PW-19-2003Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
i
-i
Issue Date: 09/09/2019
Location Address Parcel Number
1335 NE 105TH ST, Miami Shores, FL 33138 1122320270070
Contacts
Permit NO.: PW -08-19-2003
Permit Type: Public Works
Work classification: Public Works
Permit Status: Approved
Expiration: 03/09/2020
Description: SIDEWALK REPAIR Valuation: $ 3,160.00 Inspection Requests:
305-762-4949
Total Sq Feet: 310.00
.j �
Fees
CASA FAWAZ LLC Owner
16748 NW 8 ST, Pembroke Pines, FL 33028
ONE STOP PAVING Contractor
CARLOS M ACOSTA
1463 NE 173 ST, N MIAMI BEACH, FL 33162
Business: 7862991354 carlosmarcia@yahoo.com
$0.80
Public Works Permit Fee
$100.00
Description: SIDEWALK REPAIR Valuation: $ 3,160.00 Inspection Requests:
305-762-4949
Total Sq Feet: 310.00
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Fees
Amount
Education Surcharge
$0.80
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$112.30
Payments
Date Paid Amt Paid
Total Fees
$112.30
Check # 2648
09/09/2019 $112.30
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 constfuction anqzerMng. Futhermore, I authorize the above named contractor to do the work stated.
I
Owner / Applicant / Contractor / Agent
September 09, 2019 Page 2 of 2
TQAU C
Miami Shores Village
I Public Works Department
(305)795-2210 BY:
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 nn
Permit#:_Pini- 08- (9- L-�� ,1103
Name of Applicant (if utility see below): J-0541. k -Face -2-
Owner
ZOwner off the following described property:
Legal Description: Lot lo- A Block Subdivision A AfCO
Folio#; 1( )a3r) OQ4 Uo--to
Address: 1335 4.JI F (05 5 . 3%6re S 'F( 3-3(-315
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
Email:
State:
ZIP:
Certificate of Competency #
CONTRACTOR NAME: UvAe V1
Qualifier/Authorized Agent: ear18--.. CkCGS
Address: 144 (oS OJ U 1-4'3 SI
City: U .0.4 _ State: F ( ZIP: 33 ( 6c�
Telephone: Co ;I9 13 N Email: Cae (0-S S YYl a rC 0. C d ✓�
State Certification or Registration #: L UG 151311 J Certificate of Cohipetency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: St�_e¢'A kk G.
Type of Work: ❑
Paving
❑
Utility
�( Sidewalk ❑ Electric ❑ Irrigation
❑
Landscape
❑
Antenna
n Other:
DESIGNER: Architect/Engineer:
Address:
Citv:
Telephone:
Registration #:
State:
Email:
ZIP:
Value of Work for this Permit: $ :51 (e 0 Square/Lineal Footage of Work: 31 O S F
***** Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ (Z 30
2019
aL, -
Bonding Company's Name (if applicable;:
Bonding Company's Address.
City:
State: ZIP:
Application is hereby made to obtain a public works permit to clo the work in the right of way
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 ail laws, regulation construction in
this jurisdiction. I understand that separate permits must be secured ;or
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
right-or`-way,in the
"WARNING TO APPLICANT: YOUR FAILURE TO .'RECORD A NOTICE OF COM IMENCEMENT MAY RESULT iN
YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. IF YOU INTEND TO OBTAlit9
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 tnrorks permit is issued. to the
absence ofsuch posted notice, the inspection will not be approved and a reinspection will be charged.
Signature
Applicantar Authorized Agen
The foregoing instrume tnvas actin wledged before
Mathis —>}> �- da;*f OA AJ Lt L 201) by
73 Int i~GC C � � Ct -t—
who
Gersonaaty known o me or V.Jh o has produced
identification.
as
Signature `
Company/Utility Agent
The foregoing insrrume/A/�t�teas ack awledged before
rhe=i'�sr�ldayAf rM1. U5 r,
( 2 by
is personally I:nr 'Produced
--tv`ro
�w:n t3 .re or who has produced
identification.
�,
Sign: tn7
f-----_._� Sign: Q�,c
Print: U!or '� S� r � ►�
SEAL: Prim: r
:!""igi�; BARBAROSOBRINO SEAL:
:i: MY COMMISSION ale GG 296168
P
EXPIRES: February 3, 2a>Z3 ; +RS'' :; LWJBAR0 508RIN0
M:°� `, BOrlded Thr„ NOtary PubAC WdBIM9NB1f - MY COMMISSION # GG 296166
EXPIRES: Fetxuary 3, 2023
. °` Bonded 7 ru Notwy tt U,4
APPROVED BY:
Public Works Director, or Designee
20-7-04-15
STATE OF (FLORIDA)
COUNTY OF (DADE)
Miami Z036hores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
The undersigned Affiant,,Jb FXW C(t , does hereby attest that
(Property owner)
The attached survey, performed by L a.,n0 e 5 O.KC1 Gare A In
(Name of surveyor's company)
For address: _[bas- _'UL5"1 ". 5116k -e5 P 0 313
Performed on (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
struct es may affect final inspections as applicable to this or other permits.
Furth iant say eth naught.
Property caner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this day of ;�d �� . a o ( `)
Affiant is personally known to me, produced
Revised on 5WJ26091 Revised on 6/12109
SAR"RO SMINO
MYCOMUIS M M 296168
SGIES: FOWU ry 3, 2023
identification.
One
,—,U-jPaving Inc.
