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PW-18-3139Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: PW-10 Issue Date: 10/1S/2018 39 Permit /VR Number: 100383 Permit Type: R,ubliC Works Work Classification: Public Works Permit Status: Approved Expiration: 04/09/2019 Parcel Number 746 NE 94TH ST, Miami Shores, FL 33138 1132060141660 Contacts WILLIAM ARNOLD Owner 746 NE 94 ST, MIAMI SHORES, FL 331382915 ESPINOSA CONCRETE Contractor YLIN ESPINOSA 15441 SW 160 ST, MIAMI, FL 33187 Business: 7863465579 Description: REPAIR SIDEWALKS Fees Amount Education Surcharge Public Works Permit Fee Scanning Fee Technology Fee Total: $0.20 $100.00 $9.00 $2.50 $111.70 Valuation: $ 500.00 Total Sq Feet: 50.00 Inspection Requests: 305-762-4949 Payments Total Fees Credit Card Amount Due: Date Paid 10/15/2018 Amt Paid $111.70 $111.70 $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. "OWNERS AFFIDAVI71 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructs. - d zoning. Futhermore, I authorize the above named contractor to do the work stated. ,s fwo5 4 Authorized Signal fIwner / Applicant / Contractor / Agent Date October 15, 2018 Page 2 of 4 RECEIVED Miami Shores Village " OCT 11 2018 Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 3313 `�- PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Permit#: W \&1Q\ Name of Applicant (if utility see below): E p OSItk (' c zi C\ . N�. • Owner off the following described propert 'LL-\ti\ e.. '9NWSSX4 Legal Description: Lot q Block, Subdivision Folio #; \\-3kc 4 — 0`y- Ip1po Address:lAip Nra WAWA‘ \fN°1\rS‘ -\' 3 �7✓$ UTILITY NAME: Qualifier/Authorized Agent: Address: City: State: ZIP: Telephone: Email: CONTRACTOR NAME: C \l-\.C3VA CC) C-X\jc's• VV.- • Qualifier/Authorized Agent: �-\� Sv1kALdS`A (o - SS a-c9 Address: ‘5kAA\ S) \ 100 J"\-CkT �--A- State Certification or Registration #: Certificate of Competency . fir\. City: \IY\\`A VA\ State: \N•C\ ZIP:�J3�8 Telephone: Email: \%i; esmvt.\OsACOI•uCI fr-NNC.,. cow\ State Certification or Registration #: Certificate of Competency #: Requests permission to instep describe work, attach separate page if necessary) in the adjoining right of way: — 4A<S Type of Work: Paving 0 Utility ❑ Sidewalk 0 Electric ❑ Irrigation ❑ Landscape 0 Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: State: ZIP: Telephone: Email: Registration #: Value of Work for this Permit: $ SOO Square/Lineal Footage of Work: 5'00 *****Fees***** Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ ` Bond $ (if required) Total Fee Now Due $ 1 1 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 l\A �"Q-- Applicant or Authorized Agent The foregoing instrument was acknowledged b fore me phis 5 day of 20 1 by v h u who is personally kgggwt me or who has produced 41 1 1 1. l &—e-- as identification. NOTARY PUBLIC: Sign: Print: SEAL: MAHARAI K. GONZALEZ •, �.. •. '� IIIIII' •*� - _;: EXPIRES: November 2, 2020 •%:?o.g:to Bonded Thru Notary Public Underwriters APPROVED BY: 2017-04-15 Si Signature Co The foregoing instrum m this day of /Utility Agent was�cknowledged before —f' , 20 I13by who is • rsonally known to me or w o has produced • _ as identification. NOTARY PUBLIC:4111 iP Print: SEAL: !: MAHARAI K. GONZALEZ *. a, :.. MY COMMISSION # GG 044602 1:;.„' z, PIRES: November 2, 2020 ;"o; f T, Bonded Thru Notary Public Underwriters *************************** 'lc ***************** , Public Works Director, or Designee r 10/11/2018 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3206-014-1660 Property Address: 746 NE 94 ST Miami Shores, FL 33138-2915 Owner WILLIAM A ARNOLD & VIVIANE GUTTER Mailing Address 746 NE 94 ST MIAMI SHORES, FL 33138-2915 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2 / 1 / 0 Floors 1 Living Units • 1 Actual Area 1,522 Sq.Ft Living Area 1,206 Sq.Ft Adjusted Area 1,359 Sq.Ft Lot Size 9,600 Sq.Ft Year Built 1949 Assessment Information Year 2018 2017 2016 Land Value $287,807 $287,807 $249,282 Building Value $96,951 $97,739 $98,528 XF Value $1,578 $1,594 $1,611 Market Value $386,336 $387,140 $349,421 Assessed Value $211,198 $206,855 $202,601 Benefits Information r Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $175,138 $180,285 $146,820 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 3 PB 10-37 LOT 8 & E1/2 LOT 9 BLK 65 LOT SIZE 75.000 X 128 OR 19358-4055 11 2000 1 Generated On : 10/11/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $161,198 $156,855 $152,601 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $186,198 $181,855 $177,601 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $161,198 $156,855 $152,601 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $161,198 $156,855 $152,601 Sales Information Previous Sale Price OR Book -Page Qualification Description 11/01/2000 $175,000 19358-4055 Sales which are qualified 04/01/2000 $146,900 19090-4934 Sales which are qualified 12/01/1996 $96,300 17491-0724 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: 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: I. 