PW-18-881Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
. Phone: (305)795-2204
Project Address
235 NE 91 Street
Miami Shores, FL 33138-
Owner Information
Address
Permit
Issue Date: 4110/2018.
Permit NO. PW-4-1 8-881
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
Expiration: 07/09/2018
Parcel Number
1132060133440
Block: Lot:
Phone
Applicant
MARIANNA HYNSON
Cell
! MARIANNA HYNSON
SUPERIOR CO 80027-
962 EL DORADO Drive
SUPERIOR CO 80027-
962 EL DORADO Drive
Contractor(s)
CHAMPION CONCRETE
Scanning: 3
Phone CeII Phone
(305)252-8055 (786)402-4802
CI
Valuation: ANqt,i06.00
Total Sq Feet:
300
Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
comp
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Amount
$0.00
$0.00
$0.00
$0.20
$100.00
$3.00
$0.80
Total: $104.00
Pay Date
Invoice #
04/10/2018
04/05/2018
Pay Type
PW-4-18-67045
Check #: 2838
Check #: 2829
Amt Paid
$ 54.00
$ 50.00
Amt Due
$ 50.00
$ 0.00
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 esponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLU BING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT.. I ce that all the foregoing information is accuraxe and that all work will be done in compliance with all applicable laws regulating
construction and zoni
authorize the above -named contra to do the work stated.
April 10, 2018
Authoriz>,� Signature: Owner / Appiitlnt / Contractor / Agent Date
Building Department Copy
April 10, 2018 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
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#:
141
nson & Alexandre tit
Name of Applicant (if utility see below): Marianna Hynson
Owner off the followingdescribed property:
Legal Description: Lot 15 & 1625 Block 25 Subdivision MIAMI SHORES SEC 1 AMD
Folio #; 11-3206-013-3440
Address: 235 NE 91st Street Miami Shores, FL 33138
UTILITY NAME: N/A
Qualifier/Authorized Agent: N/A
Address: N/A
AO R3ab1 1`:•
City: N/A
Telephone: N/A Email: N/A
State Certification or Registration #: N/A
CONTRACTOR NAME: Champion Concrete
Qualifier/Authorized Agent: Jamie Basilic.
Address: 10280 NW 63 TERR Suite 105 ,
State: N/A
Certificat
- r.�
ZIP: N/A
etency # N/A
ik
City: DORAL State:' FLORIDA ZIP: 33178
Telephone: (305) 252-8055; (305) 978-4333 Email: admin@championmiami.com
State Certification or Registration #. Ge'esaeeeen—P Certificate of Competency #: N�"6OS/ 4,
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: replace 14 broken sidewalk squares in front of house. Frame 4" - 5" thickness. Schedule frame inspection.Pump 3000 PSI concrete Mix w/tiber
Apply broom finish/expansion joints. Remove frame and properly discard trash.
Type of Work: ❑ Paving ❑ Utility ❑■ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer: N/A
Address: N/A
City: N/A State: N/A ZIP: N/A
Telephone: N/A Email: N/A
Registration #: N/A
Value of Work for this Permit: $ 3,000 Square/Lineal Footage of Work:3C491-
*****Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning
Bond $ (if required) Total Fee Now Due $
Bonding Company's Name (if applicable): N/A
Bonding Company's Address: N/A
City: N/A
State: NIA ZIP: N/A
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 N/A
APPLICANT'S AFFIDAVIT: I certafy,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 LE"N-DEROR 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 i ued. In the
absence of such posted notice, the inspection will not be approved and a reinspection ill be charged.
Signature !/ l�" `�D' �^" l " Signature
Applicant or Authorized Agent Co pang/Utility Agent
The foregoing instrument was acknowledged before The foregoing instr m t was acknowledged before
me this / S- day of fe ✓N �• ✓/ , 20 /? , by e this r�� day_of V' .j t , 20IS , by
i/ek" � al re /1 y; l4.� a who j4\J 1 h_M ( O S (LA who
is personally known to me or who has produced is personally known to me or who has produced
L LLL EM as
liry�v� ��ccWv as
identification. identificatio
NOTARY P IC:
Sign: _ L�=� Sign:
•''a
NOTARY PUBLIC:
Print: Ti'1 Ss,?'>k..‘s9„I
SEAL: SEAL:
TONY SITTHISAY
Notary Public — State of Colorado
Notaty ID 20174012598
My Commi sion Expires Mar 22, 2021
APPROVED BY:
2017-04-15
Print: Nrt",
r r r Iw..Y,ry
Notary Public State of Florida
+F Sindia Alvarez
. ,1 My Commission FF 158750
of Expires 0910312018
**************************
s
, Public Works Director, or Designee
Page 1 of 1
Property Search Application - Miami -Dade County
ate.
Summary Report
Property Information
Folio:
11-3206-013-3440
Property Address:
235 NE 91 ST
Miami Shores, FL 33138-3127
Owner
MARIANNA HYNSON &
ALEXANDRE MAXIMIANO
Mailing Address
962 ELDORADO DR
SUPERIOR, CO 80027 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds 1Baths /Half
4/3/0
Floors
1
Living Units
1
Actual Area
2,920 Sq.Ft
Living Area
2,297 Sq.Ft
Adjusted Area
2,549 Sq.Ft
Lot Size
13,100 Sq.Ft
Year Built
1947
Assessment Information
Year
2017
2016
2015
Land Value
$353,254
$262,000
$235,800
Building Value
$177,890
$179,556
$177,997
XF Value
$1,586
$0
$1,310
Market Value
$532,730
$441,556
$415,107
Assessed Value
$485,711
$441,556
$407,000
Benefits Information
Benefit
Type
2017
2016
2015
Non -Homestead Cap
Assessment Reduction
$47,019
$8,107
Note: Not all benefits are applicable to all Taxable Values (i.e. Coun y,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 15 & 16 BLK 25
LOT SIZE 100.000 X 131
OR 20617-3566 08/2002 1
Generated On : 4/5/2018
Taxable Value Information
2017' 2016L 2015
County
Exemption Value
l $0
$0
$0
Taxable Value
$485,711
$441,556
$407,000
School Board
Exemption Value
$0
$0
$0
Taxable Value
$532,730
$441,556
$415,107
City
Exemption Value
$0
$0
$0
Taxable Value
$485,711
$441,556
$407,000
Regional
Exemption Value
$0
$0
$0
Taxable Value
$485,711
$441,556
S407,000
Sales Information
Previous Sale Price
OR Book -Page Qualification Description
08/01/2002
$311,000
20617-3566 Sales which are qualified
06/01/1972
$56,000
00000-00000 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:
https://www.miamidade.gov/propertysearch/
4/5/2018