RC-13-2295Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 200808
Permit Number: RC -10 -13 -2295
Scheduled Inspection Date: June 16, 2014
Inspector: Rodriguez, Jorge
Owner: ALVARO JOSE HUERTA, PATRICIA
CI CPJA DADDATCDDA QYADTT
Job Address: 1566 NE 104 Street
Miami Shores, FL
Project <NONE>
Contractor: HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1122320320390
Building Department Comments
REPLACING KITCHEN CABINETS
Infractlo Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
.f#A
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
June 13, 2014
For Inspections please call: (305)762 -4949
Page 3 of 32
CONTRACTOR: '' ,' "AU A' I I a
SUBMITTAL DATE: —
ADDRESS: , ) 1 ° C
NAME:
$ ^` SUBMITAL DATES:
PROJECT TYPE: - : _ 71 , —
ZONING
FIRE
STRUCTURAL
IMPACT FEES
/ e` 1 d
ELECTRICAL �'�'`
HRSIDERM
PLUMBING a - -- _::=
OC
MECHANICAL
or-
= L 8.G �:',.
ti
e Miami Shores Village
A A\ Building Department
\'
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
a oo .alp o ,4
BU D
G
PERMIT APPLICATION
Permit Type: 1 BUILDINGS
JOB ADDRESS: 6 Ck:7 Kie I 0 4- 61-
RECEIVED
OCT 0 8 2013
FBC 20
Permit No. ,
Master Permit No. e ' .-- q3-
ROOFING
City: Miami Shores County: Miami Dade Zip: 33 13..
Folio/Parcel #: I °- 223 2 _ 03 2-" U 3°) O
Is the Building Historically Designated: Yes NO Flood Zone:
'
OWNER: Name (Fee Simple Titleholder): -Al ' r j ' -t JiPc' 4
Pho e#:6— 72E282
Address: 15 Gcc. tot F. 10 ¢4-ii •57.
City -' I Q ritv 6 v leloye 5 State: Zip: 331 38
Tenant/Lessee Name: ((�� Phone #:
Email: pGL,{Df 5m L.D.
CONTRACTOR: Company Name: -1 - Le. n iC Phone #:
Address:
City: State: Zip:
Qualifier Name: Phone#:
X
State Certification or Registration #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Certificate of Competency #:
Value of Work for this Permit: $•.4" • I • Square/Linear Footage of Work:
Type of Work: UAddition
Description of Work:
.35
❑Alteration _ ❑Demolition
I c . c _ Z 4 P - 1 % ) ,
d _
el-
i L9. ySn ; -i 4l :;p'Plf0.edidll
Color thra tile:
Submittal Fee $ ,5 0 00 Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ a e r 0
TOTAL FEE NOW DUE $ " P '
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 c-c "fi V ee, Signature
Owner or Agent Contractor
The foregoing instrument was actin edged bthis / 9 The foregoing instrument was acknowledged before me this
day of Se , 2013 , by l� I* I G& before
2� t2k rf' day of , 20 _, by
who is personally known to me or who has produced F1„ f)rlul .'j who is personally known to me or who has produced
(Jae As ide. cation and who did take an oath. as identification and who did take an oath.
NOTARY PUBLI NOTARY PUBLIC:
Sign:
Print:
My Co
sion Expires:
APPROVED BY
1• °? Notary Public - State of Florida
A1 My Comm. Expires Apr 25, 2016
•.,,ol„ �.. Commission # EE 192768
ti
Sign:
Print:
My Commission Expires:
Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/12/2012) XRevised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007)
Miami Shores Village
Stilidifig Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: DATE: (Yct) 20l 3
. ADDRESS: IS 4,,(-) Lie b4441 Mlami harc3IFI 3311&.
