DS-18-1171Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Inspection Number: INSP-002403-2018 Permit Number: DS-5-18-1171
Scheduled Inspection Date: December 13, 2018
Inspector: Riveron, Alexis
Owner. MICHAEL MONTEVERDE AMANDA B SAMPLE
Address: 77 NW 100 TER
Project:
Miami Shores , FL 33150
Permit Type: Driveways/Sidewalks/Slabs
Inspection Type: Foundation
Work Classification: Addition/Alteration
Phone Number:
Parcel Number: 1131010180300
Contractor: SOUFFRONT CONSTRUCTION INC Phone Number. 3052199970
JUAN LUIS SOUFFRONT
Building Department Comments
RE -ASPHALT DRIVEWAY
Checklist Item
General Comments
Passed
False
Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 12, 2018 For Inspections please call: 305-762-4949 Page 20 of 35
SKETCH OF BOUNDARY SURVEY
LEGAL DECK I PT ION:
Lot 11, Block 3, NAVARRO SUBDIVISION,
according to the plat thereof, as
recorded in Plat Book 12, Page 59 of
the Public Records of Miami -Dade
County. Florida.
Property address:
77 NW 1O0th Terrace
Miami Shores, FL 33150
Lot 10
LEGEND:
• CENTRAL ANGLE (DELTA)
A - ARC LENGTH
A/C • AIR COtDITNDIER
OCR = BROWA(D COUNTY RECORDS
BN • BENCHMARK
i = CENTERLINE
(CI CALCULATED
(0)DEED
END - (D
FPL - FLORIDA POWER 6 LIGHT
H - HANDICAP PAIW(ING SPACE
0/S - OFFSET
(P) - PLAT
PB - PLAT BOOK
P.C.P.- POINT OF CURVATURE
PAGE
P08 - POINT OF BEGINNING
Pee - POINT OF COMMENCEMENT
Rill - RIGHT -OF -NAY
SF - SQUARE FEET
Fnd 1/2'
IronPlpe
10
G
i-
O
Lot 6
50.00'
NW Est Avenue
NW !Dist Street
8
7
6
5
4
3
2
1
9
10
,
tz
12
13
14
16
16
NN 100th Terrace
Cr)
Fnd 1/2'
Iran Pipe
No ID
" 6' penitence
(dilapidated)
�A.
14.Q 'C
concrete,
shed o
0 0
N
14.0'
MOOd
23.i'
of
ONE STORY
RESIDENCE
4177
31.1
concrete
7.9'
0,
alt
rive
13.8'
concrete
t��
50.00'
wood
fence
Fnd 1/2'
Iron Plpa
No ID
2.4'
Lot i2
Asa-- ild"
Fnd 1/2' Fnd 1/2'
Iron Pipe
4x- Iran Pipe
No ID 8
No ID
255.68' block corner
eater
meter
16.5' pavement
t-
NW 100th TERRACE
THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17-6. FLORIDA ADMIN-
ISTRATIVE CODE. PURSUANT TO SECTION 472. 027. FLORIDA STATUTES.
HIKKI H. ULRICH
PROFESSIONAL SURVEYOR MAPPER •5853
STATE OF FLORIDA
FILMME 118i1-3
SCALE: 1° = 20'
WET
1. THIS SURVEY REFLECTS ALL EASEMENTS
AND RIGHTS -OF -MAY AS SHOWN ON THE
ABOVE RECORDED PLAT. THE SUBJECT
PROPERTY THE ga FT OOD EASES
OR RIGHT -OF -NAY.
2. ANGLES SHOMI HEREIN ARE BASED ON
PB i2. PG 59. MCA
3. ELEVATION SHOO HEREON ARE BASED COI
NOORRTHAIERICAN VERTICAL DATUM OF
4. 1ygTg�(*AACEE FEEAT()J€S NOT LOCATED.
5. OWNERSHIP OF FENCES/WALLS NOT DETERMINED.
REVI5(DNS
DATE
FOR: NDNTEYEROE
DATE: 2/12/2018
N0. 1802002
F. B. 118-64
Not valid elthout the Condom
and the ar(gqlbl raised seal N
a Florida licensed surveyor and
mapper.
