RC-18-513Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit No. RC-2-18-513
Permit Type: Residential Construction
Work Classification: Alteration
Permit Status: APPROVED
issue Date: 317/2018
Expiration: 09/03/2018
Parcel Number
Applicant
10618 NE 11 Court
Miami Shores, FL
1122320280420
Block: Lot:
ARTURO RODRIGUEZ
Owner Information
Address
Phone
Cell
ARTURO RODRIGUEZ
10618 NE 11 Court
MIAMI SHORES FL 33138-
(305)877-0897.
10618 NE 11 Court
MIAMI SHORES FL 33138-
Valuation:
$ 2,500.00
Total Sq Feet: 100
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: REMODELING BATHROOM , CONV
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted:
Certificate Date:
Bond Return :
Occupancy: r
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info: REMODELING BATHROOM , CONVE
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.00
$2.00
$0.60
$100.00
$9.00
$2.40
$117.80
Pay Date
Invoice #
03/07/2018
02/28/2018
Pay Type
RC-2-18-66606
Credit Card
Cash
Amt Paid Amt Due
$ 67.80 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Window Door Attachment
Framing
Insulation
Drywall Screw
Fill Cells Columns
Window and Door Buck
Review Planning
Review Building
Review Electrical
Review Electrical
Review Plumbing
Review Structural
Review Mechanical '
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 ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo g.; uthermore, I authorize the above -named contractor to do the work stated.
Authorized nature: Owner / Applicant /
Contractor / Agent
March 07, 2018
Date
Building n]- partment Copy
March 07, 2018
1
(z N-9D9
0
BUILDING
PERIVIBT APPLICATION
2(BUILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
.JOB ADDRESS: 1O(Q(9 �N c
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
L \! ED
8 2018
FBC 2011 6
114
Master Permit No. `lQ 18 i S 13
Sub Permit No.
❑ ROOFING ❑ REVISION ❑EXTENSION E RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION E SHOP
CONTRACTOR DRAWINGS
C6u
County: Miami Dade
zip: 3313&57
Is the Building Historically Designated: Yes NO it
Occupancy'iype: Load:
OWNER: Name (Fee Simple Titleholder):
Address: LOCO
iQV1'1+ `clo1QS
City:
Construction Type: Flood Zone: BFE:
State:
FFE:
1-0F.Y/ lgec z- Phone#: ICI `A -Iq
Zip: 33132
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Milt( &"i/aQti
Address: /06 9- Al a // .//e - /Li/C?/yl/
City: jilt S State:
Qualifier Name: i/,21��t�
State Certification or Registration #: C C /S o?,S 4.5 Z Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: Statee: Zip:
Value of Work for this Permit: $ %Lr,5 O 0 Square/Linear Footage of Work: irOPO
'T l
Phone#: 3fl5 —i 2 7— /0g9
Zip: ,?3/..32 -
Phone#: 3'1--91s17 —Z // S
et«c�. i�kr ew s;��
Type of Work: El Addition ❑ Alteration ❑ New R eepair/Replace,�I� ❑ Demolition
Description of Work: CY d1 iC r OAN U T3bb
Specify color of color thru tile:
Submittal Fee $ W C ac Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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 4
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 Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
xx2311' day of ` II si tU Q_D Tod �Qt who is personally known to
me or who has produced ht V.Art
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign:
Print:
Seal:
' RUTH M GARCIA IGLESIAS
A Notary Public - State of Florida
Commission N FF 932686
My Comm. Expires Nov 1, 2019
',''°1i,,,,, :1 dedthrs 1h Natil al Notary. Asr1
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of -(� r-� �_ , 20 f S , by'
614.4"eT , who ispersonallyknown to
