RC-16-962 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone:(305)796-2204 Fax: (305)756-8972
Inspection Number: INSP-268373 Permit Number: RC-4-16-962
Scheduled Inspection Date: October 05,2016 Permit Type: Residential Construction
Inspector: Mesa,Michel Inspection Type: Final
Owner CARVAJAL,LINA M Work Classification: Alteration
Job Address:390 NE 98 Street
Mlaml Shores,FL 33138-2410 Phone Number _--(!2!L746-9959
Parcel Number 1132060135670
Project- <NONE>
Contractor: HOME OWNER
Building Department Comments
REMOVE EXISTING TILE OFF THE SHOWER ONLY AND "fractic "'
REPLACE WITH NEW ONE. REMOVE EXISTING TILE OF INSPECTOR COMMENTS False
VANITY BACK SLPASH AND REPLACE WITH NEW ONE
Inspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection The is paid
October 04,2016 For Inspections please call:(305)762-4949 Page 16 of 21
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Miami Shores Village s rte, ftsid It 3
t� 10050 N.E.2nd Avenue NEft
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•" " '"' Miami Shores,FL 33138-0000
Phone: (305)795-2204
4/ Expiration: 10/15/201
Project Address Parcel Number Applicant
390 NE 98 Street 1132060135670
Miami Shores, FL 33138-2410 Block: Lot: LINA M CARVAJAL
Owner Information Address Phone Cell
LINA M CARVAJAL 390 NE 98 Street (305)746-9959
MIAMI SHORES FL 33138-
390 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
HOME OWNER
..._._ Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review
Window Door Attachment
Date Denied: Framing
Type of Construction:REMOVE EXISTING TILE OFF THE Occupancy:Single Family Insulation
Stories: Exterior: Drywall Screw
Front Setback: Rear Setback: Final PE Certification
Left Setback: Right Setback: Window and Door Buck
Bedrooms: Bathrooms: Fill Cells Columns
Plans Submitted:Yes Certificate Status: Review Building
Certificate Date: Additional Info: Review Plumbing
Review Planning
Bond Return: Classification:Residential Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural
CCF $1.20 Review Mechanical
Invoice# RC-4-16-59364
DBPR Fee $2.00 04/11/2016 Credit Card $50.00 $71.20
DCA Fee $2.00
Education Surcharge $0.40 04/18/2016 Credit Card $71.20 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $121.20
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: Ice ti that I the foregoing in rmation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futrh ore, uthorize the ab e- med contractor to do the work stated.
April 18, 2016
Authorized Signat r :Owne / Appli nt / Contractor / Agent Date
Building Dep me t Copy
April 18,2016 1
a �
TV
Miami Shores Village REC
Building Department ARR � 12016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY-7
Tel:(305)795-2204 Fax:(305)756-8972 �, I
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 s moi'
BUILDING Master Permit No. c�C—9 6
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION DRENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS [:] CHANGE OF CANCELLATION [:] SHOP
(� ( �` CONTRACTOR DRAWINGS
JOB ADDRESS: I \� N r 115 J�
City: Miami Shores V County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type. I"I ' Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): I (��( 1 Phone#: �� ���
Address: an 1 7 `
City: "IrIVIN 1 eJ State: ' Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Phone#: •� V �� i " I J 1
Address: tb n fl, -` or-- `�_6 Y 6
11 -
y I i
City: YCL'/�"`•' M! 1 �l State: e Z1p: �e
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 12- 00 . Square/Linear Footage of Work:
Type of Work: ❑ Addition t,❑ Alteration ❑ New 0 Repair/Replace r Demolition
Ir
Description of Work: LQAANCr,,''��1(n(A -Ti t Jy t'c- 1 V�Ia
} W %I ' A f ,
1 -111 0 � r
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ Q0 - DO CCF$ - C3 CO/CC$
Scanning Fee$ �6 Radon Fee$ d`"� DBPR$ '( Notary$ c =
Technology Fee$^6C) Training/Education Fee$ z A 0 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$9 I 2—l.)
(Revised02/24/2014)
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 fee will be charged.
