PL-19-251Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: PL-02-19-261
Permit Type: Plumbing - Residential
M Work Classification: Septic/Drainfield
Permit Status: Approved
Issue Date:02/06/2019 Expiration: 08/05/2019
Location Address Parcel Number
1080 NE 92ND ST, Miami Shores, FL 33138 1132050270400
Contacts
Guco Holdings Ilc Owner
Juan Cortes
13750 sw 80 ave, Miami, FL 33158
Other:7867185524 amjiri86@gmail.com
ALFONSO SEPTIC CONTRACTOR INC Contractor
JOSE BOLANOS
1391 W 36 ST, HIALEAH, FL 33012
Business:7862514099
Inspection
Description: INSTALL A NEW 1050 GALLONS SEPTIC TANK AND Valuation: $ 4,800.00 Requests:
4949
400 SOFT OF DRAINFIELD
Total Sq Feet: 0.00
Fees
Amount
CCF
$3.00
DBPR Fee
$2.52
DCA Fee
$2.00
Education Surcharge
$1.00
Permit Fee
$168.00
Scanning Fee
$9.00
Technology Fee
$4.20
Total:
$189.72
Payments
Date Paid Amt Paid
Total Fees
$189.72
Cash
02/05/2019 $50.00
Cash
02/06/2019 $139.72
Amount Due:
$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 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 contractor to do the work stated.
thorized S nature: Owner / Applicant / Contractor / Agent Date
February 06, 2019 Page 2 of 2
DECEIVED
Miami Shores Village F B 05 2019
Building Department BY: '`�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 l
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20 k�
Master Permit NoTu Gf` 215\
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: !O 80 N 6 q L STD
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11
--R 20S�-02-7 ^ V YD0 Iss}the
�Building Historically Designated: Yes NO �K
Occupancy Type: �— Load: Construction Type: RePA(� Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Q" 0 "00-kQI14G Phone#:
Address: j o b O NC q tr j �g j.
City: jyq/a-w
Gl4o, -,eS State: f Lb Al OA
a
33i3b
Tenant/Lessee Name: Phone#: j Email: UA h CO SpC -3 1tj • CO(YI
CONTRACTOR: Company Name: ca Mde)Afl 1AeTDh Phone#: 78&. ZSr-`lo99
Address:
City: State: /'/p Zip:
Qualifier Name A a Phone#: 78G� 5l �fbCt
State Certification or Registration #: SR, DT712.7G Certificate of Competency #: G4 Q 1-7 1 q .2 %
DESIGNER: Architect/Engineer: Phone#:
Address: 9 City: State: Zip:
Value of Work for this Permit: $ 10 Ov Square/Linear Footage of Work: YW
Type of Work: ❑ Addition Alteration ❑ New F2!q Repair/Replace ❑ Demolition
Description of Work: I K,15 ( 641 IA Ne w (U I CJ aL\k o NS S ? k-A i P `1 A P/Z P� tih
1/00 -o /`(" Or ter e-
(cif
Specify color
��o/f��color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
..a-s-..+..s- a .yew. ...w•-.,:.rrr..--r....w...n
P, _.7
ItV ¢
•'! • '
Notary $
Double Fee $
Bond $ S OO ' (Do
TOTAL FEE NOW DUE $ 13�i •�Z
(Revised02/24/2014) C 3(�I'' --� Z
i
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
WE
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 a 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 reinspection fee will be charged.
Signature lV Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Qtt2 day of re 20, by
ro(qCd-S who is personally known to
me or who has produced Y e^':�0 1\ R 1 %W L-- as
identification and who did take an oath.
NOTARY PUBLIC:
CONTRACTOR
foregoing instrumenF-k-
as acknowledged before me this
-1Mr day of 20 I by
IDS -A,- q\AD S who is pers pally known to
m or who has produced Y�y I rr as
identifi
NOTARY PUBLIC:
Sign: Sign: \
Print: Print:
S ',••••�-•._ J0SEBOLAN09 Seal:
'� IIIYONtt302�1�57
.r EVMOd"8,210
******** ********************
APPROVED BY ��/g Plans Examiner
Structural Review
did to
MY COMMISSION i FF 214MI
**********
Zoning
Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3205-027-0400
Property Address:
1080 NE 92 ST
Miami Shores, FL 33138-2933
Owner
GUCO HOLDING LLC
Mailing Address
2700 SW 3 AVE 2F
MIAMI, FL 33129 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,314 Sq.Ft
Living Area
1,813 Sq.Ft
Adjusted Area
2,002 Sq.Ft
Lot Size
8,802.5 Sq.Ft
Year Built
1949
Assessment Information
Year
2018€
2017
2016
Land Value
$316,890`
$316,890
$295,060
Building Value
$150,150
$139,339
$139,339
XF Value
$0
$0
$0
Market Value
$467,040
$456,229
$434,399
Assessed Value
$467,040
$433,802
$394,366
Benefits Information
Benefit
Type
2018
2017
2016
Non -Homestead Cap
Assessment Reduction
$22,427
$40,033
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
BAY LURE PB 44-63
LOT 1 BILK 3
LOT SIZE 70.420 X 125
OR 16863-0603 0795 1
COC 26334-2631 02 2008 6
Generated On : 2/5/
Taxable Value Information
2018
2017
2
County
Exemption Value
$0
$0
Taxable Value
$467,040
$433,802
$394.