me or who has produced . -ru.a42 1-cc ' ,w1 a as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
RUTH M GARCIA IGLiS�H'::
Notary Public - State of Flurirta
Commission # FF 932686
4. My Comm. Expires Nov 1 :'C 19
****#'_tk***140101(001/*************
Zoning
(Revised02/24/2014)
Structural Review
Clerk
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-2232-028-0420
Property Address:
10618NE11CT
Miami Shores, FL 33138-2123
Owner
ARTURO RODRIGUEZ
Mailing Address
10618NE11CT
MIAMI SHORES, FL 33138 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half ,
3/2/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,288 Sq.Ft
Lot Size
9,750 Sq.Ft
Year Built
1955
Assessment Information
Year
2017
2016
2015
Land Value
$239,085
$177,606
$141,174
Building Value
$139,924
$140,194
$140,463
XF Value
$2,854
$2,886
$2,620
Market Value
$381,863
$320,686
$284,257
Assessed Value
$248,720
$243,605
$241,912
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$133,143
$77,081
Portability
Assessment
Reduction
$42,345
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
32 52 42
MIAMI SHORES ESTATES PB 47-58
LOT 14 BLK 3
LOT SIZE 75.000 X 130
OR 20692-4906 09 2002 4
Page 1 of 1
Generated On : 2/27/2018
Taxable Value Information
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$198,720
$193,605
$191,912
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$223,720
$218,605
$216,912
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$198,720
$193,605
$191,912
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$198,720
$193,605
$191,912
Sales Information
Previous
Sale
Price
OR Book -
Pa a
g
Qualification Description
07/18/2014
$340,000
29237-
1505
Non -market financing or assumption of
lease a
07/18/2014
$100
29237-
1504
Trustees in bankruptcy, executors or
guardians
09/01/2002
$0
20692-
4906
Sales which are disqualified as a result
of examination of the deed
10/01/2001
$229,000
19935-
3150
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
http://www.miamidade.gov/propertysearch/
2/27/2018
JONATHAN ZACHEM, SECRETARY
' STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY,LICENSING BOARD (850) 487-1395
2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
MENDOZA, MARIEDY M
M.A.M BUILDERS
10667 NE 11 AVE
MIAMI FL 33138
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order,
to serve you better. For information about our services, please
log onto www.myfloridalicense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and learn more about
the Department's initiatives.
Our mission at the Department is: License. Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT, GOVERNOR
�- --- ---�" -- � ` \\\`ti`
STATE OF FLO IR DA �. .� "
j"f J EPARTMENT.OF.BUSINESS.AND1PROFESSI,ONAL,REGULAT Oil
,, �,�' _ CONSTRUCTIO NDUSSTRYil:VENSINO:40ARDNN�°\\
—STATB.:0 EL-ORIDA""'_w_
F.E O3 EG IL -AT CATION
k PRO
8/27/20i.Z - -
DETACH: HERE
'C4525652
iGE_NERAL CONTRACTOR-
-r'N ed elow6 f ERTIFCED
''..Unde te.provisions'of;Gh�ter
ff,htiarr�crite:"AUO:317:201s
_ARIE
ILD,ERS`
1PAC%E
001314
Local Business Tax Receipt
Miami —Dade County, State of Florida
-THIS IS NOT A BILL — DO NOT PAY
7233829 —
B U S I N E S S rNA M E/LOCATION
1066744E 11
M IAM15HORES=FE433;1 8 ..::.
OWNER
M A M SHORES INVESTMENT CORP
C/OEWIEMER'MENDOZA •
Worker(s) 2 - -
RECEIPT NO.
'.RENEWAL
7519497
EXPIRES
SEPTEMBER 30, 2018
Must be displayed at place of business
Pursuant to County Code
Chapter 8A — Art. 9 & 10
SEC. TYPE OF BUSINESS
196 GENERAL BUILDING CONTRACTOR PAYMENT RECEIVED
CTC1'525652 " = , BTAX-COLLECTOR
.
