/Walkways/Slabs
Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date:01/13/2022 Expiration: 07/13/2022
Parcel Number
1132060135750
Contacts
Kristy Johnson Owner HOMEOWNER Contractor
35797 HOME OWNER
Business: 3052135328 kristy0713@aol.com
II Description: BACK DRIVEWAY [Total
LSqFeetL:=3'50.00
00.00 Inspection Requests:
305-762-4949
i
Fees
Amount
Application Fee -Other
$50.00
CCF
$1.80
Concrete/asphalt/pavers, slabs, dways,
$50.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$152.90
Payments
Date Paid
Amt Paid
Total Fees
$152.90
Credit Card
01/13/2022
$102.90
Credit Card
01/06/2022
$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
regulating co�tructP"nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Date
January 13, 2022 Page 2 of 2
Miami Shores Village d
Building Department 2022 D
10050 N.E.2nd Avenue, MiamShores, Florida 33138 li
Tel: (305) 795-2204 Fax: (305) 756-8972 4��
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
FBC202>
BUILDING Master Permit No.T,)S"
PEE/RMIT APPLICATION Sub Permit No.
g\ IJILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
'-/❑2C_PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3S %
Occupancy Type: Load
OWNER: Name (Fee Simple
%,P-
3-S75 C�
the Building Historically Designated: Yes
Construction Type: Flood Zone: BFE:
K����I ohnsf.►-;
City: 11 i (Q I U State:
Tenanl
Email:
CONTRACTOR: Company Name: Phone#:
Addrncc-
City: State:
Qualifier Name: Phone
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone
Value of Work for this Permit:
Type of Work: ❑ Addition
Description of Work: r
3
❑ Alteration
'-)furt—
NO
FFE:
City: State:Zilp:''�
Square/Linear Footage of Work: '�°�` '3�t'yv
❑ New Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $_
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ Q 2 -_ `y
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
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 will be charged.
Signature
WNERorAGENT
The foregoing instrument was acknowledged before me this
66 day of U 20 22 by
V-1�1 Sty uggf"E 1-ttJ09ivho is personally known to
me or who has produced 71L � �2 L C.>vJ "as
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. identification and who did take an oath.
as
NO TA
BLIC:
NOTARYPUBLIC:
Sign:
Sign:
Print: ,�'(
JJi4
Print:
Pva(;Q
Seal:
SINDIA ALVAREZ
Seal:
;�K;+'n;�; R GG 233273
My(
E%PIRES: September 3, 2422
'•to:i.?�' BgrEed Thru NMerY PuNicUMurwrllers
APPROVED BY ..�Y �� �i12Z' Plans Examiner �I 12i 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: DATE: L
ADDRESS: ��57 �/r I)II,\- 2LCt � - 33/3 Y
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 entities 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.
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
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 leas , wh' viol the exemption.
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
_i
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 r ., T "' onsibilityto ensure that the persons whom I employ have the license required by law and b coun or municipal ordinance.
Initial
7. [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 a�yar�f the limits of my insurance
coverage for injuries to workers on my property. / 1
Initial \ it //
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 u dersta d 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 regulation((((s.
Initial u
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/dbor/pro/cilb/index.htmi
Initial
—Or
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:
7 Ait� c� r 33l
Initial_�P
22, 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the infor tion that 1 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 06 day of U A 20 2,9-,
BySoho was personally known to me or who has
Produced there License or �= � f�1S as identification.
OWNER
NOTARY
wt. SINDIA ALVAREZ
'F •' MY COMMISSION # GG 239273
["'�ti�FwBoridedTtruNoWyPubHeUnderwrftem
EXPIRES: September 3,2922
Property Search Application - Miami -Dade County Page 1 of 2
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-013-5750
Property Address:
357 NE 97 ST
Miami Shores, FL 33138-2405
Owner
JASON R ALDERMAN &
KRISTY M JOHNSON (JTRS)
Mailing Address
357 NE 97 ST
MIAMI SHORES, FL 33138-2405
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds I Baths I Half
31210
Floors
1
Living Units
1
Actual Area
2,459 Sq.Ft
Living Area
1,895 Sq.Ft
Adjusted Area
2,177 Sq.Ft
Lot Size
8,625 Sq.Ft
Year Built
1938
Assessment Information
Year
2021
2020
2019
Land Value
$276,535
$276,535
$258.854
Building Value
$151,519
$151,519
$151,519
XF Value
$2,531
$2,564
$2,597
Market Value
$430,585
$430,618
$412,970
Assessed Value
$326,482
$321,975
$314,737
Benefits Information
Benefit
Type
2021
2020
2019
Save Our Homes
Assessment
$104 103
$108,643
$98,233
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
1534165342
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 18 & E1/2 LOT 17 BLK 42
LOT SIZE 75.000 X 115
OR 14391484 0190 4
Generated On : 1/6/2022
Taxable Value Information
2021
2020
2019
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value 1
$276,4821
$271.9751
$264,737
School Board
Exemption Value
1 $25,000
$25,000
$25,000
Taxable Value
1 $301,482
$296,975
$289,737
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$276,482
$271,975
$264,737
Regional
Exemption Value
$60,000
$60,000
$50,000
Taxable Value
1 $276,482
$271,975
$264,737
Sales Information
Previous
OR Book-
Price
Qualification Description
Sale
Page
23745-
08/01/2005
$650,000
Sales which are qualified
0268
22844-
11/01/2004
$373,000
Sales which are qualified
0196
00000-
Sales which are disqualified as a result
O1I01/1990
$0
00000
of examination of the deed
12613-
07/01/1985
$100,000
Sales which are qualified
0035
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. we full disclaimer and User Agreement at hho://www.miamidade.00v/info/disclaimer.aso
https_//www.tnianiidade.gov/Apps/PA/propertysearch/ 1/6/2022
JA�®N S=TCH PAGE 1 OF 2
JI.IL�1/�JM��V'� NDr wlA E I wrE z or:
SCALE:NTS
JOB NO. 20-05357 CLIENT: JASON R ALDERMAN & KRISTY M JOHNSON
PROPERTY ADDRESS 357 NE 97 ST. MIAMI SHORES FL 33138
LEGAL DESCRIPTION: (FURNISHED BY CLIENT)
LOT 18 & E7/2 OF LOT 17 BLOCK 42
SUBDIVISION AN AMENDED PLAT OF MIAMI SHORES SECTION 1
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 770
OF THE PUBLIC RECORDS OF MIAMI—DARE COUNTY, FLORIDA.
