RC-16-917 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-266119 Permit Number: RC-4-16-917
Scheduled Inspection Date: August 26,2016 Permit Type: Residential Construction
Inspector: Mesa, Michel Inspection Type: Final Building
Owner: CLARK,JOHN Work Classification: Alteration
Job Address:803 NE 99 Street
Miami Shores, FL Phone Number
Project: <NONE> Parcel Number 1132060340090
Contractor: FAB INTERIOR& EXTERIOR INC. Phone: (305)751-4447
Building Department Comments
REMOVE AND REPLACE FLOOR&WALL TILES Infractio Passed Comments
INCLUDING PLUMBING FIXTURES(BATHROOM INSPECTOR COMMENTS False
REMODELING)
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 25,2016 For Inspections please call: (305)762-4949 Page 25 of 36
Miami Shores Village
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�\ Building DepartmentP ,off ops,
(� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:
Cf� Tel:(305)795-2204 Fax:(305)756-8972
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INSPECTION LINE PHONE NUMBER:(305)762-4949
N FBC 20 (y
BUILDING Master Permit No. ( K) -CT
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
�j CONTRACTOR DRAWINGS
JOB ADDRESS: d Q 3 Io�/ f A S4
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-320&— 03y'0090 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood-Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): �J o h n `- Imo Phone#:
Address: a7 #� '79'A S� . s/
City: M;0F�1 J A c're.� State: zip:3�) 74
Tenant/Lessee Name: Phone#:
Email: -Id)nr ,,A V107lCPv,^
CONTRACTOR:Company Name: VA G ILLI RW& & fLAM4 4 b 1Jr. Phone#: 3IB6-ZSI.OfA
Address: (040 1�* 1°13 Sgi ZIP-T
City: K44\1'4\l ST(U g4g VC State: ft, Zip: S!s 1392
Qualifier Name: np O CAS f e4J 1•F0 Phone#: ?A6 203/'0MO
State Certification or Registration#: 6&C ISO 6 k--S Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 3,000 of Square/Linear Footage of Work: -35 S 1E•
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: WOW& pwD W A* 'PLO-00- 6 WAk TfLeS /NC4VD'" eWj4&'U5
�'X'(U __�P��f i R.oOlV1 Rtz.N60 fb�.l�t�•1
Specify color of color thru tile: ((`
Submittal Fee$ i=kj N Ob Permit Fee$ 1` 03 CCF$ 40 CO/CC$
Scanning Fee$ Radon Fee$ `� DBPR$ 2— ` Notary$_
Technology Fee$ ` �� Training/Education Fee$ Double Fee$0
Structural Reviews$ Bond$ al
TOTAL FEE NOW DUE$ °4 V
(Revised02/24/2014)
.j �
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 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 ee will be charged.