DEN I LAND SURVEYORS, INC. LB *7281
1991 NW 35th AVENUE, COCONUT CREEK, FL 33066 (954)973-7966 FAX (954)979-0343
.1_4zgolo
Miami Shores Vi !pc:e
APPROVED
ZONING DEPT
BLDG DEPT
SUBJECT TO COMPLIANC1= WI I l l 111_L ! L.O_HAL
[Sl t.TP AND Cnl1NTY lilt! ! s /N' rf GI I ',
.1
• • ••• •
SKETCH OF BOUNDARY SU)47Y •;
LEGAL DECR I PT ION:
Lot 11, Block 3, NAVARRO SUBDIV•ISJ.QN, •
according to the plat thereof, : ds:. • ;
recorded in Plat Book 12, Page: 19• of
the Public Records of Miami-Dao'e • •
County, Florida.
Property address:
77 NW 100th Terrace
Miami Shores, FL 33150
00014
LEGEND:
0
A
A/C -
BCR -
IE •
(0) -
FND =
FPLH -
0/S -
(P) -
PB
P.C. -
PG
POB -
P0C -
R-
R/N -
SF
w
W
U
Lot 10
1
1
CENTRAL ANGLE (DELTA)
ARC LENGTH
AIR CONDITIONER
BROWARD COUNTY RECORDS
BENCHMARK
CENTERLINE
CALCULATED
DEED
FOUND
FLORIDA POWER & LIGHT
HANDICAP PARKING SPACE
OFFSET
PLAT
PLAT BOOK
POINT OF CURVATURE
PAGE
POINT OF BEGINNING
POINT OF COMMENCEMENT
RADIUS
RIGHT-OF-WAY
SQUARE FEET
Fnd 1/2'
Iron Plpe
No ID
Cu
cvs
CD
Fnd I/2'
Iron Plpe
No ID
•
• • • • •
• • •••
•• •• • •
••• ••
• • ••
• •• •
•
• • •••
•••
••
•
• •
•
••
•m
• •
• t
•
05
• •
•
•• • • • • •
Lot 6
50. 00'
ONE STORY
RESIDENCE
*77
concrete
50. 00'
•
NW 101st Street
r• .
F• v
7
6
5
4
3
2
1
.
9
10
, i2
i3
14
i5
16
/_
.••
• • • ••
concrete
16.5' pavement
`tsphalt
drive
i
NW i00th TERRACE
rn
N
r-•:
0
NW 100th Terrace
Fnd i,
Iron
No I
2.4'
0
•
Z
BLDG DEPT
ZONING DEPT]
APPROVED
Miami Shores Village
I ' +'
0
;URJECT TO COMPLIANCE WITH ALL FEDERAL J
iT=IQ AND COUNTY RULES AND REGULATIONS
%0,
(:::3
'sk
DATE
12
• $ 3 Edo Apia, /4
Afrove
Fnd i/2'
Iron Plpe
No ID
water
meter
2//
256.68'
Fnd I/2'
Iron Plpe
No ID @
block corner
THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17-6, FLORIDA ADMIN-
ISTRATIVE CODE. PURSUANT TO SECTION 47.2. 027, FLORIDA STATUTES.
`--4c a 2 )i4 --
MIKKI H. ULRICH
PROFESSIONAL SURVEYOR MAPPER •5853
STATE OF FLORIDA
FILENAME NS11-3
SCALE: 1" = 20'
NOTES:
L. THIS SURVEY REFLECTS ALL EASEMENTS
AND RIGHTS -OF -WAY AS SHOWN ON THE
ABOVE RECORDED PLAT. THE SUBJECT
PROPERTY HAS NOT BEEN ABSTRACTED BY
THE UNDERSIGNED FOR OTHER EASEMENTS
OR RIGHT-OF-WAY.
2. ANGLES SHOWN HEREON ARE BASED ON
PB 12, P6 59. MDCR.
3. ELEVATION SHOWN HEREON ARE BASED ON
NORTH AMERICAN VERTICAL DATUM OF
1988 (NAVD 1988).