SUBJECT TO ALL RESTRICTIONS, RESERVATIONS, EASEMENTS AND RIGHT—OF—WAY OF RECORD,
ENCROACHMENTS IF ANY, NOT LOCATED.
SURVEYOR'S NOTES:
UNDERGROUND
1-1 W SHOW BENRNfS ND NIXES ARE SN) RDESCRPIOIL E REFINED M AT N UM
R- THEREIATNC1D9 E NE IN ME EEID IFASM 110 D 5 6ERER 10t I FWT IN7,500 FEET. UNFM (SUSSMN).
A TIME PFNRf MtES IDi FRO,DCO FUI IN6 ARJEY. TFPOVIE, IIF]E MY ff RSfRCIDlS 01116 PAidn LINT IRE NOf SNDM i1NT MY BE RARD M ME
RDDROR OF NDUI-D.NE COUNTY. RN NO DFRO SFD OR MPIED DEIFRINNION OF TIME OR OWNERSHIP M ME AND DESCRIIED IS MOE
hJjp M MY SE ONOENOMIO UFLRY LOCATORS NO S10JIFXE FFNM55 RTMEN ME PAR. MAT NE NOT SHO fN. THEE
51
)1581E SUREACE OR UE m EIICRlEISEHT, OMEN MIN SDDI ON m SMREY.
5-) IF 5 A VO OON 6 R 5F17 OF THE N]ROA AMONSERIME CODE M N.TER MIS ELM DRA" 10MOR THE PRIOR WREN CONSENT OF THE SIRrEEYOE
6-) MORBIIpI of TREE E IROA(E1Y. DMITER (0). HEIGHT (H). GVOP( 940E (a), ALLNYES ME NOTED TO 91RYENWS N111Y. ARrFLR IS NOT M NET NO
OVNOf PROM SC81W MISS OF TREE AND 0A RNES
ELEVATION
F ON THE RDOD INSURANCE RATE MAP OF THE FEDERAL EMEROETICY MANIOEMEM AGENCY DATED OR
pEv,g.D ON 09-11-09 THE HERON DESCRIBED PROPERTY IS 51NATED W 04 ZONE %
BASE FLOOD ELEVATION N/A COMMUNITY 120652 pMa NUMBER 0302 STIFRK L • '
E"AT10NS(WHEN SHOWN) REFER TO N.O.V.D., 1929.
COUNTY BENCll W USED N—�-2 E ATNINS aW' FEET B.M. LOCATION NE 96 ST
NE 6 AW
fS71FID 7Tf
JASON R ALDERMAN & KRIM N JOHNSON
SURVEY DATE 05-13-2020
SIR/ REMSON: 03-15-2021
RDI® .l LOM Sury . mw.'
CERIIRGTE NolB. W64
VAX OF FLORDA
Main Am: (305) 901-1317
F. (305) M I-13M
Br
LEONARDO MAQUEIRA, P.S.M
=nCATE W.LS. 66BR
VAX OF FLORIM
'pOf YND WfMR1Uf ME SIGNATURE, DOE AND TIE ORKNNN.
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.J.
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m Wn LEW 6W� 11DPM
CDTIFI M ND.LB. U64
STATE OF NLMOA
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F. (305) 901-1323
CO
PAGE 2 OF 2
NDT %LO 1WWOE PME i W ]
JOB No. 20-05357
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REAR DRIVEWAY DESCRIPTION & DETAIL
Kristy Johnson
357 NE 97th Street
Miami Shores, FL 33138 0 O
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Location: Rear of house extending from entry of Garage to Ally 25'
Material: 3,000 psi High Strength Concrete mixed with fiber
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Slab Construction: Gravel base compressed, then install wire mesh on top, Form
Design Sections with 4" seams
Concrete Thickness: 6" for all sections
Seams: All 4" seams filled with Black River Bottom Gravel