DS-19-273Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.. dS-02-19 213
Permit Type: DrWeMVS/Sidewalks/Slabs
Work Classification: New
Mi Permit Status: Approved
Issue Date:02/08/2019 1 Expiration: 08/07/2019
Parcel Number
101 NW 102ND ST, Miami Shores, FL 33150 1131010220050
Contacts
JACQUES BARBARA Owner
101 102
HOME OWNER Contractor
HOME OWNER
Description: PAVER PATIO IN BACKYARD, AROUND 365 SQFT
SHELL PAVER 6X12 & 4X8 INSTALLED ON WEED BARNER , 4" OF
CRUSHED STONE, 1" SAND AND CLOSED WITH BRICK ELLGING
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
Concrete/asphalt/pavers, slabs, dways,
$50.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$151.30
Building Department Copy
Valuation: $ 1,000.00 Inspection Requests:
3b5 7�-49
TotalSq Feet: 365.00
Payments
Date Paid Amt Paid
Total Fees
$151.30
Credit Card
02/08/2019 $151.30
Amount Due:
$0.00
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: II' "ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regylating constructions d zoning. Futhermore, I authorize the above named contractor to do the work stated.
re: Owner / Applicant / Contractor / Agent
Date
08, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
Miami Shores Village o iN 1V,—
Building Department JAN
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 � +1
FBC 20 I-4 -7
Master Permit No. 19 `2: 13
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
A CONTRACTOR' I DRAWINGS
JOB ADDRESS: 404 40L St LLk /A� //
Citv: Miami Shores Countv: Miami Dade ZiD: ?1� `1
Folio/Parcel#: I -Cl U
Occupancy Type: �_ Load:
OWNER: Name (Fee Simple Titleholder):
Address:4W11 Al IV W 1, -C-6.
City: M I' 1 ,,,I � hQv-,e�
Tenant/Lessee Name: '
Email
Is the Building Historically Designated: Yes
Construction Type: _Flood Zone: Je' BFE: _
me
FFE:
State: (7t _Zip: S )S L
Phone#:
CONTRACTOR: Company Name: - 1h4z Phone#: 20 [4g q I&
Address:
City:
Qualifier Name:
ate: Zip:
ne#:
State Certification or Registrationsi#: Certificate of Competency #: _
DESIGNER: Architect/Engineer: T�G/ jl� Phone#:
Address: �City: State: Zip:(
Value of Work for this Permit: $ 400y Square/Linear Footage of Work:
Type of Work: A Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Specify color of color thru the:sty
Submittal Fee $ Permit Fee $ I CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $ SQQ . N
TOTAL FEE NOW DUE $ 151,30
(Revised02/24/2014)
�v e 3 0
Bonding Company's Name (if applicable)
Bonding Company's Address
City -
State
Mortgage Lender's Name. (if applicable)
t
Mortgage Lender's Address
Zip
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 PAYINGJWICE 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 Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of �(� . 20 �by
LVr/I who is personally known to
me or who has produced Am, my as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: cell,
Print: .%aB A-Jeco Ge'az'sca z
Se "WyP- JOSE ANGEL GONZALEZ
MY COMMISSION # GG59470
��nd00' EXPIRES: January 03, 2021
*************
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
NVC 30 •p )
Scale 1"=20' QD (`(h
WEED DA117R - E 1
PAVERS caS
s LOT-9I
BLOCK-] O MKe 00 . y
O�
RIP 112' O (� O
NO I.D.
0.0 C. / 51
CONC.
STORAGE +
THBJBEST V21
0.53 e
HEDGING
SAND
w /
w
SLAB
CONC.
3
CRUSHED STONE
1,-
LOT-14 Ile//
BASE MATERIAL: BLOCK-1
STEPS
/a
REMAINDER
-WEED BARRIER
e"
/
. CRUSHED STONE 4 INCH (AFTER COMPACTION)
-SAND: 1 1 /4" (991 SCREENINGS)
/
/
• SHELL PAVERS 4tr8 IL 4x12 OAS' C2.