-$45.00. • 10/25/2017
CREDITCARD-18-003451
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the
The RECEIPT NO. above must be displayed on all commercial vel,i!Ops
For more information, visit www.m'amide
JIMMY PATRONIS
CHIEF FINANICAL OFFICER
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 10/26/2017 EXPIRATION DATE: 10/26/2019
PERSON: MENDOZA WILMER
A
FEIN: 475161058
BUSINESS NAME AND ADDRESS:
M.A.M SHORES INVESTMENTS, CORP
M.A.M BUILDERS
10667 NE 11 AVE
MIAMI FL 33138
SCOPE OF BUSINESS OR TRADE:
Licensed Genera! Contractor
IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under
this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply
only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of_election-to be -------
exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the
person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a
certificate at any time for failure of the person named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13
QUESTIONS? (850)413-1609
JIMMY PATRONIS
CHIEF FINANICAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 11/21/2017 EXPIRATION DATE: 11/21/2019
PERSON: MENDOZA MARIEDY M
FEIN: 475161058
BUSINESS NAME AND ADDRESS:
M.A.M SHORES INVESTMENTS, CORP
10667 NE 11 AVE
MIAMI FL
SCOPE OF BUSINESS OR TRADE:
Licensed General Contractor
33138
IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under
this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply
only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be
exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the
person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a
certificate at any time for failure of the person named on the certificate to meet the requirements of this section.
-- - _ .,QUESTIONS? (850)413-1609
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO -BE EXEMPT REVISED 08-13
'ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
02/27/2618
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of thepolicy, certain policies may require an endorsement A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Torres Insurance Agency Inc
6135 NW 167 STREET* E25
Miami Lakes FL 33015
CONTACT Eduardo Medina
NAME:
,P Exti: (305)512.5880 { , No): (305)512-5881
ADDRESS;
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A, Covington Specialty Insurance Co
INSURED
M.A.M Shores Investment Corp
10667 NE 11th Ave
Miami Shores FL 33138
INSURER B :
,
INSURER C :
INSURER D :
INSURER E :
INSURER F: '
COVERAGES
CERTIFICATE NUMBER: ° CL1711936459
•
THIS IS TO CERTIFY THAT THE POLICIES OF -INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY'HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDLSUBW
INS°
WVD
POLICY NUMBER
POUCYEFF
(MMIDD/YYYY)
POLICY EXP
(MM/OD/YYYY)
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
VBA579983 00
11/10/2017
-
11/10/2018
EACH OCCURRENCE
$ 1,000,000
X
CLAIMS -MADE I OCCUR
DAMAI,E 1 O REN I ED
PREMISES (Ea occurrence) _
$ 100,000
$500 BI/PD DED
MED EXP (Any one person)
$ 5,D00
PER CLAIM
PERSONAL & ADV INJURY
$ 1,000,000
GEh'LAGGREGATE
X
LIMIT APPLIES PER:
POLICY U PE¢ ■ LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS- COMPrOPAGG
$ 2,000,000
S
AUTOMOBILE
—
—
LIABILITY
ANY AUTO
OWNED
SCHEDULED
COMBINED SINGLE. LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
3
$
UMBRELLA LIAR
EXCESS UAB
—
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
$
DED RETENTIONS
S
WORKERS COMPENSATION -
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
It yes, describe under DESCRIPTION OF OPERATIONS below
NIA
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required)
CGC 1525652
General contractor working on residenciai locations and pool reparations. No new constructions
CERTIFICATE HOLDER
MIAMI SHORES VILLAGE DEPARTMENT
10050 NE 2ND AVE
MIAMI
I
FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, OTICE WILL BE DEUVERED IN
ACCORDANCE WITH THE POLIC OVISIONS.
AUTHORIZED SENTATIVE
•
988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
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PERMIT #: C18-S\3
Miami.ShCres Village
APPROVED _ BY
ZONING DEPT
BLDG DEFT_
SUBJECT CO CCMPI.V'NCE WI f -I ALL FEL)ERAL
STATE ANil CCIJN 1- AUL-S AND REGULATIONS ��G p
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