DS-18-848Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
215 NW 92 Street
Miami Shores, FL 33150-
Owner Information
Address
Permit NO. DS-4-18-848
Permit Type: DriyewayslSi"tiiewalks/Stabs
IWork Classification: Addition/Alteration
Permit Status: ~APPROVED
Issue Date: 4/10/2018
Expiration: 10/07/2018
Parcel Number
1131010331200
Block: Lot:
Phone
Applicant
MARLENE GARCIA
Cell
Contractor(s) Phone
ONE STOP PAVING (786)299-1354
CeII Phone
Valuation:
Total Sq Feet:
$ 4,000.00
810
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: STAMPED CONCRETE DRIVEWAY
Bond Return :
Scanning: 3
Additional Info:
Classification: Residential
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$2.40
$2.00
$2.00
$0.80
$125.00
$9.00
$3.20
$644.40
Pay Date Pay Type
Invoice # DS-4-18-67008
04/10/2018 Check #: 1957
Bond #: 3712
Amt Paid Amt Due
$ 644.40 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Building
Review Planning
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 informatio /s a - e and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -nary ontr.cto to do the work stated.
Authorized Signature: Owner / Applicant / ontractor J/ Agent
April 10, 2018
Date
Building Department Copy
April 10, 2018 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
(BUILDING ELECTRIC ❑ ROOFING
[]PLUMBING ❑ MECHANICAL PUBLIC WORKS
JOB ADDRESS: 2/$ N.W. c1214 S47leC t
City: Miami Shores County:
Folio/Parcel#: 113101 O 33 I2 00
Occupancy Type: 0 I Load: Construction Type:
RECEIVED
qAPR 8 2Dt8
FBC 20 14 �
Master Permit No. VC t
Sub Permit No.
REVISION ❑ EXTENSION ❑RENEWAL
CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Dade Zip: 331So
Is the Building Historically Designated: Yes NO
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): h--fattr f en< 6 a✓rAc, Phone#: 50 T
Address: 21 S N W q 2. ST
City: f art► t a,r e s State: "CI Zip: 33 I St
Tenant/Lessee Name: Phone#:
Email:
342 231j$
CONTRACTOR: Company Name: 0 Y e S ?
Address: \v(03 N � E l's + I
City: - t.J - /10jQu 1^ State:
Zip: 3 31 b-:.,
Qualifier Name: `S S�Q Phone#: Z 8G Zq a 15-4.1
State Certification or Registration #: IS- \ Y1 (3 Certificate of Competency #: 2 3 t D
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $U 0 0 . ar Square/Linear Footage of Work: a (7•
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
Srta,..,,tooa Co.-,Gr-1-4Q
U New
Phone#: 1 Q 6 2°1 c) 1,3 5
❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
CCF $ CO/CC $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revlsed02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work 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 regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S 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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As o condition to the issuance of a building permit with an estimated value exceeding $2500, 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 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 building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a relnspection fee will be charged.
Signature
OWNER or AGENT
The foregoing Instrument w s acknowledged before me this
Z 1 day of �` 20 OV . by
Par\ell P 7 a, Ctfvho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
✓o
r1✓l.0
BARBAROSOBRINO
•t: MY COMMISSION $ FF 19663i
EXPIRES: February 3, 201!
lb Nadel Thru Notary Pubic IMdarwMin
1111444i444i L !_rrat*
APPROVED BY
(Revlsed02/24/2014)
l
Signature
CONTRACTOR
The foregoing instrument as acknowledged before me this
+2� day I^ , 20 18 by
w lo c c . < , who Is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
BARBARO SCORIN°
MY (MISSION ii FF 195634
EXPIRES: February 3, 2019
Bonded Thru Notary Pubic Underwriters
Plans Examiner Zoning
Structural Review
Clerk
r- 41 OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3101-033-1200
Property Address:
215 NW 92 ST
Miami Shores, FL 33150-2230
Owner
MARLENE GARCIA
Mailing Address
215 NW 92 ST
MIAMI SHORES, FL 33150-2230
PA Primary Zone
0800 SGL FAMILY -1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
2/1/0
Floors
1
Living Units
1
Actual Area
1,191 Sq.Ft
Living Area
820 Sq.Ft
Adjusted Area
1,026 Sq.Ft
Lot Size
9,225 Sq.Ft
Year Built
1940
Assessment Information
Year
2017
2016
2015
Land Value
$203,198
$203,198
$149,803
Building Value
$71,410
$71,410
$71,410
XF Value
$2,019
$2,038
$1,740
Market Value
$276,627
$276,646
$222,953
Assessed Value
$159,728
$156,443
$155,356
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$116,899
$120,203
$67,597
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
1 53 41
MIAMI SHORES SEC 6 PB 10-39
LOT 22 & W1/2 LOT 23 BLK 135
LOT SIZE 75.000 X 123
OR 19089-4200 04 2000 1
Generated On : 3/28/2018
Taxable Value Information
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$109,728
$106,443
$105,356
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$134,728
$131,443
$130,356
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$109,728
$106,443
$105,356
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$109,728
$106,443
$105,356
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
04/01/2000
$106,000
19089-4200
Sales which are qualified
06/01/1999 $85,000! 18679-4906
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:
Miami Shores Village
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, 1j(r '1 a ��' G`c , does hereby attest that
(Property owner)
The attached survey, performed by LA J'- nuo GA 12C t v �'N C
(Name of surveyor's company) `
For address: It S IJ v.) Q.2 c4. I�-i Gvri h c�� t 1 3 3 ISM
Performed on 04- 04 - 00 (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,y eth naught.
Property Owner Signature
SWORN TO AND SUBSCRIBED before me this 2 e day of
IN4 A ev1 P C 0,
II Property Owner Print Name
prcol8
Affiant is personally known to me, produced as identification.
.... BARBARO SOBRINO
. '` = •MY COMMISSION i FF 195634
EXPIRES: February 3, 2019
'ke: i44. Bonded Thru Notary Public Undwwdtlrs
Revised on 5/2212009/ Revised on 6/12/09
Nota
Paving Inc. Proposal/Contract
CGC 1513719
TO: p
NAME ' J LL (4 4¢ c C1-C4. c
PROJECT: (�->-kec
NAME:
ADDRESS: ADDRESS: 215- Mkt/ a Z s
PHONE: 1.1„c,d�: QL,,,h.e S
FAX: DATE 2 $ f I $
DESCRIPTION
WE PROPOSE PERFORM ALL MATERIALS, LABOR AND EQUIPMENT NECESSARY FOR THE FOLLOWIG SCOPE OF
WORK: t' n
W i
'LWQLL
sirfry! V c--'
.ire s h u'l V., a.„,,.1 i
ewAAA
The work and performed by the co may result in a lien being placed on the premises described above, in case the owner or contractor default its in any
payment under this contract owner hereby agrees to accept full responsibility for all fences, 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 all 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: Carlos Acost , president.
$ d .
Acceptance of contract
The above prices, specifications and conditions are hereby accepted. You are to do the work as
specified payment will be mad - outlined above.
APPROVED BY:
DATE: U
1463 NE 173 ST N. MIAMI BCH FL 33162
PHONE: 786 2991354 FAX: 305 947 3233
Paving, Inc.
TO: i t Dim Sn care $ t l' 4c PROJECT: 17� �V•QtNE3-
NAME: NAME:
ADDRESS: ADDRESS: Z 1 5 Al 2—
PHONE: J ttXtvv»i SkureS tC 3313$
FAX: DATE Utz$/l 1)
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_ S T 6u40 Ae r`n7 44, SLt1 i vj ckAoreCt bT - $'a yS:
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CARLO ^"r'" PREslDE"'T
tia BARBARO8OBRINO
• 4 MY COMMISSION 9 FF 195634
fl Yra %z•� EXPIRES: February 3, 2019
Bonded Thw Notary Pubic UMenNilprs
5-..-k,D7p a vT c/ Voio7 /Up l,'/,e,
3/z8/
DATE:
By
Miami
Shores
Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 758.8972
Notice to Owner - Workers' Com ensation Insurance
Exem ton
Florida Law requires Workers' Compensation insurance coverage under allows corporate officers in the construction industryexempt Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
obtainingllowsa building to t themselves from this requirement for any construction project prior to
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 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:
O ner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this
ler P C49fc
Z8
,20' v
who is personally known to me or has produced
as identification.
