DS-16-2320 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FIL
Phone: (305)795-2204 Fax:(305)756-8972
Inspection Number: INSP-266682 Permit Number: DS-8-16-2320
Scheduled Inspection Date: September 02, 2016 Permit Type:• Driveways/Sidewalks/Slabs
Inspector: Mesa,Michel Inspection Type: Final
Owner: BARBERA,JACQUES Work Classification: Addition/Alteration
Job Address:101 NW 102 Street
Miami Shores, FL 33150-
Phone Number (305)696-2031
Parcel Number 1131010220050
Project: <NONE>
Contractor: ARTISTIC CONCRETE GROUP INC Phone:-(305)8638-9095
Building Department Comments
PLAIN CONCRETE CIRCULAR DRIVEWAY Inractla; Passed Comments
INSPECTOR COMMENTS False
"The approaches and the portion of the sidewalk at the
approaches should be a minimum of 6 thick,3000 P.S.I.
Un-reinforce concrete."
Inspector Comments
Passed
C Se
Failed
Correction
Needed
Re-inspection 0
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
I
2
For inspections please call: (305)762-4949
'september 01,2016 Patae 9 0129
1 fi-23�fl
mss ' Miami Shores Village P8Y ! ism abs
10050 N.E.2nd Avenue NW °
Miami Shores,FL 33138-0000 �y
h �� t °A 'f R,o
Phone: (305)795-2204 � ,.., p
�toni�n
Expiration: 0 1 ..2017
Project Address Parcel Number Applicant
101 NW 102 Street 1131010220050
Miami Shores, FL 33150- Block: Lot: JACQUES BARBERA
Owner information Address Phone Cell
JACQUES BARBERA 101 NW 102 Street (305)696-2031
MIAMI SHORES FL 33150-
101 NW 102 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 5,900.00
ARTISTIC CONCRETE GROUP INC (305)888-9095
Total Sq Feet: 864
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:PLAIN CONCRETE CIRCULAR DRIVEWAY Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# DS-8-16-61026
CCF $3.60
DBPR Fee $2.00 08/18/2016 Check#:1175 $647.60 $0.00
DCA Fee $2.00 Bond#:3196
Education Surcharge $1.20
Permit Fee $125.00
Scanning Fee $9.00
Technology Fee $4.80
Total: $647.60
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 and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futh ore,fWthorize the above-named contractor to do the work stated.
August 18, 2016
Authorized Signature:Owner / Appli nt / Contractor / Agent Date
Building Department Copy
August 18,2016 1
Miami Shores Village CES
VFD
Building Department AUG 18 016
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 r s�
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20M
BUILDING Master Permit No ,
PERMIT APPLICATION sub Permit No.
M116ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
,� 55 CONTRACTOR DRAWINGS
JOB ADDRESS: 10 l K) W 10,a Sf
Com: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: (( —310(-6-1-1,-0Q 5(1 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name(Fee Simple Titleholder): AS �bC��i'iy1 Phone#:
� \
Address:.(o C W +1 b�
City: Ec 4\t G1 %A,, , 0y'_s State: Zip: ,33(sb
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: k�\C &, m-- ►"t-111 Phone#: 3k)S_R% —90
Address:6 9 C*5 1'.) .S rim
City: (C� L State: }' zip: -3,25("
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency M E ogann (off
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: p:
Value of Work for this Permit:$ q00 Square/Linear Footage of Work: g�
Type of Work: ❑ Addition ❑ Alteration ❑ New ( ❑ Repair/Replace ❑ Demolition
Description of Work: Ma-' J\�
IL
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ C� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 62 CO DBPR$ W Notary$
Technology Fee$ Training/Education Fee$ ( Double Fee$
Structural Reviews$ Bond$ �Go .
TOTAL FEE NOW DUE$
(Revised02/24/2014) 149 a 60
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.
Signatur Signature
OWNER or AGENT CONTRACTOR
The fregoing instrument was acknowledged before me this The fgregoing instrument was acknowledged before/me this
day of A 4 20 1 6 , by ''r�G� day
y�of 20 /,C0 . by
5i R C'r " Iwho is personally known to hPe: 1�ILM who is personally known 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: NOTARY PUBLIC:
4
Sign: a AA A ALP Sign:
Print: 1 Print: G
I `g!t MARIA DE BRU703 �
Seal Seal: r{
7 flV COMMISSION r FF 04,098
Pi
EXPIRES:Au us'(20,2017 A
9
&AeJ Thru Notary Public Underm4ero
11atory Pihhr Uden4xi�rs
I
�_
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
POWER OF ATTORNEY
That JACQUES BARBERA has made, constituted and appointed, and by these
presents does make, constitute and appoint NICOLAS JODIN his lawful attorney and in
his name, place and stead, giving and granting unto NICOLAS JODIN full power and
authority to execute all documentation, process and procure any and all permits for
construction as required by Miami Dade County, Miami Dade Health Department and
Village of Miami Shores as he might or could do with full power of substitution and
revocation, hereby ratifying and confirming all that NICOLAS JODIN or his substitute
shall lawfully do or cause to be done by virtue hereof.
THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL
CONTINUE UNTIL IT IS REVOKED. THE AGENT UNDER THIS POWER SHALL NOT
BE ENTITLED TO COMPENSATION FOR HIS ACTIONS HEREUNDER. THIS POWER
OF ATTORNEY WILL BE GOVERNED BY THE LAWS OF THE STATE OF FLORIDA
WITHOUT REGARD FOR CONFLICTS OF LAWS PRINCIPLES. IT WAS EXECUTED
IN THE STATE OF FLORIDA AND IS INTENDED TO BE VALID IN ALL
JURISDICTIONS OF THE UNITED STATES OF AMERICA AND ALL FOREIGN
NATIONS.
I am fully informed as to all the contents of this form and understand the full import
of this grant of powers to NICOLAS JODIN. I agree that any third party who receives a
copy of this document may act under it. Revocation of the power of attorney is not
effective as to a third party until the third party learns of the revocation. I agree to
indemnify the third party for any claims that arise against the third party because of
reliance on this power of attorney.
IN WITNESS WHEREOF, the said grantor has hereunto set his hands and seal the
it day of August, in the year 2016.
Signed, sealed an delivered
in t ence of s:
JACQUES BARBERA
STATE OF FLORIDA )
)SS:
COUNTY OF MIAMI-DADE )
The foregoing Power of Attorney was acknowledged before me this // day of
_August, 2016, by Jacques Barbera, who is personally known to me or has produced a
Florida Driver's License as identification and (did)/(did not) take an
7,/
Signature: E kee, �oNzale z
Name:
Title:
Serial No.:
My Commission Expires:
JOSE ANGEL GONZALEZ
MY COWSSION k EE93"
EMM:Norma 1Z 2016
�D� '`CT's•{�Y�ti !.
I llll lull Illy lull lull full 111�11111!��{
OR BK 30083 Fss 2220-2221 (2F'9s)
RECORDED 1-15,20/201-1 09V5.3--
DOCUMENT COVER PAGE F.ARVEY RIJVIh (:LEEOF.
C:OIJEyt
MIANI-GAGE i:OUN Y4 FLORIDA
For those documents not providing the required 3 x 3 inch
space on the first page,this cover page must be attached.
It must describe the document in sufficient detail to
prohibit its transference to another document.
An additional recording fee for this page must be remitted.
---
N-Nye-
(Space above this line reserved for recording office use)
Document Title: V-,,r�OA ALO
(Mortgage,Deed, Construction Lien,Etc.)
Executing Party:
Legal Description:
(If Applicable)
As more fully described in above described document.
Return Document To/Prepared By:
(Relevant excerpts)
Rule 2.520(d)On all..documents prepared......which are to be recorded in the public records of any
county...a 3-inch by 3-inch space at the top right-hand corner on the first page and a 1-inch by 3-
inch space atthe top right-handcorneron each subsequentpage shallbe leftblankand reserved for
use by the clerk of court.
F.S.695.26 Requirements for recording instruments affecting real property—
(1)No instrument by which the title to real property or any interest therein is conveyed,assign
encumbered,or otherwise disposed of shall be recorded by the clerk of the circuit courtjunless: ta® oubTy
J`�P C ERK CpG
(e)A 3-inch by 3-inch space at the top right-hand corner on the first page and 1-inch
space at the top right-hand corner on each subsequent page are reserved for use by the of e
Q
court... o
�oF coin'
CLK/CT 155 Rev.04/15 Clerk's mb address:www.miami-da a com
OR BK 300133 FG 2221
6 AST PAGE
�,5�oREs t
env mnm Miami Shores Village
Building Department
10050 N.E.2nd Avenue
ivy Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) ISI i Gh(Di ca S nch n hereinafter referred to as the
owner of the following described property(address): t d I N W 1 C),-,)_
Legal Description tresicAQrN:V%glLot Block Subdivision
Folio #
Requests permission to install (describe work):__ LCA%% n C QY)C+c
V-I vt v'lq
Within the public right of way of(address)
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the
dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County
to make repairs or maintain said items within public right of way including restoration of
street by reason of the Owner's failure to do so, such expense shall be paid by the Owner
or shall constitute a lien against the above described property until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade
County harmless from any and all liability, which may rise by virtue of permitting the
installation of these items within the public right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense,
within 60 days notice by the Village to do so. Failure to comply with this notice will result
in the Village causing the item(s) to be removed and a lien being placed on the property
and/or assessed against the Owner for all costs incurred in the removal and disposal of
the-item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant
running with the land and shall remain in full force and effect and be binding on the
undersigned, their heirs and assigns, until such time as this obligations has been
canceled by an affidavit filed in the Public Records of Dade County, Florida by the
Village Manager of Miami Shores Village (or his fully authorized representative).
