DS-18-330Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DS-2-18-330
Pennit Type: Driveways/Sidewalks/Stabs
Work Classification: Addition/Alteration
Pennit Status: APPROVED
Issue Date: 2/14/2018
Expiration: 08/13/2018
Parcel Number
Applicant
9280 NE 12 Avenue
Miami Shores, FL 33138-
1132050070172
Block: Lot:
DANIEL MCFADDEN
Owner Information
Address
Phone
Cell
DANIEL MCFADDEN
9280 NE 12 Avenue
MIAMI SHORES FL 33138-2929
(305)762-6519
9280 NE 12 Avenue
MIAMI SHORES FL 33138-2929
Contractor(s)
ONE STOP PAVING
Phone Cell Phone
(786)299-1354,
Valuation:
Total Sq Feet:
$ 4,500.00
650
•
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: REMOVE ASPHALT DRIVEWAY AND REP
Bond Return : REMOVE ASPHALT DRIVEWAY AND REP
Scanning: 3
Additional Info: REMOVE ASPHALT DRIVEWAY ANC
Classification: Residential
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$3.00
$2.00
$2.00
$1.00
$5.00
$125.00
$9.00
$4.00
$651.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # DS-2-18-66391
02/08/2018 Check #: 1881 $ 50.00 $ 601.00
02/14/2018 Check #: 1885 $ 601.00 $ 0.00
Bond #: 3658
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
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: IJerify that all t foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zon. ut ermore, I a thorize the above -named contractor to do the work stated.
Authorized Sign
ture: Owner i / Applicant / Contractor / Agent
February 14, 2018
Date
Building Department Copy
February 14, 2018
1
9640 9.G91'J5`f
JOB ADDRESS:
City: Miami Shores 1,
- County:
11 jJZ-05 007
Folio/Parcel#: Z3 2 0 2-t Uri Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): 1a'vb 1 e1 '•
Address:
City:
ActIPEP c-t2ap ue 1Z AJe
�C.`HUevV:V Vv
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
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
Master Permit No.
RECEI VED
FE_g'pp
� u�10�
FBC 201'
DSIS-330
Sub Permit No.
REVISION EXTENSION
EPLUMBING ❑ MECHANICAL Ei PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
C12 go &J ‘2 AJ 42
❑ RENEWAL
SHOP
DRAWINGS
Miami Dade Zip: 313$
NO
BFE: FFE:
Phone#: 30S a
S lit.d`fcS
VV. O ✓vt. <3vL(1 S State: Zip: 3 3 13
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: l/ttVP Sip POCc7 z vu-1 �'� Phone#: 96 Z't 1351
Address: k�3 N 8 «3 st 1
'City: A) • V"k - n� 2-F-o In State: Zip: 3 3 Irp 2
Qualifier Name: `d s l (, t-c.4 ste Phone#: '7 at ?Act \ 3 r q
State Certification or Registration #: C& C L5 (''71 (C1 Certificate of Competency #: 23\ Sb v
DESIGNER: Architect/Engineer: Phone#:
Address: City: /
Value of Work for this Permit: $ 4 0 Square/Linear Footage of Work: 6CO
State: Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
v.." a.re Q S 1., %+ wew-ov)
P et S, (cis Sa e . )
Specify color of color thru tile:
ate
Submittal Fee $ Permit Fee $ CCF $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
LTC V
CO/CC $
DBPR $ Notary $
Double Fee $
Bond $ �
TOTAL FEE NOW DUE $
(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.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of
r2__� , 20 _ _ , by
tbyytt,f J_ Gd Let, who is personal to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC;
Sign:
Print:
Seal:
,, i , �: E3AR.�Ak3S0I3RIN0
��) ';:: MY COMMISSION # FF 195634
"1 p EXPIRES: February 3, 2019
*************
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
n
day of � , 20 c . by
r�0 S p y -I-A, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
i •
sARaAFQ S0RRIN0
MY COMMISSION # FF 195634
EXPIRES: February 3, 2019
Zoning
(Revised02/24/2014)
Structural Review
Clerk
2/8/2018
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-3205-007-0172
Property Address:
9280 NE 12 AVE
Miami Shores, FL 33138-2929
Owner
DANIEL J MCFADDEN
Mailing Address
9280 NE 12 AVE
MIAMI SHORES, FL 33138
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/3/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,193 Sq.Ft
Lot Size
8,368 Sq.Ft
Year Built
1964
Assessment Information
Year
2017
2016
2015
Land Value
$301,248
$280,328
$255,224
Building Value
$152,633
$152,633
$152,633
XF Value
$30,137
$30,287
$23,228
Market Value
$484,018
$463,248
$431,085
Assessed Value
$344,485
$337,400
$335,055
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes Cap
Assessment Reduction
$139,533
$125,848
$96,030
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).
