DS-17-2840Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pe
m
Permit' NO. DS-11-17-2840
■ Permit Type: Driveways/Sidewalks/Stabs
Work Classification: Addition/Alteration
Permit Status: APPROVED
Expiration: 05/29/2018
Parcel Number
tssue::Date: 111012017
Applicant
10525 NE 2 Court
Miami Shores, FL
1122310130610
Block: Lot:
BENNY NEWBY
Owner Information
Address
Phone
Cell
BENNY NEWBY
10525 NE 2 Court
MIAMI SHORES FL 33138-
Contractor(s)
CRICKET PAVERS LLC
Phone
(786)518-1091
CeII Phone
(305)336-0676
Valuation:
Total Sq Feet:
$ 6,000.00
1011
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: REMODEL EXISTING DRIVEWAY , APPRO
Bond Return :
Scanning: 3
Additional Info: REMODEL EXISTING DRIVEWAY , A
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
$3.60
$2.25
$2.00
$1.20
$150.00
$9.00
$4.80
$672.85
Pay Date
Invoice #
11/30/2017
11/30/2017
Bond #: 3574
Pay Type
DS-11-17-65788
Check #: 2075 $ 622.85 $ 50.00
Check #: 2076 $ 50.00 $ 0.00
Amt Paid Amt Due
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: I certify that all the foregoing information is accurate an
construction and zoning. Futhermore, I authorize the above -named contractor to
Authorized Signature: Owner / Applicant / ContractorrAgen
t all be done in compliance with all applicable laws regulating
vember 30, 2017
Date
Building Department Copy
November 30, 2017
1
BUILDING
7,IT 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
REC ,Y\ iNOV 0 2017
FBC 20 14 5fh
Master Permit No.DS 1 Zg4Sub Permit No.
ING ELECTRIC
ING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
7 -I- CONTRACTOR DRAWINGS
JOB ADDRESS: 105Zg NE- 2 C 1
City: Miami Shores County:
Zip: 33 6 a"
Folio/Parcel#: / (` 223 I - ' (3— 06 (d Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple�Titleholder): NE S { Y1
Address: /( 2 /Q6j S�
City: iut otw-i 5' I,* {es State:
Tenant/Lessee Name:
Ft
Miami Dade
Email: a (€ 54v14Y'o /t ewloy eYQ(/tba.CO✓'"l
CONTRACTOR: Company Name: Crick4 1?a i ' S
Phone#: 5C2•F63 • y3
Zip: -31 30
Phone#:305-336- D6-?
Phone#: % O V • c71rs- l v'\1
Address: / 9S -,w f L
•/
City: �'` i ►�'\ \ State: f1 Zip: 3tT 6
Qualifier Name: 14464, V\ GC \\ko Phone#:
State Certification or Registration #: LTI/60OC Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ O. DO.00 Square/Linear Footage of Work: ((01\ SIT{
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition /�
Description of Work: w\�i�E,1 ��1s'k� �(�'�i�N�dM t A1 erT)CkCk (�io s ifle(()f A5PN
lao s r (n4F tl Cane re.4E fd Co►. c rr le 1.6y-t(T
Specify color of color thru tile:
Submittal Fee $ (50 9a t d Permit Fee $ (SO • 00 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 2, • 03 DBPR $ 2 • 25 Notary $
Technology Fee $ Training/Education Fee $ Double Fee $ .
Structural Reviews $ Bond $ OM " %G
TOTAL FEE NOW DUE$ (Z.2 .A15
(Revised02/24/2014)
522.85
Bonding Company's Name (if applicable)
Bonding Company's Address
City t 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 einspection fee will be charged.
Signature
OW ER or AGENT
Signature V
CONTRACTOR
The foregoing instrume2 was acknowledged before me this The foregoing instrument was acknowledged before me this
29 day of t. .fe`M64e.( ,20 1--7 , by
'LA. day of (\16 ^YhC , 20 \ by
K.ritu L. NJJN who is personally known to 6A4 r A\IZ• who personally kn. n to
me 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:
Sign:
Print:
Seal:
ues
OT c
STATE OF LORIDA
? Comm# FF946106
Expires 4/17/2020.