School Board
Exemption Value
$0
$0
Taxable Value
$467,040
$456,229
$434
City
Exemption Value
$0
$0
Taxable Value
$467,040
$433,802
$394.
Regional
Exemption Value
$0
$0
Taxable Value
$467,040
$433,802
$394
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
30874-
02/16/2018
$520,000
Qual by exam of deed
0107
26594-
09/26/2008
$360,000
Sales which are qualified
0575
26334-
02/01/2008
$310,500
Other disqualified
2632
26334-
Sales which are disqualified as a rest
02/01/2008
$0
2631 1
of examination of the deed
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 Appra
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp
h,ttps://www.miamidade.gov/propertysearch/
2/5/2019
Detail by Entity Name
Page 1 of 2
Florida Department of Slate
I%# ,li I!.ii'3 di brg I :i /.�
it�, ,aLri, �yai �i7�N{•.�;i ,'� t r t ,,:'fr+raNr
Department of Stale / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
GUCO HOLDING LLC
Filina Information
Document Number
L17000110818
FEI/EIN Number
82-1580988
Date Filed
05/18/2017
State
FL
Status
ACTIVE
Last Event
LC AMENDMENT
Event Date Filed
09/27/2017
Event Effective Date
NONE
Principal Address
2700 SW 3 Avenue
Suite #2F
MIAMI, FL 33129
Changed: 02/19/2018
Mailina Address
2700 SW 3rd Avenue
Suite #2F
MIAMI, FL 33129
Changed: 02/19/2018
Registered Agent Name & Address
EPGD ATTORNEYS AT LAW, P.A.
2701 PONCE DE LEON BLVD.
202
CORAL GABLES, FL 33134
Authorized Person(s) Detail
Name & Address
Title MGR
CORTES, CARLOS
2700 SW 3 AVENUE,
SUITE #2F
MIAMI, FL 33129
DIVISION OF CORPORATIONS
http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/5/2019
Detail by Entity Name
Page 2 of 2
Title MGR
CORTES, JUAN
2700 SW 3 AVENUE,
SUITE #2F
MIAMI, FL 33129
Title Manager
Gutierrez, Nicolas
Carera 18 #94-30
Apt. 502
Bogota, Colombia 110221 CO
Annual Reports
Report Year Filed Date
2018 02/19/2018
2019 02/04/2019
Document Images
02/0412019 -- ANNUAL REPORT View image in PDF format
02/19i2018 -- ANNUAL REPORT View image in PDF format
C5271117...--_LL',_Amendmelit View image in PDF format
W1812017 -- Florida Limited Liability View image in PDF format
--;d. JePa:-mien: of S-W--% ";'—" of Co'PoraV—
http://search. sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/5/2019
Alfonso Septic Contractor, INC.
1391 West 36 Street
Hialeah, FL 33012
Alfonsoseptic@gmaii.com
Date: November 2, 2018
State of Florida
County of Dade
Before me this day personally appeared Jose Bolanos who, being duty sworn,
Deposes and says:
That he or she will be the only person working on the project located at:
1080 NE 92 ST Miami Shores FLA.
Contract r Signature
Sworn to (or affirmed) and subscribed before me this
by b 0 V�i1D S
QJ
Personally Know
OR Produced Identification
Type of Identification Produced y4x Ai
)ta ry
U
YANAD7FF
MY COMMISS31
EXPIRES: M9
Bonded Th. NotwriteR
I s+ day of �Ib_.20_tq,
Notice to Owner - Workers' Corn
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation Insurance Exemation
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 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:"•"`--4—''
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of YLCC?7A , 20.
BY_ �% A ti LA r&A Te who is personally known to me or has produced
as identification.