.•. MYBAARO COMMMISSSI Ft95634
W-� �r EXPIRES: February 3, 2019
44 ti Bonded Thw Nutt, pubic Uneanwaers
Miami Shores Village .
W
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N.
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BLRG DEPT I
SUBJECT TO COMPLIAE W�yH ALL
STATE AND COUNTY RULES AND RD
APPROVED
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PROPERTY OF:
Garcia
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tri
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according to the Plat
thereof, as recorded in
Plat Book 10, Page 39
of the Public Records of
Dade County, Florida.
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Marlene 215 N.W. 92nd Street Miami, Florida 33150
A BQIDMARY sun"
t hereby eerily that the survey retie
seined hereon meets the minentpo
iedmid standards set forth by the board
of
Surveyors in chapter
4
FloridaAdministrativepursuant
to
Section visa Fla. Sonars. There are no
enaoadeetents. overlaps, easements
appestats on the Hat. other than as
hereto.shown
IFL raonoma Vomatmamr.nrn4/767
- FWD
LANNES AND GARCIA. INC.
L8.#2098 .
SIsRVEYORS-MAPPERS-LAND PLANNERS
PalI-iESro . E.::E*FiNo5A # 299c,
office addr J59 Alcamo. Avenue. Cora) Gables. Florida JJ 13.t
(305)666-7909 (954)52341663
FIELD DATE
04-tag-00
SCALE
)t= 20'
DRAWN BY
YAct_
.
1111111 11111111U1111L111I11111111111 11111111
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.b$ —Li— 1' `? TAX FOLIO NO. 3/O / 03 3 i ZO o
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
9_ F L+R -701_ 8F_C 1 i a 1 16
OR BK .O91 • Ps 1213 (1Pss)
riUNTY
t, I Space above reserved for use of recording office
1. Legal de cri tion of property and street/address: OC// tQ Shdes CGc G /'t3 /0 �39 N� z Z
LitZ1 3L14 /3S 21S AA/ 42 s1 /�rami SYd'et T4 33 /S6
2. Description of improvemt:
Spa v»Pe al Co,e7cre o l��i✓-Q�=+-)
3. Owner(s) name and address: 2/ S iJ i 92 sf it1.4.Le 6d 7 L 3 3 /$3
Interest in property:
Name and address of fee simple titleholder:
4. Co tr ctor'name, address and hone number: ONO S /0 vhq i`7BG 719 /3S 5/
��s £))73 s� itJ•M• / aek / 3/4 z
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number:
8, In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number:
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTIC
0 COMMENCEMENT.
Signature(s) of Ow/ner(s)' Authorized Officer/Director/Partner/Manager.
Prepared By /, Prepared By
Print Name or ?r14' (/Ct < Print Name
Title/Office
Title/Office Q w t P✓
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
2 v ih�crc Ld l o
The foregq� ng in trument wai'acknowldged before me this day of
By Oft- •' `_l..rC*C—
❑ Individually, or ❑ as for
In'ersonally known, or U produced the following type of identification: r
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above:
By •By
123_01-52 PAGE3 6/12
STATE OF FL,)fl* A COON # C
HEREBY CERNYeNtIr+l' a rYtr oft'x*
fled in this °ekeCR
It 9 AlTaSS/.�
40 +.,; BARBAR$ SOBRINO •
!� MY COMMISSION li FF 19563+4
vs. EXPIRES: February 3, 2019 -_
'+ Banded Thru Notary PubFo Undo/writers,
►f WEY -