Short Legal Description
PL OF GOVT LOT 4 PB 5-90
LOT M LESS N 108FT & LESS BEG
140FTS OF NW COR LOT M TH
5166.61 FT NELY161.6FT TH N 53 DEG
23 MIN 07 SEC W FOR 32FT TH N
Generated On : 2/8/2018
Taxable Value Information 1
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$294,485
$287,400
$285,055
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$319,485
$312,400
$310,055
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$294,485
$287,400
$285,055
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$294,485
$287,400
$285,055
Sales Information
Previous
Sale
Price
OR
Book-
Page
Qualification Description
03/19/2009
$350,000
26809
1770
Qual by exam of deed
04/01/2007
$0
25565-
1649
Sales which are disqualified as a result of
examination of the deed
02/01/1975
$90,000
00000-Sales which are qualified
00000
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:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF (FLORIDA)
COUNTY OF (DADE)
The undersigned Affiant, Otn t e k S c lev) does hereby attest that
(Property owner)
The attached survey, performed by pJiavnco sue' V. ' ii i t . Sw c-.
(Name of surveyor's company)
ZSO N is l2 t.ue.
ova w» ' o re S L-
For address:
3313 $
Performed on 7 / (1 14C (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 less 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 may affect final inspections as applicable to this or other permits.
Furt�,er, Affiant say eth naught.
f
Property Owner Signature
SWORN TO AND SUBSCRIBED before me this —1 day of
Affiant is personally known to me, produced
Revised on 5/22/2009/ Revised on 6/12/09
rbavti i f2,I3.
Property Owner Print Name
2fit B
t "fie„ BAMAR3 SOBRINO
P�! OO�IMISSION # FF 195634
EXPIRES: Fsbuary 3, 2019
Y° ° fionded Thru Nota!y Public Undermiters
as identification.
ary
Paving Inc.
a m 1 e Zo/g
5'4 4e G I FL
r7vt acie
as �D re ." a 7tIk S / /2D /
So H� l!7
cichoseS a(-,c1 SO.7s:
k7 he w i' ll tu, —(he o'.7 C -9o.ter M/./"/CGi
on !g411•e frrvr -ec
.1z80 ti& la 4vP. ,l. sh4,es 33�3Q
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11,, is 3 dam aF -Cf-b TO (%l j 20 (8 bLi C9►v iOS "''ca n cJ e 1
G 054-0 V V' - p rodoc d ciorido t i c ar S e
•
SUBMITTED BY: DATE
1463 no 173 st N. Miami Beal
;�. MAHARAI K. GONZALEZ
.., MY COMMISSION # GG 044602.
i� i;
1' - i•r•
EXPIRES. t Mitre"' 1354 .
Bonded Thru No e
FAX: 305 947 3233
• MY COMMISSION K. GONZALEZ
#GG044602
F op• EXPIRES: November 2, 2020
Y'• Bonded Thru Notary Public Underwriters
4
Miami Shores Viiiage
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 ExemEtion
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 hasprovided 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 insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida N.
County of Miami -Dade
The foregoing was acknowledge before me this day of 2 , 20 1.10
0 .
By 'DO, N t 21 3 PPo.. P da r20 who is personally known to me or has produced
as identification.
Notary:
SEAL:
:;�'ti"` a�., BAR sAfte EOBRINO
_.; ��� '.= MY COMMISSION # FP 195634
t 1 - EXPIRES: Febna,.r�,3,2J19
''
—�:, 3$gEk• • tkndad Tnnr Notary Pubk Underwriters
APPROVED BY:
One
TO:
NAME: k, D v' e �t
ADDRESS:
PHONE:
Paving Inc. Proposal/Contract
CGC 1513719
f f , PROJECT: X- .Q,,,r-�1
NAME:
ADDRESS:
2'S N . t2. AVM
FAX: DATE 2I 7 �I %
DESCRIPTION
WE PROPOSE PERFORM ALL MATERIALS, LABOR AND EQUIPMENT NECESSARY FOR THE FOLLOWIG SCOPE OF
WORK:
�.� l� a L E `Fl s 'ti ✓t GZ g k1 0 - lac? re f/vs 01,4
1 � y� S
a w ci \ Ce w �iJ h ci Y� tAwkr-
�
Ls h.04 ,„GL_
II
W€ w7-\ t+^t,i
The work and performed by the co may result in a lien being placed on the premises described above, in case the owner or contractor default its in any
payment under this contract owner hereby agrees to accept full responsibility for all fences, sidewalks, all underground pipes, wires septic tanks, drain lines,
wells, etc. unless stated above. Owner is liable in full amount of contract in the event owner cancels after work has started. The co shall not be responsible
for damage or delays do to strikes, fires, accidents, or the others cause beyond its control, not for inherent defects in the premises on which work to be done.
