PW-18-1815Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-307810
Permit Number: PW-7-18-1815
Scheduled Inspection Date: August 10, 2018
Inspector: Miranda, Chris
Owner: TRAVELS & RENTALS CORP, TRAVELS
4_ DCAITAI C !`ADD
Job Address: 37 NW 108 Street
Miami Shores, FL 33168-
Project: <NONE>
Contractor: ONE STOP PAVING
Permit Type: Public Works
Inspection Type: Final Public Works
Work Classification: Public Works
Phone Number (305)538-8105
Parcel Number 1121360110290
Phone: (786)299-1354
Building Department Comments
RESURFACE ASPHALT DRIVEWAY
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
mit
Permit No. PW-7-18-1815
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
Issue Date: T/5/2018 Expiration: 10/03/2018
Parcel Number
Applicant
37 NW 108 Street
Miami Shores, FL 33168-
1121360110290
Block: Lot:
TRAVELS & RENTALS CORP
Owner Information
Address
Phone
Cell
TRAVELS & RENTALS CORP
37 NW 108 Street
MIAMI SHORES FL 33168-
(305)538-8105
2301 COLLINS Avenue
MIAMI BEACH FL 33139-
Contractor(s)
ONE STOP PAVING
Phone
(786)299-1354
CeII Phone
Valuation:
$ 2,900.00 ,
Total Sq Feet: 870
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$o.00
$o.00
$0.00
$0.20
$100.00
$3.00
$0.80
$104.00
Pay Date Pay Type
Invoice # PW-7-18-68127
07/05/2018 Check #: 2067
Amt Paid Amt Due
$ 104.00 $ 0.00
Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
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 rtify that
construction and zonipg,thermore,
Authorized Sinature: Ow
the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
uthorize the above -named contractor to do the work stated.
/ Applicant / Contractor / Agent
Building Department Copy
July 05, 2018
July 05, 2018
Date
1
Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138
RECET'V
L032018
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Name of Applicant (if utility see below): ^A (�ri (3�
Owner off the following described property:
Legal Description: Lot Ctd Block Z14 Subdivision
Folio #; tk et 3 (, oil 021 D
Address: 3'( kJ W 1 09 '1 t'G 4,-t 1
UTILITY NAME:
Permit#:7Vv 18 463 (5
1,Qv1e_cter"I
tuhhivtic(s kkorn. Stores.
S` oits . t 3 3102,
Qualifier/Authorized Agent:
Address:
City: State: ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: (j Y)e �av •i v,
Qualifier/Authorized Agent: COL c to Go s"c.
Address: AG ?) I) € CI %
City: LI . LI , (1 CG G (^ St te: - P: 3 31 (�Z
Telephone:+j8cn 2ol�j [3S4 Email:. - o S V) % a r c c �c r L 0 _ Cc) $.►-%
State Certification or Registration #: C6,( (S1`1 i c1 Certificate of Competency #: E 231 SO()
Requests permission to install (describe work, attach eparate page if n essary) in the adjoining right of
way:
ATk-tG v ew-a-1 17.2sv c
Type of Work:
E Paving ❑ Utility ❑ Sidewalk ❑ Electric
❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ 2. 1 OO , G v Square/Lineal Footage of Work: 8/ 0
***** Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ OL-(
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
APPLICANT'S AFFIDAVIT: I 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 of the 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 the public works permit is issued. In the
absence of such posted notice, the inspection will not be approved and a reinspection will be charged.
Signature
Applicant or Authorized Agent
The foregoing instrument was acknowledged Before
me is 23 day of ., r , 20 I 0 , by
priA who
is personally known to me or who has produced
as
identification.
Sign:
Print:
SEAL:
APPROVED BY:
:• k IV ^ BARBARO SOBRINO
•.t: MY COMMISSION # FF 195634
EXPIRES: February 3, 2019
pF ey°' Dnndcd Thru Notary Public Underwriters
.ma+•a.�rsmsm+s1.a0,11..,m.+V.cA
Signature
/e
Company/Utility Agent
The foregoing instrument was acknowled a efore
me this 2 ay of .• 20 ( 0 , by
`.:C�t-ta c r C. who
is personally known to me or who has produced
as
identification.
