PW-18-854 Permit lNO. PW-4- 8-8554
Miami Shores Village Permit"rypw Public Works
10050 N.E.2nd Avenue NE
n
WorlcClassificfic�n:Public Warks
Miami Shores,FL 33138-0000 Pe
Phone: (305)795-2204
Permit Status:APPROVE'
�ORLDA
issue Date:4/2512018 Expiration: 07/24/2018
Project Address Parcel Number Applicant
833 NE 96 Street 1132060142800
Miami Shores, FL 33138- Block: Lot: GLOBAL CAPITAL GROUP OF S
Owner Information Address Phone Cell
GLOBAL CAPITAL GROUP OF SOUTH 10585 SW 26 Street (786)333-7309
- -- - - MIAMI FL 33165-
r
Coritractor(s) Phone Cell Phone Valuation: $ 1,000.00
ESPINOSA CONCRETE `(786)346-5579
��_--- Total Sq Feet: 200
Scanning: 1 Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
Fees Due Amount Pay Date Pay Type 1 Amt Paid Amt Due
CCF $0.00
DBPR Fee Invoice# PW-4-18-67015' t
$0.00 04/25/2018 Credit Card $59.00 $50.00
DCA Fee $0.00
Education Surcharge $0.20 04/03/2018 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $109.00
}
f
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 responsi — r all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICA G,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS I certify at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi
Oz g. th mo , I au `ize the abov med contractor to do the work stated.
,� Jrni ti��J c�?St April 25, 2018 t
=ding
nature:Owner / Applicant / Contractor / Agent Date
Bpartment Copy
April 25, 2018 1
w i
i.
r Inspection Worksheet w4
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FIL (4
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-300708 Permit Number: PW-4-18-854
Scheduled Inspection Date: May 31,2018 Permit Type: Public Works
Inspector: Miranda, Chris
Inspection Type: Excavation
Owner: Work Classification: Public Works
Job Address:833 NE 96 Street.
i
Miami Shores,FL 33138- Phone Number (786)333-7309
Parcel Number 1132060142800
Project: <NONE> _
Contractor: ESPIINOSA CONCRETE Phone: (786)346-5579
}
v
Building iDepartment Comments
PLAIN CONCRETE SIDEWALK
. x
Inspector Comments
Passed zf L
4
;Failed
,Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
. x
3
{
May 30,2018 For Inspections please call: (305)762-4949 ! Page 4 of 25
- r
RECEIVED
1
Miami Shores Village A 3 1
Public Works Department
k (305)795-2210
Public works forms are available from the building department, 10050 NE 2nd Ave.,Miami Shores,FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type:Work in the Right-of-Way on Miami Shores Village or Miami-Dade Property
Permit#:
1 ,, '
Name of Applicant(if utility see below):�I UPITAI, MOVE Of S061TH &AZOA Gle
Owner off the following described property: 03 3 Nr '7657 U1A U l S#V t t3 33/39
Legal Description: Lot 20— 2 I Block Subdivision
Folio#' !/"3 --a _ZT00
Address: 33&E 475.r XA.ui x&Ae3 P 33130
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City: State: ZIP:
Telephone: Email:
State Certification or Registration#: Certificate of Competency#
r.
t
CONTRACTORNAME: $ C
Qualifier/Authorized Agent: YCIAl ES Pl.(/OSA
Address:
City: U/.4 Md State: A'/ ZIP:
Telephone: Email: P/,f/OSA . 4 w"eTe d YA1A00.00A-1
State Certification or Registration#: Certificate of Competency#: 2S,8S00 gyjj
ti
Requests on to install (describe work,attach separate page if necessary)in the adjoining right of
way: GA/N GD.1/Gile-T� ,S/D�Wi9L,C
Type of Work: ❑ Paving ❑ Utility �( Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER:Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
F'`'41 ?�M+y+M^:.N`L":I"t h^k±44 3'�"Yx �r R��I`•{'h f vR.r. w
.517? t':i;� y'1.:11K:! a5".
Value of,Workfor,this Permit {rA$ IDDD-: Square/Lineal Footage,of Work r' °Q0'S.
l� ... •r�'S`..:f,4 E'�'+K.:i;i �tt+�n'� '� .. �' _..vrQ<�Ci4Il t ry�� �• y?��� ,t�
' °v�`�'`.r'•,f":µ+ .x'`w�'+.r`S.r''..�•.f..».^`..'".�r`i..�***** ***** *'M�`K ad'"y^°9."w'ti.+"V"`tih,�"+.rV».^v',.'�aC45.+,Jr
Fees
Permit Fee$ 100.00
Notary$ Training/Education$0.20 Technology Fee$0.80 Scanning
Bond$ (if required) Total Fee Now Due$ o
k
f
E
A
Bonding Company's Name(if applicable):
Bonding Company's Address:
City: State: ZIP:
Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in
this jurisdiction. I understand that separate,permits must,be secured for
APPLICANTS AFFIDAVIT:]certify that all the foregoing information is accurate and.that all work will be
done in compliance with applicable laws regulating construction and specifically construction•in the
right-of-way.
