PW-18-82Miami Shores Village J AN 1 2018
Public Works Department
(305)795-2210 � :.
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade
Permit#: Pix) (B - 82
Name of Applicant (if utility see below): %1 )'" — NA/i47%?_
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio #; /,.. �2-06, ON_ °cloJ
Address: 1 r i�(�'j!'�.►r Il-f9�i1� .3t07&5
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City: State: /Val tan ZIP:
Tele hone:Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: C / /t/P 10U Guate 3S'
Qualifier/Authorized Agent: •./ 411%4. _ 64 5/U
Address: /(Y)-rO Of O_ ,- j(x
City: , DO 4AL State: ZIP: 33 t1
Telephone:.3)O5 7-3-2 WW5 Email: .../l9`/%Y; �//)4.),/ Mt/-'12. ^
State Certification or:Registration #: Certificate of Competency #: GC05,65003"/5
Requests permission to install (describ work, attach separate page if necessary) in the adjoining right of
way: LI `iy /49 AGM() 5-WeY/r
Type of Work: ❑ Paving ❑ Utility ❑' Sidewalk . ❑ Electric ❑ Irrigation -
❑ Landscape C Other:
DESIGNER: Architect/Engineer: ANCELED
g
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit:, $ 40c2D Square/Lineal Footage"of Work:0.5F
***** Fees *****
Permit Fee $ 100.00 ' SO pa; Ci
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ bO
boo
Aluns (Or rac#o is• bond car ew ,
;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 TH VIGHT-OF-WAY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a_conditi81A4o 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 post- at the job
site for the first inspection which occurs seven (7) days after the public works permit,is i • led. In the
absence of such posted notice, the ins ion will n'ot be approved and a reinspection" lI be charged.
Signature
Applicant or uthorized Agent
The foreg• ing instrument was ack' wledged: before
me this 471 day of �Bt2/7l /, 20 /7 , by
i if A'U f e4 V/¢v1)Z` - who
is personally known to me or who h s produced
)5s-540.5—31s3-o
identification.
NOTARY PUBLIC:
Sign:
Print:
SEAL: ; �� ; )AAGALY LLAPUR
Z. MY COMMISSION # FF213776
?nj EXPIRES March 25, 2019
!407. 358-0' 53 FlorioaNOW yServire.con,
APPROVED BY:
2017-04-15'
Signature
The foregoing ins
me this
Is
�.a ..
.,lit.,'
V1
cation.
any/U.0 i y Agent
nt was ackn wledged before
149%77/',20 /7,by
who
wn to me or who has produced
.e/7000>,2 as
NOTARY,PUBLIC. 4. "
Sign:
Print:/�ly GLQ/iv/
SEAL:
1,..;.;?.,iitip _ MAGALY LLAPUR
'6.��r MY COMMISSION # FF213776
• 'S;a 8sa"`• EXPIRES March 25, 2019
35
i407, -0' 53 Fbrid&NoiaryService.co,r.
************************************
, Public Works Director, or Designee
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ice' ,orC.p�-1ra�T F?. ve ttr5v-r
a i 040 ac �j(641
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as their interests may appear.
south uade Title Services, Inc/Arslando-oi-tvs-sos—J-i' ► E_g
Attorney's Title Insurance, rFund; j"inc. z,1 • VI
Miami Shores V!!la
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PROPERTY ADDRESS: 4:34 to N , M. 401" avc . NA I S140126e, p Loral DAB.
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NOT VALID
UNLESS SEALED
WIT! I THE
EMBOSSED SEAL
OF
CERTIFYING
Al IRVFVOR
QERTIFICATE BOUNDARY SURVEY
I hereby cedly that this sketch of slavey of the hereon
deserted Is a true and correct lotion of
ais'"vey made under °Wec! my the and my Imowre`ge
�zvrale and to best of
belief, and unless o cha
rm, tl►ara are no
eneivechmente. 1 Utter certify that the aurvoy pppprr�..
nanta1 harems tithe Technical
St.wd to
as set forth by the Ro ida�of PIo land
Sun►syors In chapter 610171 Bei *a 111Nratlye
Code, pursuant to ,8ecdon=472. f t tuea.
Date. 10- 19- 94
SUPERIOR SURVEIYING, It\IG.
PROFESSIONAL LAND SURVEYORS
13466 Swayer DRIVE
Bun A - QOM
tItlnh u. MO/Ut A 53173
(305) 274-5339
SCALE: 1. 1 JOB NO.
Property Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-3206-014-0900
Property Address:
9410 NE 6 AVE
Miami Shores, FL 33138-2738
Owner
MANUEL FERNANDEZ &
RICHARD W JACOBSON
Mailing Address
9410 NE 6 AVE
MIAMI SHORES, FL 33138-2738
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
3,581 Sq.Ft
Living Area
2,438 Sq.Ft
Adjusted Area
2,968 Sq.Ft
Lot Size
14,159.04 Sq.Ft
Year Built
1949
Assessment Information
Year
2017
2016
2015
Land Value
$424,416
$353,496
$340,198
Building Value
$207,055
$207,176
$207,297
XF Value
$4,257
$4,302
$4,183
Market Value
$635,728
$564,974
$551,678
Assessed Value
$197,842
$193,773
$192,427
Benefits Information
Benefit
....._.__-
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$437,886
$371,201
$359,251
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
6 53 42
MIAMI SHORES SEC 2 PB 10-37
LOT 23 & 24 BLK 55
LOT SIZE 109.760 X 129
OR 16604-0459 1194 1
Generated On : 1/11/2018
Taxable Value Information
2017 2016 2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$147,842
$143,773
$142,427
School Board
Exemption Value I $25,000
$25,000
$25,000
Taxable Value
$172,842
$168,773
$167,427
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$147,842
$143,773
$142,427
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value I $147,842
$143,773
$142,427
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
11/01/1994
$119,000
16604-0459
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/
1/11/2018