Do hereby pdtion the Villagedf Midi' Shores to act se my own contractor pursuant to tite *IS of the pate of Florida, F.S 489.103(7). •
And I have read and understood the folloWing disclosure ratti which entities me to work as my own Contractor; I further
understand that I as the owner mat appear in person to complete d 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 oriess (The. new form states75,000). The buildinwmustbe for yourown use and
occupancy. It may not btbuilt for sale or leaseilf yolfseli orteata building yott have hilt paned Within. Ore/year after the
construction itatiff)lefe:8911terdillpftsortathatlot bU1liforSale elate; Which irta vi thitrailetription. 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 Of 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 FICA and with-holdings tax and provide workers'
compensation for that ertakiiies all as prabibed bylaw. Your Constnidon must comply with all applicable laws, ordinances,
buildings codes and zoning negulatiOns.
Please read and initial each paragraph.
1. I understand that state law requires construction to be done by a Opened contractor and ha applied bran owner-builder
pennit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own
contactor with certain restrictions even though I do not have a license.
. —
Initial
2. I 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 . . C.
3. I understand that, as an cater builder, I am the responsible party of record on a permit I undersbard that I may protect myself
from *alai financial risk by hiring a licensed contactor and having the permit filed in his or her name instead of my own
name. [also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on
permits ad contracts.
,
4. I understand that I may build or improve a one family or two-family residence or a farm outididing.t 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 ft for sale or lease, which yiolates tire exemption. .
5. I understand that, as the owner-builder, I must provide direct, orate supervision of the construction.
S?
6. I understand that I may not hire an unlicensed person to act as my contractor Otto supervise persons working on iny building or
residence. It Is my responsibility to ensure that the persons whom I employ have the license required by law and by aumty or
municipal ordinate.
JUAN MARCOS RANCANO I
Notary Public - State of Florida I
My Comm. Expires Apr 25, 2018 I
Commission • EE 192768
7. t understand that it is frequent practices of unlicensed persons to have the properly owner obtain an er builder pemnit.
error ly unpiled that the property owner is providing his or her own labor and materials. I, as an owner owner-briliciefa
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his of
workhg On my properly. My homeowner's insurance may not provide coverage for those injuries. I am Wick Wiry as en
owino builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Iral g-
8. i understand that I may not delegate the responsibilty for supervising work to be a licensed contractor who Is not licenses to
perform the workbeirg.done. Any person prancing on mybuilding who Is nottipelted must work under my direct supervision
and must be ernjrloyed by me, whim Attend I mist comply ialih letvatequ ing the withholding of federal income tax and
social security contributions under the Federal Insurance Contributions Act (FICA) and must provide tvorIcers compensation for
the employee. I understand that my failure to follow these may subject to serious fnantal risk.
Initat . '( '
I agree that, as to party Legally and financially respons 1. for this proposed Construction activity, i will abide by ail applicable •
laws and requirement fife' govern ownet- builders as well as employers. I also understand t etta
Construction must comply with all applicable laws, ordinances, bidlding cedes, '"and zoning regulitkam.
lnital
10. I 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 Llcensln g Board at 850.487.1395 or nv e./ ,LL t1 1� nll,1i: a ilh
11. 1 an 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 conttruction activity at the follorhg address:
I5efo LYE. 1ID0415t- . Miami 611c .es, F1 33138 D�
mat 7
12. I agree to notify Miami Shores Village hmnediately of any additions, deletions, or changes to any of the information that I
have provided On this disclosure. �n
initial .PA
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a
license, the Cons r4urtion industry Licensing Board and Department of Business and Professional Regulation may be unable to
assist you with any Mincial loss that you sustain as a result of Contractor may be In Civil court. It ls also aipor ant for you to
understand that if an unlicensed contractor or employee of an individual or firm Is tnjuied while working cm 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 scent mist be completed and signed by the property owner are
returned to the larsi pemhittl g agency responsible for racing the permit A copy of the proltarty Cwn%'s°drIver Ikense, the
notarized signature tithe property canner, or other type of verification acceptable m the local pennittingegenty is required when
the permit is Issued.