/
/
• BRICK EDGE EDGING
SCOPE OF WORK:
- EXACAVATION OF 7
.COMPACTSOIL
-WEED BARRIER
-COMPACT CRUSHED STONE
-COMPACTSAND
-INSTALL PAVERS
-ADD HEDGING
-JOINTING
raven
sane + yr
i
r7
/
6' WOOD FENCE
T:x'
:."r`:.`
i ``:'.`.c.'
EAST I/2 J
>S ':
NO I.D
FIP I/2' i L
7/
RIGHT- A.1 '(
W PARKWAY
PAY84EW Y -_�•�:
•!f ........ ..
,w:•.w.vvww.w ::av: w.wrwwi
NO
PLANTER
e................ i
..vi::N0:60>:
�-r ro cc;r,l�i Ir I
c(,IJTV Imo{
.... . ...... .
... . ..... .
ADDRESS, 101N.W.12 STREET
EENCHMvARKJW;- • %s •
MLAMI, Fl.33150 Yi
( FOLIO No. 113101-022-0050) NIA �u
DESCRIPTION
Lot 13 and the East } of Lot 14, In Block 1, • • • 3i
of "GOLD CREST A SUBDIVISION" 3
according to the Plat thereof as • • •+' •' • «
recorded in Plat Book 21, at Page 55, of • • • • • • : • , �,
the Public Records of Miami -Dade •F Z•» 33
County, Florida. j NA! /02 ST.
There may be legal restrictions on the subject
property that are not shown on the Map of Survey • + • • • • • • • • f
that may be found In the Public Records of • a • • • •
MIamFDade County, or the records of any other • ` • • • • • " • • • 'y
public and private endl es as their jurisdictions a Y+ • a a g W
may appear. nN()'y • • • i_ 3 €z
The Map of Survey is intended to be displayed at • • • • • •. • • • • oS?3�
the stated graphic scale in English units of
measurement Attention is brought to the fad that '� Z% ddm8mm
said drawing may be ademd in scale by the 111 " gg aa " a "
reproduction process.
S�zi2 Naae.`1 �ri im
This S rvey was conducted for the purpose of a
BOUNDARY SURVEY only and is not Intended to
delineate the regulatory Jurisdiction of any federal, LOCATION MAP (NOT TO SCALE) W
state, regional or local agency board, commission
or
er
Lagsldescri description
Legal tleecriptlon was furnished by the dieht. If shown elevations are referred to N.O.V.D. of 1929
The elevations of well-dentified features as The surveyor makes no representation w to
depleted on this survey and map were measured ownership, possession or occupation of the
to an estimated vertical positional accuracy of 1/10 subject property by any entity or Indlvldlrel. , g
foot for natural ground surfaces and 1 /100 foot for S
hardscepe surfaces, induding pavements, curbs Subsurface improvements and/or encroachments 0) 3dd666
and other man-made features as may =let within, upon, across, abutting or adjacent to the IL W�g
WalNdentifled features as depicted on this survey aubjed property, were not located and are not shown. O a
and map were measured to an estimated Ifl e a ... r ' ' ' r
horizontal positional accuracy of 1/10 foot unless Not valid without the signature arW original raised Z > n c
otherwise shown. seal of a Florida Licensed Surveyor and Mapper. W
Additions and deletions to this Map of Survey by
Legal Descrtptlon subject to any dedications, other then the signing party are prohibited without W
lImitations. restrictions. reservations or recorded the written convent of the signing party. _J
easements.
Sketch of Survey cannot be used for construction This Map of Survey has beers prepared (Or the rc s
purposes. Surveyor not responsible for third party exclusive use of the entities named herein and
alterations. the certification does not extend to any unnamed pony. I g
CERTIFYTO: 41111.111mil
LIST OF POSSIBLE ENCROACHMENT: WA JACQUEZ BARSERA 1e k r 4 e r a a
+aLLLLLLLL�oS
1 $
SURVEYOR'S CERTIFICATION: yy��
IHEREBY CERTIFY: THAT THIS'SOUNDARY SURVEY' T W
AND THE MAP OF SURVEY RESULTING THERE FROM o
WAS PERFORMED UNDER MY DIRECTION AND 13
TRUE AND CORRECT TO THE BEST OF MY QQ ugh
INNKNOWLEDGE AND BELIEF AND FURTHER, THAT SAID H 2 3'e S t50
BOUNDARY SURVEY' MEETS THE INTENT OF THE "'u'a' "a"a
'MINIMUM TECHNICAL STANDARDS FOR LANDSURVEYING IN THE STATE OF FLORIDA7, PURSUANTTO RULE SAT OF THE FLORIDA ADMINISTRATIVE
CODE AND ITS IMPLEMENTING RULE, CHAPTER SurveyIsnot covered by
472.027 OF THE FLORIDA STATUTES. n•l Liability
Insurance.