Notary:
JOSE BOLA"
SEAL: +$` , .� MYC0W1S"IGG23147
sx EXPIRES: O*W 8, 20n
w
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (Guco Holding LLC)
PERMIT #: 13-SC-1919519
APPLICATION # : AP 1 394809
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1200447
PROPERTY ADDRESS: 1080 NE 92 St Miami, FL 33175
• • • •
• • ••••
••••••
LOT: 1 BLOCK: 3 SUBDIVISION: ••.' ••
•
•
[SECTION, TOWNSHIP, RMG% O'1?ARCEL NUMER]
PROPERTY ID #: 11-3205-027-0400
•••••• •
•
[OR TAX ID NUMBER]
•
••••••
•••• •
•••
•-- • • •
• •
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND" ',4RNDARDS• OQF
•#NOT:
SF44*040
381.0065, F.S., AND CHAPTER 64E-6, F.A.C.
DEPARTMENT APPROVAL OF SY9TEM'•DOES GUARAiZ=e
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC
PERIOD OF TIME. ANY CH.4Nn-:IN MATHRIAL
FACie
WHICH SERVED AS A BASIS FOR ISSUANCE OF
AAN
THIS PERMIT, REQUIRE THE PPLICT •TO 'MODIFY••Aii&
PERMIT APPLICATION. SUCH MODIFICATIONS MAY
••••••
RESULT IN THIS PERMIT BE :NG, VDE NML AND
•VOID.•
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT
••••••
THE APPLICANT FROM COMPLIANCL *ITH :OTRNR FEDERAL,•
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. ••••
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD NEW Septic Tank CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 400 ] SQUARE FEET NEW Drain Field in Bed Co SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ I—
N
F LOCATION OF BENCHMARK: FFE11.38
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00p ] [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE r 5L p [ INCHES/ FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCA TION REQUIRED: [ 46.001 INCHES
1.- Install a NEW 1050 gal. septic tank with an approved filter
0 2.- Install a NEW 400 sf. of drainfield in ... BED... configuration. REPAIR PERMIT
T 3.- Install 12" of slightly limited soil at the bottom of the dpinfield.
4.- Invert elevation and Bottom of drainfield to be no.less than 7.31 - &.6:81 ' NGVCFr &city HEALTH h1IAMI-DADE COUI
H THIS PERMIT IS NOT FOR ANY ADDITIONS. / NOT VALID FOR ADDITI®
E
R......................................................r...�........................................................................................
SPECIFICATIONS BY: Alfozy§o/eptW. TITLE:
APPROVED BY:
c
DATE ISSUED: 01/29/2019
TITLE: OPS ENVIRONMENTAL SPECIALIST III
DH 4016, 08/09 (Obso1 tes all previous editions which may not be used)
Incorporated: 64E�6 003, FAC
Dade CHD
EXPIRATION DATE: 04/29/2019
v 1.1.4 AP1394809 SE1150183
Page 1 of 3
DOCUMENT #: PR1200447
13(3)(f)
6.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption trench.
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
gpd.
Required drainfield area based on rule 64E-6.015(6)(c)2.
Install a new drainfield to achieve Drainfield size requirement.
....
....
. .
....
....
.....
......
. ...
.....
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. ••
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty-one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency
Clerk's facsimile number is 850-413-8743.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order will ....
constitute a waiver of your right to an administrative hearing, and this order shall be:on3e ja 'final • • • • •
• • • • •
order'.
Should this order become a final order, a party who is adversely affected byjt LS;;titled • •
• • • • • •
to judicial review pursuant to Section 120.68, Florida Statutes. Review proceeding % of* 0 • • * 0
:' • •':
• • •
governed by the Florida Rules of Appellate Procedure. Such proceedings may be cdfiMenced • • • •
• •; • •
by filing Notice Appeal with the Agency Clerk of the Department of•Oea�tA and e : •:
•
•' •' •
one copy of a of .. ... .
second copy, accompanied by the filing fees required by law, with the Court of App;;L irL.the
......
• •
appropriate District Court. The notice must be filed within 30 days of rendition of the final -*order•
....:.
r j 4
—j-erMn-7kppu0auon nrumner
-
--------------------------PARTII-SITEPLAN----------------------
;ale: Each block re resents 10 fleet and 1 inch = 40 feet.
NO 1f l l NI
Tru
Cxit S...,., , ,. > > .
:e Plan SUM
an Approved.
- Date r-:�-r-�-
County Health Departr
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Page
4015, 10/96 (Replaces HRS-H Form 4016 which may be used)
)ck Number: 5744-002-4015-6)
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PLUMBING PLANS
Approve*" Date�ls/g
r,, PlInnoved Date
DIVISION Of
•• Environmental Health
Florida Health *A
O Miami -Dade County O
eQ� OSTDS/Well Division �z
11805 SW 26th Street • Miami, FL 33175
Inspector %tItm- �AL�3� N�'Date .-
Address /o eo L/C ' L ,;—OSTDS # /� r- 3i 4602
Comments:
Signature