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PW-19-2593Location Address Parcel Number 85 NW 103RD ST, Miami Shores, FL 33150 1121360131080 Contacts DM INVESTMENT SERVICES LLC Owner CHAMPION CONCRETE Contractor 85 NW 103 ST, MIAMI SHORES, FL 33150 JAIME BASILIO Other: 7864735959 10280 NW 63 TER 105, DORAL, FL 33178 Business: 3052528055 jaimechampion@yahoo.com Other: 7864024802 Description: REPLACE 4 BROKEN SQUARE SIDEWALK Valuation: $ 1,000.00 Inspection Requests: 305-762-4949 Total Sq Feet: 100.00 Fees Permit NO.: PW -10-19-2593 Miami Shores Village Permit Type: Public Works 10050 IJE 2 Ave Miami Shores FL 33138 Work Classification: Publlic Works 1�q 305-795-2204 Permit.Stotus: Approved Technology Fee Issue Date: 11/13/2019'Expiration: 05/11/2020 Location Address Parcel Number 85 NW 103RD ST, Miami Shores, FL 33150 1121360131080 Contacts DM INVESTMENT SERVICES LLC Owner CHAMPION CONCRETE Contractor 85 NW 103 ST, MIAMI SHORES, FL 33150 JAIME BASILIO Other: 7864735959 10280 NW 63 TER 105, DORAL, FL 33178 Business: 3052528055 jaimechampion@yahoo.com Other: 7864024802 Description: REPLACE 4 BROKEN SQUARE SIDEWALK Valuation: $ 1,000.00 Inspection Requests: 305-762-4949 Total Sq Feet: 100.00 Fees Education Surcharge Public Works Permit Fee Scanning Fee ]Am Technology Fee Total: Payments Date Paid Amt Paid Total Fees $111.70 Cash 11/13/2019 $111.70 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 abbve named contractor to do the work stated. Authorized Signature: Owner / Appiicant / Coiticaoor / Agent Date November 13, 2019 Page 2 of 2 ` 41 �� 0 i 2 9 ZB 19 Miami Shores Village Public Works Department y (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 �c Permit#: W— IQ_I 14J "'2S- 3 Name of Applicant (if utility see below): H'-'eyV) J)'1'VW1P& Owner off the following d ri/bed property: Legal Descri tion: Lot l �O Blo Subdivision Folio #; y - �-1 % %, 3 Address. J , _ ya h ""?hp r l <7 UTILITY NAME: Qualifier/Authorized Agent: Address: City: Telephone: State Certification or Registration #: State: ZIP: Email: Certificate of Competency # CONTRACTOR NAME: 44- )w Qualifier/Authorized Agent: 17 Address: City: V Q State: ZIP: Telephone: Y051 Email: �► ° -Q.ri State Certification or Registration #: Certificate of Competency Requests perm is ion to install (describe way: 2 %l14C12 GQ attach separate page if necessary) jA the adjoining right of Type of Work: ❑ Paving ❑ Utility 0<1clewalk ❑ Landscape ❑ Antenna ❑ Other: _ DESIGNER: Architect/Engineer: Address: Citv: Telephone: Registration #: State: Email: ❑ Electric ❑ Irrigation ZIP: Value of Work for this Permit: Ot,000.' Square/Lineal Footage of Work: 1nb sr ***** Fees ***** Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ Bond $ (if required) Total Fee Now Due $ 1 ( k . --�O X, 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. 1 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 subjectr�lIto the attachment. Also, a certified copy of the recorded notice of commencement must be poste glat the job site for the first inspection which occurs seven (7) days after the public works permit is issu d. In the absence of such posted the inspection will not be approved and a reinspection will a charged. Signature Ap6ff64 or Authorized Agent The foregoin i strument was ackno edged before me this 20 /9- by who is personally know - o me or who has produced as identification. Sign: ll , Print: SEAL: APPROVED BY: 2017-04-15 Signature z _ Comp ny/Utility Agent The foregoing instrumnt was acknowledged b fore me this day o �i 20I by KDO �S( tA 0 who is ersonally known to me or who has produced K—� Q l VF�2 UL S rd as identification. Sign: Print: SEAL: MARIA M RODRIGUEZ E,e Commission N GG 42126 SINDIA ALVAREZ MyCOIAWSSION # GG 238273My Commission Expires October 25 2020 �Cq" EXPIRES: September 3, 2022 ******************* BondEd7hruNotaryPublictlr..derwriters tN 11 U f ,J, ld ), Public Works Director, or Designee OR heti I E 66__. LAST PAGE Miami Shores Village Building Department 1005.0 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (ownerhereinafter refe ed to as the owner of the following desc ibe property (a ress): 5 MLJO STOW . 