FIELDDATE08-15-2015
02-22-2018
01-07-2019 01-07-2019
AERIAL MAP (NOT TO SCALE)
ARTURO TOIRAC
PROFESSIONAL LAND SURVEYOR No. 3102
STATE OF FLORIDA
FLOOD ZONE INFORMATION:
Community No. 120652
SURVEYING AND MAPPING, INC.
Panel No. 0302
Land Surveyors R Mapper
Suffix: L
4VIZCAYA
LB #8000
CARL09�Ce38ERVIDESMNMI.COM
FIRM Date: 09-11-2009
a7a5 CORM. WAY, MIAMI, FL. 33155
Flood Zone: X
s (7861290-4184
DRAWN J.V.D.
SHEETHIra 1/1 _
JOB No.:
08-407-15-B I
Property Search Application - Miami -Dade County Page 1 of 1
A4
11,
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3101-022-0050
Property Address:
101 NW 102 ST
Miami Shores, FL 33150-1231
Owner
JACQUES BARBERA
Mailing Address
101 NW 102 ST
MIAMI SHORES, FL 33150 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
5/3/0
Floors
1
Living Units
1
Actual Area
3,169 Sq.Ft
Living Area
3,120 Sq.Ft
Adjusted Area
2,816 Sq.Ft
Lot Size
9,207 Sq.Ft
Year Built
11944
Assessment Information
Year 2018
2017
2016
Land Value 1 $202,779
$202,779
$202,779
Building Value $255,569
$238,379
$239,592
XF Value $708
$717
$726
Market Value $459,056
$441,875
$443,097
Assessed Value $459,056
$441,875
$443,097
Benefits Information
Benefit Type 2018 2017 2016'.
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
GOLD CREST A SUB PB 21-56
LOT 13 AND BLK 1
E1/2 OF LOT 14
LOT SIZE 85.250 X 108
OR 12076-1715 0284 1
Generated On : 2/6/
Taxable Value Information
2018 2017
2
County
Exemption Value
$0
$0
Taxable Value
$459,056
$441,875
$443.
School Board
Exemption Value
$0
$0
Taxable Value
$459,056
$441,875
$443.
City
Exemption Value
$0
$0
Taxable Value
1 $459,056
$441,875
$443.
Regional
Exemption Value
$0
$0
Taxable Value
$459,056
$441,875
$443.
Sales Information
Previous
OR Book
Price
Qualification Description
Sale
Page
02/23/2016
$577,500
29977-4314
Qual by exam of deed
Financial inst or "In Lieu of
06/24/2015
$323,400
29711-4758
Forclosure" stated
Financial inst or "In Lieu of
01/27/2015
$301,100
29481-3300
Forclosure" stated
08/01/2005
$470,000
23744-4075
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 Appra
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp
Version
https://www.miamidade.gov/propertysearch/ 2/6/2019
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: _� G'p/.-Nv, kf ) DATE:
ADDRESS:
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 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. tt 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. 1 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_ 0
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.
Initial �T
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.
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 l 1 [I1
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.
Initials
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.
Initial5�
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_
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 Administration, 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://www.myfloridalicense.com/dbor/pro/cilb/`index.htmi
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:
)0/ IAJ 107_, i ..,4
Initial 13
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 G
By(Ar b v 01 who was personally known to me or who has
Produced there License or r I" v l i (�.(nS`( as identification.
OWNER
6.a
YANADY PRIETO
MY COMMISSION i FF 214031 EXPIRES: March 25, 2019
- Bonded Thnl WWy P.Ift Undenailen