TO: PROJECT:
NAME: NAME:
ADDRESS: ADDRESS:
PHONE:
FAX: DATE
URBAROSOMO
MYCOWASSIONOGGN296M
EVMS: Fakuary 3,2023
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DATE: v / � 9/�
URBAROSOMO
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EVMS: Fakuary 3,2023
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This property deosstribed as:
Tht East 60 feet of Lot 6-A and the
West 20 feet of Lot 7-A of
ANCO SUBDIVISION,- according to the
Plat thereof, recorded in Plat Book
7-A
53, Page 54, -9-A
.\X
of the Public Records
of Dade County, Florida.
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PROPERTY OF: 1335 N.E. 105th Street, Miami S res,lorida 3313
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Attorneys' Title Insurance Fund, Inc.;
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America, N.A., its successors and/or
assigns.
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Warnock, Todd C.,
PROPERTYOf:.• •..:_. 1335 N.E. 105th Street, Miami Shores, Florida
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Miami hores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2201
Fax: (305) 756.8972
=%04-w L%O vvv Rul — .V%j«G1* �urr>,pensaiion insurance txemotion
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.0
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 Iiability company members are
allowed to be exempt. Constriction 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: _
State of Florida
County of Miami -Dade
A'e r
The foregoin; %vas acknowiedQe before me this _� day of 0S� 20-In-
By- QrLs (�_co' n who is personatly known to me or has produced
as identification.
Notarv:— _ _—_-- " �11'COMMISSIESOBPJNO
296168
.; .;
EXPIRES: fet2023SEAL: — -°s^°•'•8aidedTtwt�otarydemfts
Flonda Department of State
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00 al � fol pifirud ;—,Ire fitEloridd ss ?Ine
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
CASA FAWAZ, LLC
Filing Information
Document Number
L18000142887
FEI/EIN Number
N/A
Date Filed
06/11/2018
State
FL
Status
ACTIVE
Principal Address
16748 NW 8TH STREET
PEMBROKE PINES, FL 33028
Mailing Address
16748 NW 8TH STREET
PEMBROKE PINES, FL 33028
Reaistered Aqent Name & Address
FAWAZ, JOSEPH
16748 NW 8TH STREET
PEMBROKE PINES, FL 33028
Authorized Person(s) Detail
Name 8r Address
Title MGRM
FAWAZ, JOSEPH
16748 NW 8TH STREET
PEMBROKE PINES, FL 33028
Title MGRM
FAWAZ, GABRIEL
16748 NW 8TH STREET
PEMBROKE PINES, FL 33028
Title MGRM
FAWAZ, GEORGES
16748 NW 8TH STREET
PEMBROKE PINES, FL 33028
DIVISION OF CORPORATIONS
Annual Reports
Report Year Filed Date
2019 04/09/2019
Document Images
04/09/2019 —ANNUAL REPORT I View image in PDF format
06/11/2018 — Florida Limited Liability View image in PDF format
Florida Department of State, Division of Corporations
OFFICE OF THE PROPERTY APPRAISE''
Summary Report
Property Information
Folio:
11-2232-027-0070
1335 NE 105 ST
Miami Shores, FL 33138-2135
Property Address:
Owner
CASA FAWAZ LLC
16748 NW 8 ST
PEMBROKE PINES, FL 33028 USA
Mailing Address
PA Primary Zone
3000 MULTI -FAMILY - GENERAL
0803 MULTIFAMILY 2-9 UNITS:
MULTIFAMILY 3 OR MORE UNITS
Primary Land Use
Beds / Baths / Half
6/6/0
Floors
2
Living Units
4
Actual Area
Sq.Ft
Sq.Ft
Living Area
4,002 Sq.Ft
Adjusted Area
8,000 Sq.Ft
Lot Size
Year Built
1959
Assessment Information
Year
2019
2018
2017
Land Value
$160,000
$128,000
$124,000
Building Value
$310,322
$342,322
$295,475
XF Value
$0
$0
$0
Market Value
$470,322
$470,322
$419,475
Assessed Value
$470,322
$320,6691
$295,158
Benefits Information
Benefit
Type
2019
2018 2017
Save Our Homes Cap
Assessment Reduction
$50,000
$65,832 $54,184
Non -Homestead Cap
Assessment Reduction
$270,6691
$83,821 $70,133
Homestead
Exemption
$0
$25,000 $25,000
Second Homestead
Exemption
$470,322
$25,000 $25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
32 52 42
ANCO SUB PB 53-54
E60FT LOT 6-A 7 W20FT OF
LOT 7-A
LOT SIZE 8000 SQ FT
Generated On : 8/28/2019
Taxable Value Information
2019
2018
2017
County
Exemption Value
$0
$50,000
$50,000
Taxable Value
$470,3221
$270,6691
$245,158
School Board
Exemption Value
$0
$25,000
$25,000
Taxable Value
$470,322
$379,490
$340,291
City
Exemption Value
$0
$50,000
$50,000
Taxable Value
$470,322
$270,669
$245,158
Regional
Exemption Value
$0
$50,000
$50,000
Taxable Value
$470,322
$270,669
$245,158
Sales Information
Previous
OR Book -
Price
Description
Sale
PageQualification
Qua[ by exam of deed
06/30/2018
$690,000
31113-0239
Deeds that include more than one
01/01/2005
$515,000
23006-4179
parcel
Deeds that include more than one
09/01/2000
$255,000
19345-4954
parcel
Deeds that include more than one
12/01/1983
$150,000
12003-3014
parcel
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: