DS-16-3180Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
1189 NE 102 Street
Miami Shores, FL 33138-2615
Owner Information
Permit NO. DS -11-16-3180
Pe m Permit Type: Driveways/Sidewalks/Slabs' Work Classification: Repair
Pennit Status: APPROVED
Issue Date: 1/5/2017
Expiration: 07/04/2017
Address
Parcel Number
1132050190100
Block: Lot:
Applicant
GEORGE GLADDING
Phone
Cell
GEORGE GLADDING
1189 NE 102 ST
MIAMI SHORES FL 33138-2615
Contractor(s)
Phone
Cell Phone
ONE STOP PAVING INC
786-299-1354
Valuation:
$ 1,800.00
Total Sq Feet: 500
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Work: ASPHALT RESURFACING OVER EXISTING
Bond Return :
Scanning: 3
Additional Info: ASPHALT RESURFACING OVER EX
Classification: Residential
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$1.20
$2.00
$2.00
$0.40
$100.00
$9.00
$1.60
$616.20
Pay Date Pay Type
Invoice # DS -11-16-62135
11/21/2016 Credit Card
01/05/2017 Check #: 1628
Bond #: 3294
Amt Paid Amt Due
$ 50.00 $ 566.20
$ 566.20 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Planning
Review Planning
Review Building
Review Building
Review Building
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; erti
construction and zonin
I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
uthorize the above-named contractor to do the work stated.
Authorized Signature: Owner / Applicant /
Building Department Copy
January 05, 2017
Agent Date
January 05, 2017
1
cpxos PdOb\1°
\c),V0V)'
csk95
BUILDING
PERMIT APPLICATION
'UILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS: 1 \ ‘8°‘
City: Miami Shores
Folio/Parcel#: 11 3 20 S
Occupancy Type: Load:
Ua
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
❑ ROOFING
❑PUBLIC WORKS
102 si
Master Permit No.
RECEIVED
NOV 211016
CAN)—
FBC 20N
Sub Permit No.
0 REVISION 0 EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
County:
Olq OIO6
Miami Dade
zip: 3 3 138
Is the Building Historically Designated: Yes NO
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 6eor i e C 141.1J -col
8°( 1J & 102 sf
Address:
Phone#: 33C7 r 61 0 6)23/
City: Stest, S State:
Tenant/Lessee Name: Phone#:
Email: Ca CZ (aciGivi e G/(. C0
CONTRACTOR: Company Name: 014 e S -tor POL/1''l 7 .1-0.-aAddress: '[4 3 NL' 173 s 7' 1
City: iJ . M . %}-L 4 CII i State: -TL
Qualifier Name: C l (a S a" Stet
Zip: 3 '> t3 �)
Phone#: 786' 29'/ /35q
zip: 33/hz
Phone#: id( 2Ry /)$1
State Certification or Registration #: Certificate of Competency #: ' 2 3 (S-00 .
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ /800. 00 Square/Linear Footage of Work: 504 s
Type of Work: 0 Addition ❑ Alteration ❑ New
Description of Work: / �f
5f,17ta /7 4.cci4 G. 1;4 2
/` 0 SW,iv/'' o , .D pr f 7 • P.7)
Specify color of color thru tile: /
Submittal Fee $45) ' 0 Permit Fee $ 1 00 CCF $ ' • 20
Scanning Fee $ I Radon Fee $ Z Z. DBP^^R,^$ Z • Om
Technology Fee $ 1 • 6 0 Training/Education Fee $ 0.40
Structural Reviews $
[Repair/Replace ❑ Demolition
(Revised02/24/2014)
CO/CC $
Notary $ l�
Double Fee $
Bond $
TOTAL FEE NOW DUE $
C)
5(6•zo
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 • ov_• and a reinspection fee will be charged.
Signature
ER or AGENT
The foregoing instrument as acknowledged before me this
/0 day of
PO t/ ,20 / ,by
Goo," 4, c( 7V 7 , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLI
4117
Sign:
Print:
Seal:
BARBARO SOBRINO
MY COMMISSION # FF 195634
EXPIRES: February 3, 2019 3
Dandcd Thru Notary Plc Caderwrib r; fn
****************************al
APPROVED BY
(Revised02/24/2014)
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
11)/ day of e✓ ,20 /10 ,by
CoT%s c /`
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
ins Examiner
Structural Review
MY COMMISSION # FF 195634
EXPIRES: February 3, 2019
ej EPbnded Thru Naar; Public Underwriters
1//Zoning
•
Clerk
la OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3205-019-0100
Property Address:
1189 NE 102 ST
Miami Shores, FL 33138-2615
Owner
GEORGE H GLADDING
Mailing Address
1189 NE 102 ST
MIAMI SHORES, FL 33138-2615
Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
2/2 / 0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,394 Sq.Ft
Lot Size
11,120 Sq.Ft
Year Built
1950
Assessment Information
Year
2016
2015
2014
Land Value
$372,562
$339,519
$299,867
Building Value
$166,622
$166,622
$162,313
XF Value
$770
$616
$616
Market Value
$539,954
$506,757
$462,796
Assessed Value
$285,475
$283,491
$281,242
Benefits Information
Benefit
Type
2016
2015
2014
Save Our Homes
Cap
Assessment
Reduction
$254,479
$223,266
$181,554
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Homestead
Exemption
are applicable to all
$25,000
$25,000
$25,000
Note: Not all benefits
School Board, City, Regional).