Sign:
Print:
SEAL:
RY PUBLIC
MY COMMISSION # FF 195634
EXPIRES: February 3, 2019
bondod Thru Notaty Public Underwriters
ammo rom
*******************************************
+Vic , Public Works Director, or Designee
2017-04-15
'7v-t OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-2136-011-0290
Property Address:
37 NW 108 ST
Miami Shores, FL 33168-4310
Owner
TRAVELS & RENTALS CORP
Mailing Address
37 NW 108 STREET
MIAMI, FL 33168 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/3/0
Floors
1
Living Units
1
Actual Area
1,967 Sq.Ft
Living Area
1,644 Sq.Ft
Adjusted Area
1,802 Sq.Ft
Lot Size
9,225 Sq.Ft
Year Built
1952
Assessment Information
Year
2017
2016
2015
Land Value
$198,007
$166,118
$166,118
Building Value
$126,990
$127,243
$127,497
XF Value
$4,946
$4,997
$3,808
Market Value
$329,943
$298,358
$297,423
Assessed Value
$328,193
$298,358
$297,423
Benefits Information
Benefit
Type
2017
2016
2015
Non -Homestead Cap
Assessment Reduction
$1,750
Note: Not all benefits are applicable to all Taxable Values (i.e. County
School Board, City, Regional).
Short Legal Description
DUNNINGS MIAMI SHORES EXT NO 7
PB 52-33
LOT 13 BLK 214
LOT SIZE 75.000 X 123
OR 13710-3620 0588 1
Generated On : 6/3/2018
Taxable Value Information
2017
2016
2015
County
Exemption Value
$0
$0
$0
Taxable Value
$328,193
$298,358
$297,423
School Board
Exemption Value
$0
$0
$0
Taxable Value
$329,943
$298,358
$297,423
City
Exemption Value
$0
$0
$0
Taxable Value
$328,193
$298,358
$297,423
Regional
Exemption Value I $0
$0
$0
Taxable Value
$328,193
$298,358
$297,423
Sales Information
Previous
Sale
Price
OR Book-
Page
Qualification Description
06/27/2014
$284,900
29227-1352
Financial inst or "In Lieu of
Forclosure" stated
05/28/2013
$251,400
28680-3516
Financial inst or "In Lieu of
Forclosure" stated
05/01/1988
$87,500
13710-3620
Sales which are qualified
10/01/1981
$78,000
11251-0758
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:
Florida Department of State
Divo of
Ari org C' P0' P. A'fl« ,
on official : trot• of Flarifla sr;»ttsirr•
Department of State / Division of Corporations / Search Records / Detail By Document Number /
DIVISION OF CORPORATIONS
Detail by Entity Name
Florida Profit Corporation -
TRAVELS & RENTALS, CORP. `
Filing Information
Document Number P01000077166
FEUEIN Number 65-1126989
Date Filed 08/06/2001
State FL
Status ACTIVE
Principal Address
2301 COLLINS AVE
STE 438-A
MIAMI BEACH, FL 33139
Changed: 05/01/2018
Mailing Address
2301 COLLINS AVE
STE 438-A
MIAMI BEACH, FL 33139
Changed: 05/01/2018
Registered Agent Name & Address
SILVAS FINANCIAL SERVICES, LLC
5220 S UNIVERSITY DR
STE C-102
DAVIE, FL 33328
Name Changed: 05/01/2018
Address Changed: 05/01/2018
Officer/Director Detail
Name & Address
Title PD
BENEDETI, MARIA F
2301 COLLINS AVE
STE 438-A
MIAMI BEACH, FL 33139
One
Paving Inc.