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 thanthree 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 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. Signature: Owner State of Florida County of Miami -Dade L The foregoing was acknowledge before me this 5 day of 0C , 20 By VJ 3t -Q. fiUfi k c CQ,r\V2-- N SEAL: who is personally known to me or has produced as identification. - -1 a oti,n'r r,"y ,, MAHARAI K. GONZALEZ MY COMMISSION # GG 044602 1 EXPIRES: November 2, 2020 .;fF: ;;10% Bonded Thru Notary Public Underwriters i Es PIivo5A Aijc,iere /,vc Date: State of f /eft hon. County of /t•Gt,4,(ii1 5feft5 IVW a")l�- Before me this day personally appeared 11 n espinoWho being duly sworn, deposes and says: That he or she will be the only person working 0/1 The R p Te�T LoG�Ted AT Y6 4/E �ysT ,,t,t4, 5jo1 Contractor, Si re Sworn to (or affirmed) and sub5CV(bed bP fom me 'jhl5,. / 1 691Ofcc7 ? OI!b by F SF1hbSa MAHARAI K. GONZALEZ I MY COMMISSION # GG 044602 * '�u�' ;*' 71 EXPIRES: November 2, 2020 • �•,e P •,•• �:o • ,. Bonded Thru Notary Publi c Underwriters o Personally know OR Produced Identification Type of Identification Produced T I i! I (12.411_ Print, Type or Stamp Name of Notary 13217 SW 4. Lane, Miami, Florida 33175 . . . . ... • .. . • . •• • • . • . .• VIZCAYA SURVEarIN.C. A11J M 'NYC.' INC. LAND SUF4/E4D1 a PLUNEtt • ; • • • Ph (305) 223-6060 email: rvizcaya. l 3@gmail.com R ... • ... ... ... "." Property Address: 746 NE 94th Street, Miami, Florida 33138. Legal Description: Lots 8 & East Lot 9 in Block 65, of "MIAMI SHORES SECTION 3" according to the Plat thereof, as recorded in Plat Book 10, at Page 37,01•th; F.Iblie Reoordlof Miami Dade County, Florida. FIP 01" On PI ECEIVED �T 112018 4-1 1.98- 90°5'40" • • .. OOO. .. . . . . Boundary Survey . • • ••• •.• 0 ri Scale 1 "= 20' Lot Line Lot 9, Block 65 0 0 89.'54'20" 0 N Half Lot 9, Block 65 Metal Shed —10.4 r' � 14.90' o Bricks• AIM Z ai • : Residence:`.. #746 >C M :�:�:♦ FFE=11.96' :�.. :♦:.:♦:.�:�.- 26.80' ♦♦♦ 12.40' _ ♦• —10.45 HAG f 9.37 0 rn Co N 89°54'20" (BOB FIP• \i :' ' 9.61' g. >>: NE 94th Stree (75' TOTAL R/W) AC 15.5 FIP 01" .20 ", On —100.50- There may be easements and/or other instruments affecting this property, recorded in the Public Records not shown on this survey. PI' LEGAL NOTES This Survey does not reflect or determine ownership; Examination of the Abstract of Title will have to be made to determine Recorded Instruments, if any, affecting the property; This Survey is subject to dedications, limitations, restrictions, reservations or easements of rec.; Legal Description provided by client; The Liability of this Survey is limited to the cost of the Survey; Underground Encroachments, If any, are not shown; This firm has not attempted to locate footing and/or foundations and/or underground Improvements of any nature; If shown, Bearings are referred to an Assumed Meridian; If shown, Elevations are referred to National Geodetic Vertical Datum of 1929 (NGVD 1929) For: WILLIAM A ARNOLD & VIVIANE GUTTER Not valid without the signature and the original raised seal of a Florida licensed surveyor and mapper(LB 8000) Dote of Field Work 08-22-2016 Or e No. 16-806 Arturo R. Toirac PLSM 3102 LEGEND AND ABBREVIATIONS A=Arc Length; AC=Air Conditioner. BC=Block Corner, BM=Bench Mork; BOB=Basis 0f Bearings; CB=Catch Basin; CI=CIear;Conc=Concrete; Dr=Drive; E=East; EIev=Elevation; FDH=Found Drill Hole; FIR=Found Iron Rod; FFE=Finished Floor Elevation;FH=Fire Hydrant; FIP=Found Iron Pipe; FN=Found Nail; FT=Feet; LB=licensed Business; LFE=Lowest Floor Elevation; LP=Light Pole; N=North; NGVD 1929=National Geodetic Vertical Datum of 1929; NTS=Not To Scale;OE=Overhead Cables; OH=Over Hang; Pb=Plat Book;PC=Point of Curvature; PCP=Permanent Control Point; PL=Planter or Property Line; PLS=Professional Land Surveyor, PLSM=Professional Land Surveyor and Mapper; POB=Point Of Beginning;PRM=Permanent Reference Monument; R=Radius; (R)=Recorded Dimension; R/R=Rail Road; R/W=Right OfWay; Sec=Section; T=Tangent; S=South;SIP=Set Iron Pipe With Cap Stamped PLS 3102; UE=Utility Eosement;UP=Utility Pole; UTY=Utility;W=Weft; WF=Wood Fence; WM=Water Meter; WV=Water Valve; Centerline;—X—=Chain Link; ® = Concrete Wall; ' =Degrees; A=Central Angle; 0=Diameter, =Minutes; " =Seconds; 25,—,,A= Wood Fence