4. SUBSURFACE FEATURES NOT LOCATED.
5. OWNERSHIP OF FENCES/WALLS NOT DETERMINED.
REVISIONS
DATE
FOR: MONTEVERDE
DATE: 2/i2/2018
NO. i802002
F. B. ii8-64
Not valid Withoutthe signature
and the original raised seal of
a Florida licensed surveyor and
upper.
DEN I LAND SURVEYORS, I NC. LB *7281
i99i NW 35th AVENUE, COCONUT CREEK, FL 33066 (954)973-7966 FAX (954)979-0343
LAND SURVEYS 0 SUBDIVISIONS 0 CONSTRUCTION SURVEYS
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pe
mi
t
Permit NO. DS-5-18-1171
Permit Type: Driveways/Sidewalks1Siabs
Work Classification: Addition/Alteration
Permit'Status: APPROVED
Issue Hate: 5/8/2018
Expiration: 11/04/2018
Parcel Number
Applicant
77 NW 100 Terrace
Miami Shores, FL 33150-
1131010180300
Block: Lot:
MICHAEL MONTEVERDE AMANI
Owner Information
Address
Phone
Cell
MICHAEL MONTEVERDE AMANDA B
77 NW 100 Terrace
MIAMI SHORES FL 33150-
77 NW 100 Terrace
MIAMI SHORES FL 33150-
Contractor(s) Phone
SOUFFRONT CONSTRUCTION INC (305)219-9970
Cell Phone
Valuation:
Total Sq Feet:
$ 2,980.00
250
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: RE -ASPHALT DRIVEWAY
Bond Return :
Scanning: 3
Additional Info: RE -ASPHALT DRIVEWAY
Classification: Residential
Fees Due
Bond Type - Owners Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
P&Z Review Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$1.80
$2.00
$2.00
$0.60
$35.00
$100.00
$9.00
$2.40
$652.80
Pay Date
Invoice #
05/03/2018
05/08/2018
05/08/2018
Bond #: 3749
Pay Type
DS-5-18-67388
Credit Card
Check #: 422
Credit Card
Amt Paid Amt Due
$ 50.00 $ 602.80
$ 500.00 $ 102.80
$ 102.80 $ 0.00
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 - the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore = uthorize the above -named contractor to do the work stated.
Authorized Signa
Y\ppli / Contractor / Agent
Building Departme ' Copy
May 08, 2018
Date
May 08, 2018
1
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
El PLUMBING ❑ MECHANICAL
JOB ADDRESS: 7 `( /v 4)
City:
Folio/Parcel#:
Miami Shores
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
Do tk
❑ REVISION
Ce h
RECEIVED
MAY 2018 ck
FBC201
Master Permit No. Ps
Sub Permit No.
❑ EXTENSION
❑ CHANGE OF
CONTRACTOR
❑ RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
County: Miami Dade Zip: 33( U
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Address: AA �
City: lv\
Tenant/Lessee Name: iV 0 V" e- /U kiner
Is the Building Historically Designated: Yes NO
Construction Type: ar w (J Flood Zone:
U.A./
I\S6j
(auk (^
State:
Email: AAA V4'iale,✓Giie
CONTRACTOR: Company Name:
A(Xule.,(11--r-o(e_
Do?-1"ru vtK (00517241'6
Address: / 462- J 5 .✓ /0044 iE3
-
BFE: FFE:
Phone#: (>YS `6-c-2 79 ,
Phone#:
Zip: 33 J O
p.-f rr , —1 ,
4 �
,L{OC Phone#: (O:5 -2/`%
City: /"liiMi • r State: ,L.- Zip: (33te
Qualifier Name: I U:'rt G S.ijfribi 4 Phone#: (..tis-Zf/-7170
State Certification or Registration #: LGL/)Z Y932 Certificate of Competency #:
DESIGNER: Architect/Engineer: _ Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ , Square/Linear Footage of Work:
Type of Work: ❑ Addition n Alteration IT New
Description of Work:
Z5-O sy6�
Repair/Replace ❑ Demolition
Specify color of color thru tile: r1
Submittal Fee $ �� 0 14 Permit Fee $ 100 CO/CC $
Scanning Fee $ Radon Fee $ 2,
Technology Fee $ 2 U Training/Education Fee $
Structural Reviews $
?kz 043s
CCF $ 1 ' S a
DBPR $ 2+ Notary $
0 .ba "�1 Double Fee $
Bond $ SOO
TOTAL FEE NOW DUE $ I O 2 - 8o
(Revised02/24/2014)
boa.e)c)
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for.the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWN R or AGpNT
The foreg ing instrument was acknowledged before me this
2-hh:
` day of, , 20 ) o by LL/ day of (i / , 20 a , by
H((haiL' 1 t 1 nl4?? eircifwho is personally known to AIM wr ni , who is personally known to
me or who has produced fy PLN5315C
4 1 Ft l �6 b as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Z.
