PW-18-1700Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Parcel Number
Permit NO. PW-6-18-1700
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
us Date: 6125/2018
Expiration: 09/23/2018
Applicant
9801 NE 1 Avenue
Miami Shores, FL
1132060132290
Block: Lot:
ADELMO AND MARTA GIUSTI
Owner Information
Address
Phone
Cell
ADELMO AND MARTA GIUSTI
9801 NE 1 AVE
MIAMI FL 33138-2306
Contractor(s)
MAROCEF INC
Phone
(786)486-9845
Cell Phone
Valuation:
Total Sq Feet:
$ 500.00
100
Scanning: 1
Fees Due
CCF
DBPR Fee
DBPR Fee
DCA Fee
DCA Fee
Education Surcharge
P&Z Review Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$o.00
$0.00
$o.00
$0.00
$0.00
$0.20
$0.00
$100.00
$3.00
$0.80
$104.00
Pay Date Pay Type
Invoice # DS-6-18-68001
06/25/2018 Credit Card
06/25/2018 Check #: 4768
Amt Paid Amt Due
$ 4.00 $ 100.00
$ 100.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Planning
Review Public Works
Review Building
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 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. Futhermore, I authorize the above -named contract• • d• work stat...
I044 lr I 1 June 25, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
June 25, 2018 1
RECEIVED
Miami Shores Village JUN 21 2018 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#: pW 1 g - i '`JO�j`�
Name of Applicant (if utility see below): ldeI►yi (v (
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio #;
Address: Li Wat 0E- A- s+ COP IG4'Yli Jre5 -n ,33I 3-R
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
3� 323- 8333
glohcea •
City: State: ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: LbrOCe-f I IOC
Qualifier/Authorized Agent: QrlOS re✓'lGnda _
Addr s: 3I(c� . i�CeGry f - I IU11,
City: State: t ZIP: 3 (-)09
Telephone01 - CI8 `j Email: riCCt P me rocef • -
#:Ce -
State Certification or Registration G1 -1 J 10 5 Certificate of Competency #:
Reques permission to i tall (describe work, attach separate page if necessary) in the adjoining right of
way:141aA) Fb 4A) ' dt .r-
Type of Work: ❑ Paving ❑ Utility
❑ Landscape ❑ Antenna
DESIGNER: Architect/Engineer:
Address:
Sidewalk ❑ Electric ❑ Irrigation
Other:
City: State: ZIP:
Telephone: Email:.a
Registration #:
Value of Work for this Permit: T`$ "
•rrr'
r:***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required)
)Fy'� .R
Square/Lineal Footage'of Work:
Total Fee Now Due $
pplicant or Authorized Agent
The fore • pj g instrumelt w_a�s k I d !
me„this I day of , J(,/�(
is pegs y cn me or who has produced
as
identification.
NOTARY PUBLIC:
Sign: _.� �t-CJUUC SCXe
Print: ' o !c o P iJb
SEAL:
APPROVED BY:
Blanca L. Moreno
Commission # GG129380
Expires: July 30, 2021
C '[
.. ... .:_ 1.
i5 1 1 c Y�. t3
5 k
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) d. s after the public works permit is issued. In the
absence of such posted notice, the i 'spection ill 'ot be approved and a reinspection will be charged.
Signature
Signature
Co pany/ tility Agent
ac now e geefore The forego' g instru e t w acknowledge efore
20 by m this ( dayof 20 ( , by
��iU Sr/ who '.Cd 0 -k Z`? . who
is • - onally known
me or who has produced
as
identification.
Sign: .
Print:
SEAL:
(? K Q hvt &t) )
Bonded thru r
k,\`), , Public Works Director, or Designee
Blanca L. Moreno
Commission # GG129380
Expires: July 30, 2021
Bonded thru Aaron Notary
2017-04-15
Property Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-3206-013-2290
Property Address:
9801 NE 1 AVE
Miami Shores, FL 33138-2306
Owner
ADELMO GIUSTI &W MARTA
Mailing Address
9801 NE 1 AVE
MIAMI, FL 33138-2306
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,434 Sq.Ft
Living Area
1,862 Sq.Ft
Adjusted Area
2,148 Sq.Ft
Lot Size
9,309.25 Sq.Ft
Year Built
1950
Assessment Information
Year
2018
2017
2016
Land Value
$232,824
$232,824
$232,824
Building Value
$149,501
$149,501
$149,501
XF Value
$1,292
$1,304
$1,316
Market Value
$383,617
$383,629
$383,641
Assessed Value
• $144,350
$141,381
$138,474
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$239,267
$242,248
$245,167
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
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 15 & W1/2 LOT 16 BLK 17
LOT SIZE 80.950 X 115
OR 11628-384 1182 1
Generated On : 6/20/2018
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$94,350
$91,381
$88,474
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$119,350
$116,381
$113,474
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$94,350
$91,381
$88,474
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$94,350
$91,381
$88,474
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
11/01/1982
$80,000
11628-0384
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/
6/20/2018
MAROCEF INC
3140 S. Ocean Drive #1109
Hallandale Beach, FI 33009
Lic. CGC1516756, CCC1329406, HI2023
carlos@marocef.net
Date 11,0
�0
State of CloiidOU
County of 1,4l'arni.---Dox,
Before me this day personally appeared l , tJ,0O.5 ( C--- who, being duly sworn,
deposes and says:
That he or she will the only person working on the project located at:
clic» o_e__ si Lft:0441:< 51ACAW) 3 13Y
Contractors igna u
Sworn to (or affirmed) and subscribed before me this 2,0 day of it/LX--- . 20 f , by
personally knowns__
or produced identification
Type of identification produced
01171,44
nn PagAjdf14;issio0.
Prin , Type Stamp Name of Notary
Blanca L. Moreno
Commission # GG129380
Expires: July 30.2021
Bonded thru Aaron Notary
Notice to Owner— Workers' Com
p
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
ensation 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 insurance coverage from the c tractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLED . THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of , 20 .
club klvr, '1
SEAL:
e or has produced
as identification.
s1.0.)1dj/�i,, Blanca L. Moreno
?� �•`�'= Commission tt GG129380
.,*' Bonded thru ? Expires: July
20210, Aaron Notary
1.
RECEIVED
JUN212018
ciot
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MAP OFBOUNDARY 3u .VEY : : •: •
P14 VI CO
PERMIT
Miami Shur Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT qq,��,` l
SUBJECT OC,? CIPt NCE MTH ALL E L))E�i,4Li
STATE AND CCLJN iY RULE,, AND REGULATIONS
SCALE : 1"=20'
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BASIS OF BEARING SYSTEM WHEN SHOWN REFER TO:
TYPE OF SURVEY; BOUNDARY !SCALE: 1"
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PROPERTY ji3R,E� :: 0301. • kg • 3.st AVE., MIAMI,
SOURCE OF LEGAL De3CIktPTIONN -'
LEGAL DESCRIPTION • •• •••.:..
LOT 15 AND Tf ••S 47 • OF'3.OT 16
SUBDIVISION •• • • AN yk1NRDtD PLAT OF MIAMI SH'
ACCORDING TO THE PLAT. THEREOF AS RECORDED IN
OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, I
R NI. 99th ST.
1141
55
13g
541
5Q.Ocr
12
17$
11�10(t°
50.00'
18
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