Signature I q,
Owner or Agent
The foregoing instrument was acknowledged before me this �3 day of N1 pt , 20 J (�, by
N-i do o I Gt S j o r1 i n who is personally known to me or who has produced
as identification and who did take an oath.
NOTA Y PUBLIC:
Sign:
Print: C G
WW ReW OF 0 MARIA DE BRUZOS
�,� t, dY OMISSION FF 044099
J pn
*0( ):FIRES:August20,2017
::undedR.ruNoiargPublblcUnderartEers
A.D.20
VP
IGN my tyC and !W.
HWEY",MW of ClmW aid Cou*Couifs c t
By D C
.inSF PALACIOS 0 1321
NO OBJECTION
Florida Health Miami-bade County
0,S,T,D,S. & Well Program
Application No.: ���� -�
Date: 'F�(����
Signature
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Florida Health Miami-Dade County
O.S.T.D.S. & Well Program
Application No.: )qP/'
Date:
Signature ____!
0 U R ii.� PROPERTY ADDRESS.
+Z`
jv —+ �J 101 N.W.102 STREET BENCH MARK USED x
MIAMI,FI.33150
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CF (FOLIO No.11-3101-022-0050) N/A
>U a z W
l g Z0�6 DESCRIPTION _ N w W? w J W
AUG Lot 13 and the East z of Lot 14,in Block 1, o?l Y z W��¢�� o W W
_�, a0�arwwaaa32
of "GOLD CREST A SUBDIVISION" "� mu, w w
according to the Plat thereof as �5' ' ''r ? ? o W°�Q Q Q Q
w~��w»wP33
Scale 1"=20' BY: -- recorded in Plat Book 21,at Page 56,of " f
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the Public Records of Miami-Dade y Y o w a
a w' �w County, Florida. w > >> >3 3
W 102'M.,
LOT-9 LOT-10 LOT-11 LOT-12 0 o it -I > There may be legal restrictions on the subject
BLOCK
BLOCK-1 BLOCK-1 BLOCK-I property that are not shown on the Map of Survey
X W o that may be found in the Public Records of ——
L) u, o o o Miami-Dade County,or the records of any other 7 , ! v 9 f, W o
,It4' CHAIN LINK FIP I/2' w w public and private entities as their jurisdictions
FIP I/2 UJ W
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NO I D FENCE NO I.D. may appear. Q/ $j o W
X- �E "% The Ma of Surve is intended to be dis la ed at z z o cYi
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(^ ' `_��_- 25.00'— P Y P Y a r s m w Oro ¢
LIP- 0.67'CL —- ! the stated graphic scale in English units of a 0 3<g,W F T m�
00 003:0
.measurementAttention is brought to the fact that
g Z a�a4�rE uwiwnwnwnInn
y said drawing may be altered in scale by the 33
a= 25.00'— �x reproduction process. ? a g W a n W w N
THE WEST I/2 ' This Surveywas conducted for the purpose of a
P P
z 10 97' — 00' — _—34.26'—yp — _—_—_; BOUNDARY SURVEY only and is not intended to N
r • • delineate the regulatory jurisdiction of any federal, D z
•.•.; •• • ". `a a Z a° 1 state,regional or local agency board,commission LOCATION MAP (NOT TO SCALE) o
• • • Li; ' o or other entity. m a z
CONG. Z
••`` • • s ' DRIVE Y q i Legal description was furnished by the client. If shown elevations are referred to N.G.V.D.of 1929 m - W o 2
• s • c 6.00' The elevations of well-identified features as ¢ w ? a v
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• c PORCrI a The surveyor makes no representation as to } 0 z
••••• • •• • � • �r ' o depicted on this survey and map were measured ownership,possession or occupation of the � W o (: z LL
( to an estimated vertical positional accuracy of 1/10 subject property by any entity or individual. z°w w
• I w -- (L I ! foot for natural ground surfaces and 1/100 foot for -U�W r
15.70' 1 i -- �
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•0••• • e• > hardscape surfaces,including pavements,curbs Subsurface improvements and/or encroachments (�o X LU i o o a a
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LOT-14 LOT_l g o 1 and other man-made features as may exist. within,upon,across,abutting or adjacent to the LL=m U rr M I W
w ; zazF W mox
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BLOCK-1 BLOCK-I Z Q Well-identified features as depicted on this survey subject property were not located and are not shown. Q a W o¢o>5 w a w
•i — � >- P Y `L M2 zzo LLOaLLW
•I••• •i •••'••• } z and map were measured to an estimated
•} • c • !•. t I w 3 LL horizontal positional accuracy of 1/10 foot unless Not valid without the signature and original raised Z ui a
�� •r�•OT-.M4 X 1-STY 10 o > otherwise shown. seal of a Florida Licensed Surveyor and Mapper. W x�;0 w m q U?