Taxable Values (i.e. County,
Short Legal Description
MIAMI SHORES SEC 8 REV PB 43-67
LOT 10 BLK 175
LOT SIZE IRREGULAR
OR 20043-3809 11 2001 4
Generated On : 11/19/2016
Taxable Value Information
Previous
2016
2015
2014
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$235,475
$233,491
$231,242
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$260,475
$258,491
$256,242
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$235,475
$233,491
$231,242
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$235,475 $233,491
$231,242
Sales Information
Previous
PriceSale
OR Book-
Page
Qualification Description
11/01/2001
$U
20043-
Sales which are disqualified as a result
3809
of examination of the deed
05/01/2000
$250,000
19113-
Sales which are qualified
3125
06/01/1999
$0
18677-
Sales which are disqualified as a result
3385
of examination of the deed
05/01/1998
$0
18458-
Sales which are disqualified as a result
1254
of examination of the 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/disdaimer.asp
Version:
Paving Inc.
CONTRACT
TO GEORGE GADDING
1189 NE 102 ST
MIAMI SHORES, FL 33138
305-610-6231
GGLADGUY@GMAIL.COM
DATE: NOVEMBER 2, 2016
PROJECT:OVERLAY ASPHALT
QTY
DESCRIPTION
UNE TOTAL
500'SQF
ASPHALT OVERLAY
$1,500.00
1
PULLING PERMIT
$300.00
SUBTOTAL
TOTAL
$
$1,800.00
✓ Permit pulling $300 (Miami), $400 (Broward),$350 (Coral Gables)
[DOES NOT INCLUDE CITY FEES]
1n Payment Upon Contract Acceptance
I nd
{ 2. Payment=After;FINALIN$PECTION(I
4,v/
It applies)::`
One
Paving Inc.
TO: akp44 SAilASS V 11-I.4 PROJECT:
NAME: NAME:
ADDRESS:
PHONE:
FAX:
ADDRESS:
JAS )h. u•-2
z Lsh
Sl�l
DATE //7/O//
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BARBARO SCBRINO
MY COMMISSION # FF 195634
EXPIRES: Fed uary 3, 2019
Cunded Thru Notary Public Underwriters
1463 NE 173 ST N. MIAMI BCH. FL 33162
PHONE: 786 2991354 FAX: 305 947 3233
Irl iami Shores ViHage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation ins e coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW
CONTENTS. �`4 ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
Signature: _ �t
er
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this
/0. day of
4)0() ,201 .
who is personally known to me or has produced
as identification.
SEAL:
BARBARO SO6RINO
MY COMMISSION # FE 195634 `I
EXPIRES: Febri;ay 3, 2019
Banded Tnru Wan) Pubic; Underwriters--- Ip
STATE OF (FLORIDA)
COUNTY OF (DADE)
Miami Shores Village
Building Department
SURVEY AFFIDAVIT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant, ec 7j does hereby attest that
(Property owner)
The attached survey, performed by 1/),-1c1& 5 v del i.r, el
(Name of surveyor's company)
For address: /189 A)6 /02 s f
Performed on 10 /7S- / /k(date of survey) is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey Tess than seven (7) years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures FJ►� affect final inspections as applicable to this or other permits.
Further�% ;4 say eth naught.
1411 aOcie -144��
Prope ' ' er Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this /0 day of &)c' v' . 70/ (v
Affiant is personally known to me, produced
Revised on 5/22/2009/ Revised on 6/12/09
f d .__ MY COMMIS' ON # Fr 195634
.% ;.` EY,FIRES: February 3, 2019
I
..'...,°;;....,...4,...:4i..
'%,1e,: , ..Bonded Thru Notary Public Underwriter
as ' . entificatio r
410
ri :r BARBAROBOBBIN°"dile Laabi
Notary
BOUNDARY SURVEY
Y SER A FLORIDA COAST TO COAST
OFF:(877)-894-8001.
www.FlorldalandSurveying.com
12555 Biscayne Blvd / 934
North Miami, FL 33181
Ask('6It [s v0t
tocreaS2 ►•-1 Stif-
f -10V. t41 I1 c,
6.91' (R)
<,vo, •tip
LOT -10
BLOCK -17
19.20'
ONE STORY
• 00 ~ RES. #1169 4"
F.F.E.=10.76'
R -a 2430'
15.42' "►�,"�
ST.
h9.0 • i .. `aim
LOCATION SKETCH
Seal & 1 "= J iT.
SCALE V:30'
RECEIVED :30 -
RECEIVED
NOV 21 2016
FND 1/2"
IRON PIPE
NO/1D/
NOTE:
BM USED:
DADE CO. BM # B -26-R
ELEV. = 10.09
(REDUCED TO: NGVD 1929)
13000'
IV; iam- ml S res Village
XI AMPIlALT
PVMT.