"WARNING TO APPLICANT:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value
exceeding$2,500,the applicant must promise in good faith that a copy ofthe notice of commencement
and construction lien law brochure will be delivered to the person whose property is subject to the
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 th'e public works permit is issued: In the
absence of such posted notice,the inspection.will not be approved and a�reinspectioii'w' ill be charged.
'% ♦ _ t
71
Signatur Signature
pp scant or Authorized Agent Co a y/Utility Agent .
The forego instrum acknowledged efore -� The forego n Instrumen ' ` knowledged b fore
me this 7 day o��'� 20�by met i da 20 / ,by
who til Y&5A who
is personally known to me or who has produced is p sonally know o me or who has produced
as Y\ as
identification. identification.
NOTARY P
BTAEtY rUD
Sign: Sign:
Print:
�" Print:
SEAL: u SEAL:
o.'pr Notary Public State of Florida ZiKofc Stete of Floride
Linney Aloin _ nNly Commission FF 968382 sion FF 968382
o;r oP Expires 04/12!202022020
APPROVED BY: > > \ Public Works Director,or Designee
2017-04-15
SI;ORFs
Miami Shores Village _ =a E u _ 042
.,. �_ ..,,. Building Department.. OR e,N. ?t! ?? F� 4�,�
ils; j.11= .c 1t
10050 N.E.2nd Avenue nr t:`�;i RT
v� . HARVEY Lf If 4.y �_f t.:h',., + _.. i•.
FkTES IN 50 a.i DA
nY*"I'i;�E''r Fl 0I FIE r:
L�L0 Miami Shores, Florida 33138
Tel: (305) 795.2204 s
Fax: (305) 756.8972
COVENANT OFCONSTRUCTION WITHIN{RIGHT-OF'WAY
Whereas, (owner) (_1Cbl��1 � 2tIZ.1 (1,3.6 5,,,-t�
hereinafterreferred`to as'the owner of the following described
property (address): b ST 3313
Legal Description Lot20-2IBlock 3? Subdivision
Folio #
Requests permission to install (describe work): PCAW"e,0A1Kt-&Tie 5to-e— a
Within the public right of way-of (address) S-
IN CONSIDERATION of the approval of this.permit by the Village, the owner agrees as follows:
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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. t
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
J 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). NATE OF:FLOR1 CQI�NTY OF 0
I (:E""That arwawooaed
inft0 Ingn An
Signature
L_�:��Owner or Agent Clesik
State-of Florida I ERMTT 9310229
County of Miami Dade
M
ThePre?oing in trument was acknowledged before me this day of lI� 20 � by
� � �Arc—S who is personally known to_me or who has produced
as identificat
i'h'�'�'
NOTARY P x; nNY p` Note Public State of Florida
N
` N Q l..isney Abin
Sign: My Commission FF
nt: pn itti2o20
Pri
SEAL:
'1k
Date: J
State of IC) Cx
County of. Lap-
Before
me this day personally appeared J 5FW t75A /clC,dZTe who, being duly sworn, deposes
and says:
{
That he or she will be the only person working on the project located at:
33 N c- a6 Sh, Mi am i Serves, �l 33 38
Contractor ' n ture
Sworn
/to (or affirmed) and subscribed before me this /aOday of . 20JA
By Y LJ A/ FS P//I/t23
Personally know
OR Produced Identification
Type of Identification Produced
7;4i�
Notary Public State of FloridaLisney Abin
v - rss0on F 988382
'Loses Expires 04/1 20
Print,Typ
gt1ORES
1932
yN
QAC. Miami Shores Village
s"' Building Department
artment
9 p
10050 N.E.2nd Avenue
ORIDp` Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation 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 Xs@ce coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELC&V Y U ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
caner
State of Florida I •'' S "�O'
County of Miami-Dade
The foregoing was acknowledge before me this , day of ,20
C) a
�ByY who is personally known to me or has produced g K-
C�0.