TO: )Up k 403,S5 V 1 LLLGt PROJECT:
NAME:
NAME:
ADDRESS:
PHONE: +Ei- G w. SIn 0,-e 5.
FAX: DATE 6jz o / 11,
DAB
ADDRESS: 31 N ck 016 et
z3/r r»e 741-t q 9o..7c.//7 a,(/frea.c�
(2o'o S a(-0 S .A ' w`ev b.° re, L swoe gel
/
awl sa7
Tkif1 tie cv%lf tie v'kle 0n/7
L locy-tt�eJ a.1 3�7 - • /Vq✓
gp�,o7 ?cT
5`rvoY•)
4w cc.% s Oi Ci Led irrie •tee -1-ir s
20 I 6i, 4-�l/ S o r
7
ti :Py BARBAROSOBRINO
*: ,_• :,,: MY COMMISSION # FF 195634
EXPIRES: February 3, 2019
Branded Thru Notary Public Underwriters
ole pale S
o �h e
7 33/68
Zo
1463 NE 173 ST N. MIAMI BCH. FL 33162 PHONE: 786 2991354 FAX 305 947 3233
fifliami Shores V ilta e
9
Building Department
10050 N.E.2nd Avenue
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 suction 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 hasprovided 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 the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Sign
State of Florida
County of Miami -Dade .
The foregoing was acknowledge before me thi D day of 3i3 O _ , 20 t' .
By liana .itrafeCt who is personally known to me or has produced
7554) as identificatio
Notary:
SEAL:
•
amp-,
OLGA R. CRUZ
Notary Public . State of Florida
4i Commission # FF 934136
coax.c2o,
Bonded through National N Assn
iami Shores Viiiage
Building Department
SURVEY AFFIDAVIT
STATE OF (FLORIDA)
COUNTY OF (DADE)
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant, k0r�a �• Vplop 1 C, does hereby attest that
(Property owner)
The attached survey, performed by )J OJa Sv ( Ve 10 / 5 S vti C
(Name of surveyors company)
For address: 3V1 L) U 10 2) st
3316g
Performed on Zot- (date of survey) is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures may affect final inspections as applicable to this or other permits.
Further, Affiant say eth naught.
Property Owner Signature
SWORN TO AND SUBSCRIBED before me this
Affiant is personally known to me,
Revised on 522120091 Revised on 6/12109
day of
r'1(.Ul(, of rii
Prope' Owner Print Name
roduced FL- T l.. as i�3��15-
DL 13533 54Co
Notary /
OLGA R. CRUZ
Notary Public - State of Florida
F. Commission # FF 934136
My Comm. Expires Nov 5, 2019
Bonded through National Notary Assn.
111111111111111111111111111111111111111111111
. DOCDMNT C OVER PAGE ' •
For those, documents not proviri frig the rem:la-ea 3 x 3 in
space on the frst page, this cover page must b at:Lathed.
An ackliiion recorri i-n g fe-e f5r this page rpst be remitted.
L_
C:FN 2 C 1 Et R. 0 3 7 2 3 2 5.
OR BK 31027 Pss 2789.-2790 (2P-ss)
ECORDiq' 06/5/90V3 .
WIRVEY RUVIN1 CLERK OF C0q1 •
MIAMI-DADE CIHINTY ? FUR MI')
•
(Space aboym Es Liza rmscrvcd forrtcarrag ofEce us)
current .xf1a
(Mortgag; D ebd, Etc.)
Reta_rri o arrn, eat To / Pr epared By:.