J • STEPS m 'F• a�. Additions and deletions to this Ma of Survey b (� z z o a LL a a
LU
• BLOCK-I Res.#101 I p y y
< �, N J CY Legal Description subject to any dedications, other than the signing party are prohibited without W x
l,. w REMAINDER �C limitations,restrictions,reservations or recorded the written consent of the signing party. —t °m
Lu I Z Area=±3,126 sq.ft- i. r m j easements. W W
LL _ __ a Sketch of Survey cannot be used for construction This Map of Survey has been prepared for the 0 Lq>w= a
— "`- � I Land Area=±9,027 sq.ft. °°u purposes.Surveyor not responsible for third party exclusive use of the entities named herein and =W a m o m w
❑_ 1.80' o alterations. the certification does not extend to any unnamed party. 9 ru�2 g o°cR wx z W a°
�- _ _0.2 i acres
z ! J
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< I CERTIFY TO- ST 5 PROPERTIES,LLC Dow _10 a�
o i PLANTER' Y4 - U O UCC' w w LL o 0 0�J
r_ 1 w E, �f 1 " + Z j LIST OF POSSIBLE ENCROACHMENT: N/A 0 =
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I — - 25.00' — — PLA TER ST > i SURVEYOR'S CERTIFICATION: U W w W W
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oEAST I/2 f, +� �•- y _ # I HEREBY CERTIFY:THAT THIS"BOUNDARY SURVEY" =o W z z_m a w W
V J ` (•`'� I a - 9" AND THE MAP OF SURVEY RESULTING THERE FROM ~ o of� Y
v CCN`- o o�Z0 :Do �z
�1 J ` ——— WAS PERFORMED UNDER MY DIRECTION AND IS w p z z Y=X vo W J
{-� a / TRUE AND CORRECT TO THE BEST OF MY 0�°U U 0 0X a�z
Sp° CO C. �` (r <o�OWwi
FIP I/2" z9? W K J °�0 i I KNOWLEDGE AND BELIEF AND FURTHER,THAT SAID a a a m m o o wo 0 0
n u u n n n u n u u n
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"BOUNDARY SURVEY"MEETS THE INTENT OF THE LL
NO I D s' FN ON o
I, _ "MINIMUM TECHNICAL STANDARDS FOR LAND 0 ,0 0 m m a
—— 25.00'
5'CONC SIDEWALK ! - SURVEYING IN THE STATE OF FLORIDA",PURSUANT a a a m m 0 0 v v
TO RULE 5J17 OF THE FLORIDA ADMINISTRATIVE Survey is not covered b
CONIC -'�/ FIP I D. CODE AND ITS IMPLEMENTING RULE,CHAPTER Y Y
i NO I.D. Proffesional Liability
NORT RIGHT-OF-W Y LI �-' RAMP / , r 472.027 OF THE FLORIDA STATUTES.
12'PARKWAY o o Insurance.
NJi ` ORIGINAL
EDGE OF PAVEMENT - "' 08-15-2015
i aevs CNS
_ N. W. 1 0 2 n d S T. 08-15-2015
— — — t — GARY B.CASTEL
_.16'ASPHALT PAVEMENT AERIAL MAP (NOT TO SCALE) PROFESSIONAL LAND SURVEYOR No.4129 J.V.D.
50'PUBLIC RIGHT-OF-WAY
N� _,' T _ ✓��/G�/�'��� _ _ .
< STATE OF FLORIDA
196-40 ?()D tNE N ;hy� ;N — —
1/1
Community No. 120652 N j
SII r4 '�������` o� Panel No. 0302 Land Surveyors & Mapper
300 O ✓�s'�' �'✓ ��/�C-tom C(J�lt!j2�T�. Suffix: L '7 8567 Coral Way,Miami, FLORIDA 33155 Q
8 FIRM Date: 09-11-2009 Telephone:766-290-4184 ®8-4®7-15
Flood Zone: X