J-1,
Signature Signature
JWNER r AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
11 day of L-- ,20 (r. ,by day of 20 by
Ll to � ho is personally known to ,who is personally known to
me or who has produced '>i�Ute- L1tTNAs me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
v
Print: Print:
Seal: Seal:
EtofNo aYPilolic Stats of Florida
Sindia Alvarez
igion FF* ��
APPROVEDBY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
A Miami Shores Village
o Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�ORTel: (305) 795.2204
Fax: (305) 756.8972
0 NERgBUILDER DISCLOSURE STATEMENT
NAME: LimV DATE: " 12 " 20+L
ADDRESS: MO W- 48 ST 1 I Q-J �I J�1� 8
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,FS 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. I 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. L.t
Initial LC
—
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 LC
5. 1 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 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 (y' ,
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. L&—
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 l�
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 Administietion,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:/Avww.myffoddalicense.com/dbor/oro/cilbrindex.html
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 , 20 l
By bo F' M AJ-PL who was personally known tome or who has
Produ there 'cense ori- 09Z---as identification.
:c-,-,e of Florida
NER Ei(2-7 !9P'
Alvarez
ommission FF 156750
res 09103/2018
Prbpe Search Application- Miami-Dade County Page 1 of 1
iOFFIC
e_1
F,., OF THE PROPERTY APPRAISER
Summary Report
Generated On:4/11/2016
Property Information
Folio: 11-3206-013-5670
390 NE 98 ST
Property Address: Miami Shores,FL 33138-2410
Owner PATRICK DESBIOLLES
LINA M CARAVAJAL
a
390 NE 98 ST
Mailing Address MIAMI SHORES,FL 33138 USA
Primary Zone 1000 SGL FAMILY-2101-2300 SQ Q �•
L s
Prima Land Use 0101 RESIDENTIAL-SINGLE
Primary FAMILY: 1 UNIT
Beds/Baths/Half 3/2/0
Floors 1
Living Units 1
Actual Area 2,736 Sq.Ft
Living Area 2,224 Sq.Ft
Adjusted Area 2,399 Sq.Ft Taxable Value Information
Lot Size 11,909.4 Sq.Ft 20151 2014, 2013
Year Built 1941 County
Exemption Value $50,000 $50,000 $0
Assessment Information Taxable Value $371,378 $368,034 $389,768
Year 2015 2014 2013 School Board
Land Value $286,135 $250,002 $221,682 Exemption Value $25,000 $25,000 $0
Building Value $166,970 $161,296 $161,296 Taxable Value 1 $396,378 $393,034 $389,768
XF Value $6,680 $6,736 $6,790 City
Market Value $459,785 $418,034 $389,768P
Exem tion Value $50,000 $50,000 $0
As Value $421,378 $418,034 $389,768 Taxable Value $371,378 $368,034 $389.. ,768..
............................................................................................................................................
.. ..............................
Regional
Benefits Information Exemption Value $50,000 $50,000 $0
Benefit Type 2015 F 2014 2013 Taxable Value $371,378 $368,034 $389,768
Save Our Homes Cap Assessment Reduction $38,407
Homestead Exemption $25,000 $25,000 Sales Information
Second Homestead Exemption $25,000 $25 000 Previous OR Book-
-- Sale Puce Pae Qualification Description
Note:Not all benefits are applicable to all Taxable Values(i.e.County,
Page
School Board,City,Regional). 10/25/2013 $552,500 28913-2465 Financial inst or"In Lieu of
Forclosure"stated
Short Legal Description 11/08/2011 $100 28474-2398 Corrective,tax or QCD;min
MIAMI SHORES SEC 1 AMD PB 10-70 consideration
LOT 1 &2 BLK 42 01/21/2011 $300,000 27671-0454 Financial inst or"in Lieu of
LOT SIZE 103.560 X 115 Forclosure"stated
OR 18922-0396 12 1999 1 Financial inst or"In Lieu of
COC26127-3525 25787-25310707 5CD 10/27/2010 $255,000 27489-1898 Forclosure"stated
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/ 4/11/2016
�--'" . -•� i� T -. rY•..��r.rr...®.rarrr �..r.T� .a. __.s.....a p�r�r
SCOPE OF WORK _ _ •-
• Shower floor&walls to be
demolished&install new tile.
• Bathroom existing floor file toLA
remain. __
• New plumbing fixtures 4sho {
• New shower valve.
• New shower drain&shower r
curve. 41
W ,
• Existing toilet and Mirror to ®
remain.
• Install one more mirror.
• Existing vanity to remain.
• Vanity backsplash to be
demolished and replace for a new 0
tile. A
p
r
1