.1/Nick
, pIe252O (d On.fl,.. dpcumen±s prepared —7,thich are to be rpcorded in.the records of any counfy
3 -5nrTi spac.aL aleri E-T-rf--1LEad cona.Er onthearstpage and al - b'y 3 sps_ce ai-the Cup Eigice-h -n
colearla slab sequarrepa_gasliallbe..15ftblaskandremr,,tffir use by rT,r1r ofort
DIX/07'155 Rev, 0B/15
clerk's web acSdr= www_mfaml-daclecIerk.com
)1
�1R BK 31027 PG 2790
LAST PAGE
0
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) aY i Q 'r 'BQvt e Q4 ; hereinafter referred to as the
owner of the following described property (address): 31 k) w t 08 s
Legal Description ) � � S�1a�S �L33)bg
g P Lot l3 Block 2_11 Subdivision Dunr+, n s M- si,o-es,
Folio # l l - 2_1(, - 011 - 029.0
Requests permission to install (describe work):
Gt 5 2110,
Within the public right of way of (address) 31 ',Au 108 s t
kiLi0.w.r SV-►orcS 33r6
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).
Signatur
Owrre or
Ttriglforegoin nstrument was acknowledged before me
QY1CI ralnda nEtkk1who is personally known to me
as identification and who did take an oath.
NOTARY PUBLIC
Sign:
Print:
My Commission Expires:
C'a . C 1 )Z
OLGA R. CRUZ
Notary Public - State of Florida
• Commission # FF 934136
' F P My Comm. Expires Nov 5, 2019
Bonded through National Notary Assn.
this 20 day of JONG, , 20 (8 , by
or who has produced FL_ eDL+-
e533-54co— SS-0
STATE OF FLORIDA, COUNTY OF O
P Itc ci .J of l'iv
l tscar�l `r'CERT;�Y>Ut�." (hi; is a
cri-j;faJ filed in this of
:f crud County CcLLi-s
.One
Paving Inc. Proposal/Contract
CGC 1513719
TO: ( PROJECT: DA v"2
NAME: ( 3Qkei NAME:
ADDRESS: ADDRESS: 3'1 ow (O 8
PHONE:
FAX: DATE (o f (1 J I
DESCRIPTION
WE PROPOSE PERFORM ALL MATERIALS, LABOR AND EQUIPMENT NECESSARY FOR THE FOLLOWIG SCOPE OF
WORK:
ti v10
1
The work and performed by the co may result in a lien being placed on the premi described above, in case the owner or contractor default its in any
payment under this contract owner hereby agrees to accept full responsibility for al ces, sidewalks, all underground pipes, wires septic tanks, drain lines,
wells, etc. unless stated above. Owner is liable in full amount of contract in the event owner cancels after work has started. The co shall not be responsible
for damage or delays do to strikes, fires, accidents, or the others cause beyond its control, not for inherent defects in the premises on which work to be done.
In the event of any default of this contract by owner -owner agrees to pay all cost and reasonable attorneys fees incurred by One Stop Paving, Inc. as a result
of said default. All materials are guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any
alteration or deviation from above specifications involving extra cost will be executed only upon written orders and will become an extra charge over and
above the estimate. This proposal subject to acceptance within_ days and is void thereafter at the option of the under signed work shall begin within 10
days of this contract being signed by at parties here and retum to the co. On stamp concrete work contractor will not be responsible for variation results on
the color select by Owner.
TOTAL PROPOSAL
SUBMITTED BY: C , press en .
$ 2tlod. o0
Acceptance of contract
The above prices, specifications and conditions are hereby accepted. You are to do the work as
specified payment will above
APPROVED
DATE:
brzs/(y
i
1463 NE 173 ST N. MIAMI BCH FL 33162
PHONE: 786 2991354 FAX: 305 947 3233
LAND SURVEYORS
LOT-5
BLOCK - 214
LOT -12
BLOCK - 214
BOUNDARY SURVEY
SCALE =1' = 20'
LOT - 4
BLOCK - 214
ONE STORY
RES. # 37
LOT -13
BLOCK - 214
F.F.E.=1O.03'
SURVEYOR'S NOTE:
- There may be Easements recorded in the Public Records not chow , 411 .Lis Curley.
• The purpose of this Survey is for use in obtaining Titdo Insurance and P nanctng eat rhdtdd net be used tar Cons
Aar
LOT-3
BLOCK - 214