C 5► as identification. _ao
B-z
Notary' s'
� N
O N
SEAL: a
1
4/3/2018 Detail by Entity Name
i i
af
tzp ON
Department of State / Division of CaratiorEs / Search Records / Detail By Document Number
Detail by Entity Name
Florida Limited Liability Company
i GLOBAL CAPITAL GROUP OF SOUTH FLORIDA LLC
Filing Information
Document Number L14000090519
FEI/EIN Number 47-1028799
Date Filed 06/05/2014, ,
State FL
c Status ACTIVE
Last Event LC AMENDMENT
t. Event Date Filed 11/03/2017
Event Effective.Date 10/18/2016
Principal Address ,
10585 SW 26 STREET
MIAMI, AL 33165
Changed: 03/20/2015
Mailing Address
10585 SW 26 STREET
MIAMI,AL 33165
Changed: 03/20/2015 4
Registered Agent Name&Address
GARCIA, BARBARA
10585 SW 26 STREET
MIAMI, FL 33165 t
Name Changed: 11/03/2017
I i
Address Changed: 11/03/2017
Authorized Persons)Detail
Name&Address
Title MGR
GARCIA, BARBARA
10585 SW 26 STREET
MIAMI,AL 33165
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai I?i nqui rytype=EntityN ame&di rectionType=Initial&searchN ameOrder=GLOBALCAPITALG... 1/2
4/3/2018 Property Search Application-Miami-Dade County
OFFICE 0�'Fn THE PROPER"100Y APPRAISER
Summary Report
Generated On:4/3/2018
Property Information
Folio: 11-3206-014-2800
833 NE 96 ST
Property Address: "
Miami Shores,FL 33138-2521 r
GLOBAL CAPITAL GROUP OF
Owner F SOUTH �-
FLORIDA LLC `
10585 SW 26 STro
Mailing Address MIAMI,FL 33165 USA
PA Primary Zone 1100 SGL FAMILY-2301-2500 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY: 1 UNIT 'Wit. r
Beds/Baths/Half 2/2/0
Floors 1
Living Units 1 y
y
Actual Area 2,052 Sq.Ft
� .
Living Area 1,632 Sq.Ft Taxable Value Information
Adjusted Area 1,839 Sq.Ft
2017 2016 2015
Lot Size 8,625 Sq.Ft
t
Year Built 1946 County
Exemption Value $0 $0 $0
Assessment Information Taxable Value $341,165 $262,480 $238,619
Year 2017 2016 2015 School Board
Land Value $258,854 $224,198 $207,224 Exemption Value $0 $0 $0
Building Value $80,636 $80,636 $80,636 Taxable Value 1 $341,165 $306,509 $289,326
XF Value $1,675 $1,675 $1,466
City i
Market Value $341,165 $306,509 $289,326 Exemption Value $0 $0 $0
Assessed Value $341,165 $262,480 $238,619 Taxable Value $341,165 $262,480 $238,619
Regional
Benefits Information Exemption Value $0 $0 $0
BenefitType 2017 2016 2015 Taxable Value $341,165 $262,4801, $238,619
Non-Homestead Cap Assessment Reduction $44,029 $50,707
Sales Information
Notes Not all benefits are applicable to all Taxable Values(i.e.County,School
Board,City,Regional). Previous Price OR Book-
Qualification Description
Sale Page
Short Legal Description 01/05/2018 $358,100 30852-2379 Financial inst or"In Lieu of Forclosure"
MIAMI SHORES SEC 3 PB 10-37 stated {
LOT 20&W1/2 LOT 21 BLK 74 08/03/2017 $100 30645-2541 Federal,state or local government
LOT SIZE 75.000 X 115 1 agency
OF�19910-3146 25035-3386 0901 5 Corrective,tax or QCD;min
COC 25346-2938 01 2007 1 11/09/2016 $100 30302-4327
consideration
01/01/2007 $420,000 25346-2938 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
i
Version:
3
to 0
LOT 12 LOT It LOT 10
BLOCK 74 BLOCK 74 BLOCK 74
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LOT 20 WST 112' RECEIVE
BLOCK 74 KEST 112
LOT 21
BL OCA 74
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............N.E. 96th AVENUE----*--:'
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POINTS OF INTEREST:
DRIVEWAY CROSSES LOT LINE.
OWCEFIMMAMWIMERESYCERTIFY TMTTM-8OEff""SURVIErJSA TRUE
MAP OF BOUNDARY SURVEY TRS-RESENTA770NOFA SURVEYPREPAREDCAWOSRAfYDOMCnOft PISS
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Property Address: AMAISMAMWE c TO SEC 472027,FLOR=SrATIMS.
571%ft C
833 NE 96 ST
MIAMI SHORES,FL 33138
N..5101
STATE
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RAJSEDSEALOFA LICENSE SURVEYOR AND MAPPER
www.onlineLandSurveyors.Com
Survey Date:1/16/2018 Survey Code:0-39938 Page 1 of 2 Not valid without all pages.