.� Notary Public - State of Florida
�� Commission 0 GG 006859 •
.',;,ai t$ My Comm. Expires Jun 28, 2020
*************************
*
CONTRACTOR
The foregoing instrument was acknowledged before me this
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
a Lovelace
COMMISSION 1 FF185472
EXPIRES: December 28, 2018
WWW.AARONNOTARY.COM
as
******************************************************************
APPROVED BY Plans Examiner
Structural Review
_0/(7
Zoning
Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-3101-018-0300
Property Address:
77 NW 100 TER
Miami Shores, FL 33150-1207
Owner
MICHAEL A MONTEVERDE
AMANDA B SAMPLE
Mailing Address
77 NW 100 TER
MIAMI, FL 33150 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3 / 1 / 0
Floors
1
Living Units
1
Actual Area
1,502 Sq.Ft
Living Area
1,222 Sq.Ft
Adjusted Area
1,502 Sq.Ft
Lot Size
5,350 Sq.Ft
Year Built
1936
Assessment Information
Year
2017
2016
2015
Land Value
$117,692
$117,692
$86,815
Building Value
$126,094
$127,070
$128,047
XF Value
$422
$427
$324
Market Value
$244,208
$245,189
$215,186
Assessed Value
$204,999
$200,783
$199,388
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$39,209
$44,406
$15,798
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
NAVARRO SUB PB 12-59
LOT 11 BLK 3
LOT SIZE 50.000 X 107
OR 20670-3208 09 2002 1
Generated On : 5/1/2018
Taxable Value Information
2017J 2016
2015
County
Exemption Value1
$50,000
$50,000
$50,000
Taxable Value
$154,999
$150,783
$149,388
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$179,999
$175,783
$174,388
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$154,999
$150,783
$149,388
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$154,999
$150,783
$149,388
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
10/03/2013
$320,000
28864-0367
Qual by exam of deed
09/01/2002
$155,000
20670-3208
Sales which are qualified
07/01/1988
$63,000
13755-3843
Sales which are qualified
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:
https://www.miamidade.gov/propertysearch/
5/1/2018
k.
Souffront Construction Inc.
14629 SW 104th St #423
Miami FL 33186
Email: o.souffront@gmail.com
Date: 05/02/2018
State of Florida
County of Miami Dade
Before me this day personally appeared L rtrcrorvi- Who, being duly sworn, deposes
and says:
That he or she will be only person working on the project located at: 77 /(/GO A /4 Ariey.-< ,
Sworn to (or affirmed) and subscribed before me this 2, day of i�[ . 20 $
by `
4.0:¢�.�',, Albania Lovelace
IA% ��`' = COMMISSION # FF185472
. % 1: EXPIRES: December 28, 2018
�''�o m WWW.AARONNOTARY.COM
Personally know
Or Produced Identification
Type of Identification Produced
Print, pe or Stamp Name of Notary
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 islisted 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 e contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELO - YOU AC OWLGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this
By
S
day of & , 20 /87
.
who is persona y known to me or has produced
as identification.
Notary:
SEAL:
z •; �, EXPIRES: December 28.2018
4'0). �``�� WWW.AARONNOTARY.COM
i .f . Albania Lovelace
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