In the event of any default of this contract by owner -owner agrees to pay all cost and reasonable attorneys fees incurred by One Stop Paving, Inc. as a result
of said default. All materials are guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any
alteration or deviation from above specifications involving extra cost will be executed only upon written orders and will become an extra charge over and
above the estimate. This proposal subject to acceptance within_ days and is void thereafter at the option of the under signed work shall begin within 10
days of this contract being signed by all parties here and return to the co. On stamp concrete work contractor will not be responsible for variation results on
the color select by Owner.
TOTAL PROPOSAL
SUBMITTED BY: Carlos Acosta, esident.
$ ¢ >„° - w'
Acceptance of contract
The above prices, specifications and conditions are hereby accepted. You are to do the work as
specified payment will b made s outlined above.
zu
771-‘' DATE: 2/ .7 / f S�
1463 NE 173 ST N. MIAMI BCH FL 33162
PHONE 786 2991354 FAX: 305 947 3233
•
Grade
Concrete Edge
Restraint
• • ••• • • • •••
.. .. • • • .. .. •
• • • • • • • • • •
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• • • • • • • • •
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.
•
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• • • •
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• •••
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2 3/81 Thick Concrete Paver
11 _""'� •`_ r �l. I •'-----2' Sand Bed
,o
I �I II
—= III- IrtE I
1 1'5 rod cont. at center
SECTION A: Concealed Edge Restraint
•
•Well Compacted
6" Limerock Base
•
•
•
•
••
•
••
•
•
••
CERTIFIED TO: DANIEL J. MCFADDEN, 9280 N.E. 12TH AVE., MIAMI SHORES, FLORIDA 33138.,
CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC., COUNTRYWIDE
BANK, FSB., ITS SUCCESSORS AND/OR ASSIGNS, ATIMA.
NOT VAUD UNLESS EMBOSSED WITH
SURVEYOR'S SEAL
REVISED:
ABBREVIATIONS;
SW<=SIDEWALK, CBS=CONCRETE BLOCK STRUCTURE, CLF=CHAIN LINKFENCE, PL=PROPERTY LINE, DUE=DRAINAGE UTILITY EASEMENT, IP=IRON PIPE,
F=FOUND, NC.AIR CONDITIONER PAD, P/C=PROPERTY CORNER, D/H=DRILLED HOLE, W/F=WOODEN FENCE, RES=RESIDENCE, CL-CLEAR, RB=REBAR,
UE=UTILITY EASEMENT. CONC=CONCRETE SLAB. R/W RIGHT OF WAY, DE -DRAINAGE EASEMENT, C/L=CENTER LINE, O=DIAMTER, TYP=TYPICAL,
M=MEASURED, R=RECORDED, ENCR=ENCROACHMENT, COMP=COMPUTER, ASH=ASPHALT, N/D=NAIL & DISC. S=SET, FEE=FINISH FLOOR ELEVATION,
O/S=OFFSET, =POWER POLE, OHP=OVERHEAD POWERLINE, WMO%TER METER
NA700 FENCE=
MASONRY WA L=L I I I I I I 7 1 1 ELEVATION BASED ON LOC. #
CONCRETE=••'+•,•.•;+•.+:"••'1+,••+}••••ii•.••+:•••••+:
MAINTENANCE& DRAINAGE EAS EMENT= M & D.E. CBM# ELV, TYPE OF SURVEY: BOUNDARY SURVEY
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT
COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC •
VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL
RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9)
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK 'FOR BUILDING AND ZONING
INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY, - - —
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB 3 PAGE 90
-zm�.�-nwo��.caa�,utra•,.�asc�em-rti:lrma•,�u+•.revas+scac�y..«x.m.anruarilas,��aa-az^axw, - ,g:y. •.-•
LOCATION SKETCH
SCALE: NTS
.. •IaI /.c', s Village
,
A dVu
; : BY
DATE
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SUBJECT TO COMPLIkPdCLEE 1 ITH ALL FE 1'ILC1
STATE AND COUNTY RULES AND 'REGULATIONS
F' ti"�a N ,?y,�
j��o�'�.F•:.�'�gX4�i'���.vCvfI%ihs�7.���'t1�l7i:G.K�,.'
Ky
i HEREBY CERTIFY That the survey represented
thereon meets the minimum technical requirements -
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments, overlaps, easements
appearing on the plat or visible easements other than
as shown hereon.
ADIS N. NUNEZ
REGISTERED LAND SURVEYOR
STATE OF FLORIDA #5924
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SINCE 1987
-BLANGO SURVEYORS INC.
Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
• MIAMI BEACH, FL 33141 -
(305) 865-1200 Emall:blancosurveyorslnc@yohoo.co.m Fax: (305) 865-7810
1� fSSr "3,Si v7r:Ytctz'�s_ t
FLOOD ZONE: SUFFIX: J DAFE: 7
PANEL:
DATE:
3 17 0'
7
95
0093 COMMUNITY # 120652
SCALE:
1"=20'
BASE: 12
DWN. BY: JOB No
F. Blanco 09•-235