NOTARY PUBLIC:
Sign:
Print:
Seal:
,, John Rogues
. mot,- . 5 0 NOTARY PUtsuc
�GSTATE OF FLORIDA
`�`�t�4 Comm# FF946106
w4tCE Val
Expires 4/17/2020
********************************************************************************** ************************
)1/1L
APPROVED BY Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
11/28/2017
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-2231-013-0610
Property Address:
10525 NE 2 CT
Miami Shores, FL 33138-2002
Owner
BENNY L NEWBY
Mailing Address
10525 NE 2 CT
MIAMI, FL 33138 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,673 Sq.Ft
Living Area
1,884 Sq.Ft
Adjusted Area
2,212 Sq.Ft
Lot Size
11,500 Sq.Ft
Year Built
1951
Assessment Information
Year
2017
2016
2015
Land Value
$287,615
$240,465
$192,372
Building Value
$138,029
$138,029
$138,029
XF Value
$836
$837
$725
Market Value
$426,480
$379,331
$331,126
Assessed Value
$362,631
$329,665
$299,696
Benefits Information
Benefit Type
2017 2016
Non -Homestead Cap Assessment Reduction
$63,849
2015
$49,666
$31,430
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
31 52 42 PB 6-82
FIRST ADD TO PASADENA PARK
LOTS 15 & 16 BLK 14
LOT SIZE 100.000 X 115
OR 11113-764 0581 5
Generated On : 11/28/2017
Taxable Value Information
2017
20161 2015
County
Exemption Value
$0
$0
$0
Taxable Value
$362,631
$329,665
$299,696
School Board
Exemption Value
$0
$0
$0
Taxable Value
$426,480
$379,331
$331,126
City
Exemption Value
$0
$0
$0
Taxable Value
$362,631
$329,665
$299,696
Regional
Exemption Value
$0
$0
$0
Taxable Value $362,631
$329,665
$299,696
Sales Information
Previous Sale [ Price
OR Book -Page
Qualification Description
03/29/2013 $363,000
28562-0870
Qual by 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:
40
CRICK ET
PAVERS
15795 SW 147th Street, Miami, FL. 33196
Date: 11-29-17
County of: Miami -Dade County
Before me this day personally appeared ROM r G'e
who being duly sworn, deposes and says:
That he or she will be the only person working on the project located at: IDS/5 NE- la
Signature:
Sworn to (or affirmed) and subscribed before me this 7,9 day of Kkqyvil..0
. 2017, by iskA.k{1,r\ G C ,110
Print, Type or Stamp Name of Notary
John Rogues
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF946106
Expires 4/17/2020
A
Notice to Owner — Workers' Com
p
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
ensation 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 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:
er
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this
By Ile-nry L.
DL
Notary:
SEAL:
21
day of Kbitkr1 c , 20 C.7 .
who is personally known to me or has produced
as identification.
John Rogues
n NOTARY PUBLIC
He STATE OF FLORIDA
Comm# FF946106
Expires 4/17/2020
Nt Py e-sIDE )CE
10525 N 2C4
NO OBJECTION
Elorida Health Miami -Dade County
O.S.T.D.S. & Well Program
Application No.:
Date:
Signature -
SCALE = 1" = 20'
-4
0
ro
N.E. 2nd.
P.C. F.I.P 1/2" t
F.I.P 1/2" NO CAP
NO CAP k
0.15'CL
RECEIVED
NO 3 0 2011
LOT - 17
BLOCK - 14
ON PL
'ASPHALT
PVMT.
) ,AV ij,S-111y.�1 i■�rr
100.00'
w�
90°16'28"'
x
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10.00'
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LOT -16
BLOCK - 14
16.80'
67.65'
CT.
09
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26.60'
1.80'n
1.80'0
ONE STORY
RES. # 10525
LOT - 15
BLOCK - 14
0
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Miami Shires Vi lage
AP° sO\/ED
TONING DEPT
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MPI.IttICEIJvIPriALL FJL
STATE ANL) L(1, UN,Y HULES Arid REGULATIONS
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10.00',
16'28"
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LOT-2
BLOCK - 14
LOT-3
BLOCK-14
100.00'
LOT-4
BLOCK-14
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F.I.P 1/2"
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LOT-5
BLOCK - 14
5582 N.W. 7th STREET SUITE 202
MIAMI, FLORIDA 33126
TELEPHO'!E: (305) 264-2660
FAX: (305)4264-0229
DRAWN BY: LG.
( ova ururuorz �nc.
LAND SURVEYORS
SURVEY No. 13-0000320-1
SHEET No. 2 OF 2
P.C.
F.I.P 1/2"
NO CAP
LOT - 17
BLOCK - 14
F.I.P 1/2"
NO CAP
LOT-2
BLOCK - 14
BOUNDARY SURVEY
- SCALE =1" = 20'
N.F. 2nd. CT.
'ASPHALT
PVMT.
100.00
100.00
LOT-3
BLOCK 14
SURVEYOR'S NOTE:
LOT-4
BLOCK - 14
f
A) Asphalt Drive Encroaching onto Right-of-way on the West side of Property.
•
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LOT
BLOCK-14
•
SUR P YOR'S' NOTE:
'['here may he Easements recorded in the Public Records not shown on this Survey.
-'['he purpose of this Survey is for use in obtaining Title Insurance and Financing and should not he used for Construction purposes.