Signa?tu Signature
OWNER or AGENT CNTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of tebAA^AL--,- 20 1 L- by day of A 20 by
lLdn.. D c-lank- ,who is personally known to r o»L l`h.0 0,who is personally known to
Te or who has produced — as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: ,JOOHr�Y�CDy
-0 STATE OF FLORIDA
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Sig((i7,`pr�w- � Ch.* -� Sign a
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Seal: Seal: ,SAS *
440"" � DONNA LANE -DOWNEY "by
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MY COMMISSION#FF909539
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APPROVED BY _ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
3/23/2016 Property Search Application-Miami-Dade County
OFFICE OF THE PROPERTY A
Summary Report
Generated On:3/23/2016
Property Information
Folio: 11-3206-034-0090
Property Address: 803 NE 99 ST
Miami Shores,FL 33138-2566
Owner JOHN CLARK
Mailing Address 803 NE 99 ST
MIAMI SHORES,FL 33138 USA
Primary Zone 1100 SGL FAMILY-2301-2500 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY: 1 UNIT
Beds/Baths/Half 3/2/0
,, shor nc
Floors 1 re tion
mp ex 4h
Living Units 1
Actual Area 2,251 Sq.Ft
Living Area 1,769 Sq.Ft
Adjusted Area 1,986 Sq.Ft
Lot Size 9,628.8 Sq.Ft Taxable Value Information
Year Built 1954 2015 2014 2013
County
Assessment Information Exemption Value 1 $50,000 $50,000 $50,000
Year 2015 2014 2013 Taxable Value 1 $257,734 $255,292 $250,781
Land Value $231,187 $163,790 $130,876 School Board
Building Value $149,848 $147,095 $148,217 Exemption Value $25,000 $25,000 $25,000
XF Value $21,089 $21,389 $21,688 Taxable Value $282,734 $280,292 $275,781
Market Value $402,124 $332,274 $300,781 City
Assessed Value $307,734 $305,292 $300,781 Exemption Value 1 $50,000 $50,000 $50,000
Benefits Information Taxable Value $257,734 $255,292 $250,781
Regional
Benefit Type 2015 2014 2013 Exemption Value $50,000 $50,000 $50,000
Save Our Homes Cap Assessment Reduction $94,390 $26,982 Taxable Value $257,734 $255,292 $250,781
Homestead Exemption $25,000 $25,000 $25,000
Second Homestead Exemption $25,000 $25,000 $25,000 Sales Information
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Previous Sale Price OR Book-Page Qualification Description
Board,City,Regional). 10/09/2015 $625,000 29814-2032 Qual by exam of deed
Short Legal Description 10/18/2010 $415,000 27472-4924 Qual by exam of deed
MIAMI SHORES SEC 8 PB 14-33 08/01/2002 $355,000 20640-4234 Sales which are qualified
LOT 12&W1/2 OF LOT 13 08/01/2002 1 $355,000 20640-4236 1 Sales which are qualified
BLK 169
LOT SIZE IRREGULAR
COC 22770-0952 08 2004 4
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
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Permit Aid"
Miami Shores Village i?lflt 7y :; )Cfnstmcti on
3� 10050 N.E.2nd Avenue NE �BSa#Cft1 tit "
Miami Shores,FL 33138-0000 ,x � �w• �
tt, tlSPFlt �lL
Phone: (305)795-2204 P r
612 t2Ei" f: Expiration: 12/1 1201
„a .
Project Address Parcel Number Applicant
803 NE 99 Street 1132060340090
Miami Shores, FL Block: Lot: JOHN CLARK
Owner Information Address Phone Cell
JOHN CLARK 803 NE 99 Street
FL 33138-
803 NE 99 Street
FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,800.00
FAB INTERIOR&EXTERIOR INC. (305)751-4447
_._. __,.. _ _... . . _.. Total Sq Feet: 35
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review Fill Cells Columns
Date Denied:
Final PE Certification
Type of Construction:REMOVE AND REPLACE FLOOR& Occupancy:Single Family Window Door Attachment
Stories: Exterior: Framing
Front Setback: Rear Setback: Insulation
Left Setback: Right Setback: Drywall Screw
Bedrooms: Bathrooms: Window and Door Buck
Plans Submitted:Yes Certificate Status: Review Planning
Certificate Date:
Additional Info: Review Structural
Review Mechanical
Bond Return: Classification:Residential Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical
CCF $2.40 Review Building
DBPR Fee $2.00 Invoice# RC-4-16-59292 Review Building
DCA Fee $2.00 06/21/2016 Check*1157 $83.40 $50.00 Review Building
Education Surcharge $0.80 04/05/2016 Credit Card $50.00 $0.00 Review Plumbing
Permit Fee $114.00 Review Plumbing
Scanning Fee $9.00
Technology Fee $3.20
Total: $133.40
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 AFFIV • I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction d ng. Fut 0 horize the above-named contractor to do the work stated.
June 21,2016
uthorized Signature:Owner / Applicant / Contractor / Agent Date
B Iding Department Copy
June 21,2016 1