NE 102nd. ST.
APPROVED
..�., rlrPT
RIDGDEP
1- „ I _,j, i n' I t
\1t
LEGAL DESCRIPTION:
LOT 10, BLOCK 175, OF "MIAMI SHORES SECTION 8 REVISED",
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43,
PAGE 67. OF THE PUBLIC RECORDS OF MIAMi—DADE COUNTY, FLORIDA
FLOOD INFO:
Community. Miami Dada Co.
120652
Map & Panel j 1208600306
Suffix: L
Flood Zone: X
Base Flood Elevation: N/A
CERTIFIED TO:
GEORGE GLAGGING
This Survey has been prepared for the exclusive use
of the analog named herein and the Certitkatlon
dose not extend to any unnamed party.
SURVEYOR'S NOTES:
1 -OWNERSHIP IS SUBJECT 70 OPINION OF TITLE
2 -NO UNDERGROUND IMPROVEMENTS HERE LOCATED
3 -ELEVATIONS ARE REFERRED 70 NATIONAL GEODETIC
VERTICAL DATUM OF 1929 (UNLESS ASSUMED).
4 -THERE MAY BE ADDITIONAL RESIRICJIONS NOT SHORN
IN THIS SURVEY THAT MAY BE FOUND IN THE COUNTY
PUBiJC RECORDS
5 -LEGAL DESCRIPAQN PRONDED BY -CLIENT
5 -UNLESS OVERUSE NOTED RECORDED AND MEASURED ARE THE SAME
7 -BEFORE ANY CONSTRUCTION THE SET BACKS
MUST BE CHECKED
8 -ALL FIELD MEASUREMENTS TAKEN FOR TIi/S SURvEy WERE MADE
101H ELECTRONiC TRANSIT AND/OR STEEL TAPE W/ACCU. 1:7500
9 -THIS SURVEY 6 FOR USE AS PER REQUEST
AND NOT FOR ANY OTHER PURPOSE
10- THIS SURVEY WAS PREPARED IW1HOUT THE BENEFIT OF A
COMMRMENTS POR TITLE INSURANCE
)1- DATE OF FIELD MORK 10/21/2016
L P r
S.V.SEC. t
CPP
GV A
SSAN. •
OO
OD PFS POLE
FIRE HYDRANT
SECTION
CONC. POWER POLE_
GAAS�METEVR
VE
GGAS V.
SANITARY MANHOLE
DRAINAGE MANHOLE
NOTE:
THE FLOOD DATA PROVIDED 15 FOR
INFORMATION PURPOSES ONLY, THE
SURVEYOR MAKES NO GUARANTEES AS TO
THE ACCURACY OF THE INFORMATION
P*OVIDED THE LOCAL F.ENI.A. AGENCY
SHOULD BE CONFACTED FOR VERIFICATION.
BASIS OF BEARING BASE
ADDRESS:
1189 NE 102nd ST.MIAMI SHORES
FL. 33014
LEGEND: P•0•C•= Point of Commencing
R. _
Ti. cm. P• - Point ofg��q��
ID. - Identification MAT.. Pavete ement MAI
C/P - Concrete Porch g/M►.- Righ of Way
FJ.P.= Found Iron Pipe M.s Wood Fence
LR.C.- Iron• Rod and Cap w-.. Chain LinIt "PMt91'
C = Center •
% WC- Mr Conditioner*
P.L. - Property this U►&+ 4UtMMty Ewe •
P.O.L - Polon, 61? tine &'0.B.- Basle of Bearing
IP - iron` M.. R.0J1 Roof Otpplpu i
Swk - Sldewolc PL = pipnter
Cone = �• & Gutter
cos / C000let..JlockL= ferhead Wis tine
canses gimes
ligEL c albtlon RES = lq�dence• • • • •
FH - Fire isge F.�t Fatah Roos Om
WyR=Roof B.C. = Blodc Comer •
�_ N= Parkways • • • Mita Encroachment
V!B Ca a k 34+ t hied
elOCENSe V.
1 No.5711 s09:
CARL.OS HERNANDEZ
PROFESSIONAL SURVEYOR AND MAPPER
LB if 7619 10.232016
ELECT PILE CODE 111 1 SONE102STAISM
Survey is not valid without the signature
and raised/digitol sod of
Registered Professional Land the
and
The boundarysurveyeonMower
for accuracoromissions.eSubjjeect property
opinion title and anyadedications, limitations. ccordance with the description
estrictions or beasemmts of coy the client. No d. No of public ��� has been nddo u thiswere
office
located.
lghdargrpmd improvements and/or utUties we
1 Hereby Certify. That the attached boundary survey of the property described below le to the best of my knowledge and belief accurate as recently swayed under m
dlrection; also that them ore no above ground encroachments other than those shown. and that this survey meets the minimum technkal standards set by the Florida
Board of Land Surwwrs os set forth Is Section 472.027 (F.S.1 Chooter 61017-6 of The Florida AminlstraUvs Code