RC-14-2020r 41
BUILDING
PERMIT APPLICATION
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 ❑ ELECTRIC ❑ ROOFING
SEP n 2014
�F�BC 20`
Master Permit No. _'
Sub Permit
❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL
[:]PUBLICWORKS
O CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: V.— ,0 tT'
I rA Me
nm
City: Miami Shores
County:
Miami Dade Zip: f
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Phone#:3a6 5a 1'77 1 ( 5
Address q) 2 I V �
o
M � An
City: AfM1 5260 'L
State: ��_
Zip:
Tenant/Lessee Name:
Phone#:
Email:
OIVTRACTOR: Company Lt
ov �n
be Phone#:
Address:
City:
-State:
Zip:
Qualifier Name:
Phone#:
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
O
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑
Alterratiio"n ❑ New ❑ Demolition
Description of Work:n�� ��(Q
(pIf U
rR,epair/Replace 1
l
w1r, S -P0u slr So()` h 2 lAjq �1� 1
w
SpecifyT —color of color thru tile:
Submittal Fee $ Ch Permit Fee $ - QD CCF $ CO/CC $
Scanning Fee $ v ( Radon Fee $ 2. DBPR $ �2 °O(�s Notary $
Technology Fee $ '-,� �4() Training/Education Fee $ G • ina 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
a 1
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 notpbA approved and,a reinspection fee will be charged.
or AGENT
The foregoing instru'rhent was acknowledged before me this
d� day of eAde=g&eZ , 20 / . by
�� — �6o is personally known to
me or who has produced !
identification and who did take an oath.
NOTARY PUBLIC:
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:
Sign: Sign:_
Print: _ Print:
#0 pu Notary Public State of Florida Seal:
Joanna M Feliciano
e My Commission FF 082753
4 oR ftio� Expires 0 111212018
as
APPROVED BY/-'/e�/ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
4
Property Search Application - Miami -Dade County Page 1 of 1
p, r \`
PrlI'W"]
:,
1p P1,
a a IMF,w sr
s..C r n r
0" F F
. i. E
Summary Report
Property Information
Previous
Folio:
11-3206-003-0020
Property Address:
9130 NE 10 AVE
Owner
JOSE L AVENDANO
Land Value
GERALDINE VELARDE
Mailing Address
9130 NE 10 AVE
Building Value
MIAMI SHORES, FL 33138
Primary Zone
0900 SGL FAMILY - 1901-2100 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
$0
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
1,788 Sq.Ft
Living Area
1,498 Sq.Ft
Adjusted Area
1,626 Sq.Ft
Lot Size
11,107.72 Sq. Ft
Year Built
1939
Assessment Information
Previous
OR Book -
Price Description
Benefit Type
Year
2014
2013
2012
Land Value
$155,478
$97,780
$88,860
Building Value
$94,576
$94,952
$129,939
XF Value
$0
$0
$0
Market V=Value
$250,054
$19�32_�_
799
Assesse
$195,622
$1988
-
Taxable Value
$170,622
Benefits Information
Previous
OR Book -
Price Description
Benefit Type
2014
2013 2012
Save Our Homes Assessment
County
$240,000 28203-1555 Qual by exam of deed
Cap Reduction
$54,432
$16,951
Homestead Exemption
$25,000
$25,000 $25,000
Second Homestead Exemption
$25,000
$25,000 $25,000
Note: Not all benefits are applicable to all
Taxable Values
(i.e. County,
School Board, City, Regional).
Exemption Value
$25,000
Short Legal Description
PL OF BISCAYNE RIDGE PB 39-41
LOT 2 & E125FT OF S7.24FT OF LOTS 17 & 18 OF
GOLDEN GATE PARK AMD 7-54 BILK 1
LOT SIZE IRREGULAR
OR 17335-1595 0896 1
Generated On : 9/16/2014
Taxable Value Information
Previous
OR Book -
Price Description
Sale
2014
2013
2012
County
$240,000 28203-1555 Qual by exam of deed
2008 and prior year sales; Qual by
Exem�Value���$$145,62!J2
0,000 $50,000
$50,000
Taxa
$142,732
$151,848
School Board
_......._t...
exam of deed
Exemption Value
$25,000
$25,0001
$25,000
-
Taxable Value
$170,622
$167,732
$176,848
City
Exemption Value
N $50,000
$50,000
$50,000
Taxable Value
$145,622
$142,732
$151,848
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$145,622
$142,732
$151,848
Sales Information
Previous
OR Book -
Price Description
Sale
PageQualification
08/26/2014
$380,000 29297-3770 Qual by exam of deed
07/12/2012
$240,000 28203-1555 Qual by exam of deed
2008 and prior year sales; Qual by
09/01/2004
$365,000 22704-4323
exam of deed
2008 and prior year sales; Qual by
08/01/1996
$116,000 17335-1595
exam of 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 http://www.miamidade.gov/info/disclaimer. asp
Version:
http://www.miamidade-gov/propertysearch/
9/16/2014
I
Return to:
CLEAR TITLE SERVICES, INC.