Was acknowledged before me this 1 041 day of 6e p bT)bei; 20 t 3
By Patricia p
ero-
who was personally known to me or who has
l4P ca.
Property Search - Report
•
Property Information:
Folio
11- 2232 - 032 -0390
Property Address
1566 NE 104 ST
Owner Name(s)
PATRICIA ELENA PAPPATERRA
SHORTY
ALVARO JOSE HUERTA
Mailing Address
1566 NE 104 ST
MIAMI SHORES FL
33138 -
Primary Zone
1100 SGL FAMILY - 2301 -2500 SQ
Use Code
0001 RESIDENTIAL - SINGLE FAMILY
Beds/Baths/Half
2/2/0
Floors
1
Living Units
1
Adj. Sq. Footage
1,714
Lot Size
8,850 SQ FT
Year Built
1953
Full Legal Description
RIVER BAY PARK ADDN PB 40 -72
LOT 18 BLK 4
LOT SIZE 75.000 X 118
Assessment Information:
Current Previous Previous 2
Year
2013
2012
2011
Land Value
$119,570
$152,704
$127,493
Building Value
$98,447
$110,151
$110,161
Market Value
$218,017
$262,855
$237,654
Assessed Value
$218,017
$262,855
$140,375
Benefits Information:
Current Previous Previous 2
Benefit
Type
2013
2012
2011
Save Our
Homes
Assessment
Reduction
$0
$97,279
Homestead
Exemption
$0
$0
$25,000
Second
Homestead
Exemption
$0
$0
$25,000
Widow
Exemption
$0
$0
$500
Note: not all benefits are applicable to all Taxable Values (le County,
School Board, City, Regional).
Disclaimer:
Page 1 of 2
MIAMI -DADE COUNTY
OFFICE OF THE PROPERTY APPRAISER
PROPERTY SEARCH SUMMARY REPORT
Carlos Lopez - Cantera
Property Appraiser
Aerial Photography 2012
Taxable Value Information:
Current Previous Previous 2
Year
2013
2012
2011
Exemption/
Taxable
Exemption/
Taxable
Exemption/
Taxable
County
$0/$218,017
$0/$262,855
$50,500/$89,875
School Board
$0 /$218,017
$0/$262,855
$25,500/$114,875
City
$0/$ 218 ,017
$0/$262,855
$50,500 /$89,875
Regional
$0 /$218,017
$0/$262,855
550,500/589,875
Sale Information:
Date
Amount
OR Book -Page
Qualification Code
6/2013
$385,000
28684 -1710
Sales qualified as a result of
examination of the deed
The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information
and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, Its use, or its
Interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The
Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause
of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full
disclaimer and User Agreement at http: / /www.mlamidade .gov/info /disclaimer.asp.
Property information inquiries, comments, and suggestions email: pawebmail @miamidade.gov
GIS inquiries, comments, and suggestions email: gis @miamidade.gov Generated on: Thu Sep 19 2013
http: / /gisweb.miamidade .gov/PropertySearch /printMap.htm 9/19/2013
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: RC - 12 '15 DATE: 1D J613
1, Pc7fr, �J r
o Contractor
iOwner
Architect
picked up 2 sets of plans and (other)
Address: 1 ' 6 1c)441
3t
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by: ce c� Phi:`.
PERMIT CLERK INITIAL:
RESUBMITTED DATE: 1:/' ,�
1/3
PERMIT CLERK INITIAL:
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OCTOBER 10, 2013
Permit No: RC13 -2295
Building Critique Review
SHOW LOCATION OF ELECTRICAL OUTLETS AND PLUMBING FIXTURES.
ELECTRICAL AND PLUMBING PERMIT REQUIRED BY LICENSE CONTRACTOR.
Ismael Naranjo
Building Official
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re- submittal drawings.
Miami Shores Viflage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OCTOBER 10, 2013
Permit No: RC13 -2295
ELECTRICAL REVIEWER COMMENTS
1. Need electrical plan.
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re- submittal drawings.
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