1111 Kane Concourse, Suite 209
Bay Harbor Islands, FL 33154
Instrument Prepared By:
CHRISTOPHER P. KELLEY, Esquire
11095 Biscayne Boulevard, Suite 205
lv iami, Florida 33161
Folio No. 11-3206-003-0020
WARRANTY DEED
CFN: 20140619000 BOOK 29297 PAGE 3770
DATE:09/05/2014 09:45:59 AM
DEED DOC 2,280.00
HARVEY RUVIN, CLERK OF COURT, MIA DADE CTY
THIS INDENTURE,' Made this day of .�- y t 2014, Between
ALEJANDRO PORTILLA and HEATHER L. PORTILLA, husband and wife,
GRANTORS, and JOSE L. AVENDANO and GERALDINE VELARDE, husband and
wife, whose post office address is 9130 NE 10", Avenue. Miami Shores. FL 33138, GRANTEES,
WITNESSETH, I'hat said GRANTORS, for and in consideration of the sum of Ten and
No/100 ($10.00) Dollars, and other good and valuable considerations to said GRANTORS in
hand paid by said GRANTEES, the receipt whereof is hereby acknowledged, have granted,
bargained and sold to the said GRANTEES, and GRANTEES' Heirs and assigns forever, the
following described land, situate, lying and being in Maiami-Dade County, Florida to -wit:
Lot 2, Block 1, of BISCAYNE RIDGE, according to the Plat thereof, as recorded
in Plat Book 39, Page 41, of the Public Records of Miami -Dade County, Florida
The East 125 feet of the South 7.24 feet of Lots 17 and 18 of GOLDEN GATE
PARK AMENDED, according to the Plat thereof, as recorded m" Plat Book 7, Page
54, of the Public Records of Miami -Dade County, Florida
SUBJECT TO: ,Applicable zoning and/or restrictions and prohibitions
imposed by governmental authority; Conditions, Restrictions limitations,
reservations, easements, and other matters appearing on records, if any; Utility
easements of record, and taxes for the year 2014 and subsequent years.
CFN: 20140619000 BOOK 29297 PAGE 3771
Warranty Deed
Port& s/t Avendano & Velarde
Page 2 of 2
and said GRANTORS do hereby fully warrant the title to said land, and will defend the same
against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, GRANTORS have hereunto set their hands and seals the day
and year first above written.
Signed, sealed, and delivered in our presence:
4t- R
W the Name
Print N
X�' �-' 0 -.;; e, ��' XA
ess Name Ir
CHUSTOrma P. KELT Ry
Print Name
STATE OF FLORIDA
COUNTY OF MIAMI-DADE )
ALEJ'ANEM0 PORTILLA Grantor
81 NW 98 Street
Miami Shores, FL 33150
HEATHER L. PORTIT I _A Grantor
81 NW 98 Street
Miami Shores, FL 33150
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
and County aforesaid to take acknowledgments, personally appeared ALEJANDRO PORTH T •A
and HEATHER L. PORTH I who produced F/91- and
1)L , respectively, as identification, and who executed the
foregoing instrument and acknowledged before me that they executed the same.
r -
WITNESS my hand and official seal in the Coun State last aforesaid this day
of -—`v'� 22014.
NOT UBL C, State of FLO A at Large
My commission expires:
!y Notary ('ubllc $Pais of Florida
Christopher P Kelley
uecsrt.
e4 My Commiwkm EE 193335 Y"
�° Exri°kts051?1/2016 ti3
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
N `OWNER BUILDER DISCLOSURE STATEMENT
NAME: �J®��. 1� ���,�C}�i� DATE: Cv�
hi! 1Q
ADDRESS: q I )o uE ®44A Aywyc
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.
Initial J LA
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 —)I L44—
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 IA
S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.d ` LA-
I
Li -
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
Is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial � W
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. 111-
1 j -
Initial f�"
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 � Llr
I 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 -A W
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.html
Initial—3 L
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:
g l -;7-)® KLE 10* Amtnue
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 IS— day of �'��' 20
ByZ° who was personally known to me or who has
- -' as identification.
orida
r w,e Notary PuBNF.�Ta�f�h�
Joanna M Feliciano
My Comm-ission FF 082753
�4 or a�o� gxPires 011122 .JLAJ'a
W
D
O
O LL
m EO
z
Z
og 1 �
a
01
Jose c T �
Y CITY 1 30 NE f 0+" W SEP 6 2014
WWI Sh.�s f T-& $313S y:
• 0000..
.. .
0py _ 0000.. 0000 0000..
0000..
3w '
0000 . 0000.
0000.. 0000 0000.
0090..
'�na i e w a h iA' Y a r au •
�' II , a � u,�� ���8� �fM i� I ilai�G,�rtih�' 0000.. • •
Wig"��a ���������bQT • 9 • .9.9:.
k ��bN�� �r 0000
P� 9....000000 0.
Main Eftance
________—"—"—"----'—'—"--'—'—'—^'--w y---------- -----------------------------------------------.
� lid a
t7 & A
I Ib G
L' ��J ,fid:, ��� i � ."`"t,a P�iiik��,ti''a �''..:_ a i .. 'rt�l�,✓��iud�at u�fi,� .��a'.�'�n��a��l ,aS.,V �.,n'a°^=M T.
0
Sn t i� ift
to be dwnpd tab
PISM OftDbe
3W63
-�kQ- --�4- 2-o2-o
Miami Shores Villa
e
PROVED
BY
DATE
ZONING DEPT
BLDG DEPT
SUBJECT TO CflA MANCE WITH ALL FEDERAL
STATE ARID COUNTY RULES AND REGULAPONS
A
SEP%2014
BUILDING PERMIT RC -14-2020 .-.F.
SCOPE OF WORK
OWNER: JOSE AVENDANO
ADDRESS: 9130 NE 10TH AVENUE, MIAMI SHORES FL 33138
The scope of this work, showed on the attached sketch, is to replace the inner sheet
rock of the south walls of two of the bedrooms in the house and part of the west wall
of one of them, as shown in the sketch.
Electrical Permit that includes hard wire smoke detectors was already approved:
EL -9-14-2027.
Regards,
Phone: 786-376-9915
Email: joseavendano@gmail.com