33 Q_'�) Legal Description S&--- 5 F810 -y 4 Lot iS 1 Block i Z Subdivision �C,S Folio # I - Z I .�, - 0J3-1030 Requests permission to install (describe work): (O0 5�R 4 ' s'*U) t (V_. Within the public right of way of (address) E5S nco iO3 sT tGt i 9 33 t IM IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Florida by the Village Manager of 11 fmi Shores Village (or his fully authorized representative). Signature Owrier or Agent instrument is personal as,4djKntification arM vft did NOTARY PUBLIC: Sign: Print: My Commission E pires: ire me this ZIE day of ,dZ�6'-4" , 20 /j_, by to me or who has produced s; MAYRA FER Ty F i11':; N`;•DADE � y ��� i office .-------' e^writers , AD 20___"_.._ NflTN SY hand an f icia �ai• ^ ov . WIN. Cier f Cir and Co ty Coins BRAZIL 062588 Property Search Application - Miami -Dade County Page 1 of 1 Well ,. OFFICE OF TH WERTY Summary Report Property Information Folio: 11-2136-013-1080 Property Address: 85 NW 103 ST Miami Shores, FL 33150-1233 Owner DM INVESTMENT SERVICES LLC Mailing Address 5171 SW 170 AVE MIRAMAR, FL 33027 USA PA Primary Zone 0800 SGL FAMILY -1701-1900 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area Sq. Ft Living Area Sq. Ft Adjusted Area 1,919 Sq.Ft Lot Size 12,858.8 Sq. Ft Year Built Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value $290,162 $276,690 $276,690 Building Value $1,274 $1,274 $127,396 XF Value $449 $449 $449 Market Value $291,885 $278,413 $404,535 Assessed Value 1 $291,8851 $278,413 $264,568 Benefits Information Benefit Type 2019 2018 2017 Non -Homestead Cap Assessment Reduction Taxable Value 1 $291,885 $139,967 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 5 PB 10-47 LOT 15 & 16 BLK 124 LOT SIZE 105.400 X 122 OR 12746-1065 1285 1 Generated On : 10/29/2019 Taxable Value Information Previous 2019' 20181 2017 County Exemption Value $0 $0 $0 Taxable Value 1 $291,885 $278,413 $264,568 School Board Exemption Value $0 $0 $0 Taxable Value $291,885 $278,413 $404,535 City Exemption Value $0 $0 $0 Taxable Value 1 $291,885 $278,413 $264,568 Regional Exemption Value $0 $0 $0 Taxable Value 1 $291,885 $278,413 $264,568 Sales Information Previous OR Book- Price Qualification Description Sale Page 07/26/2017 $310,000 30632-2922 Qual by exam of deed Atypical exposure to market; atypical 07/19/2017 $190,000 30624-1545 motivation 12/01/1985 $72,500 12746-1065 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://www8.miamidade.gov/Apps/PA/propertysearch/ 10/29/2019 Detail by Entity Name Detail by Entity Name Florida Limited Liability Company DM INVESTMENT SERVICES LLC Filing Information View image in PDF format Document Number L12000022996 FEI/EIN Number 45-4576851 Date Filed 02/16/2012 State FL Status ACTIVE Principal Address 5171 SW 170TH AVE. MIRAMAR, FL 33027 Mailing Address 5171 SW 170TH AVE. MIRAMAR, FL 33027 Registered Agent Name & Address JIMENEZ, HEYDY 5171 SW 170 AVE. MIRAMAR, FL 33027 Authorized Person(s) Detail Name & Address Title MGR JIMENEZ, HEYDY 5171 SW 170 AVE. MIRAMAR, FL 33027 Annual Reports Report Year Filed Date 2017 03/01/2017 2018 03/16/2018 2019 03/30/2019 Document Images 03/301201_-...._ANNUAL._REP.QRT View image in PDF format 03/16/2018 -- ANNUAL REPORT View image in PDF format 03/01/2017 -- ANNUAL. REPORT View image in PDF format C2!25iLU.16 -- ANNUr1L_(2E€?OH_7'. View image in PDF format 02/19/2015 — ANNUAL REPORT View image in PDF format 03/29/2014 - ANNUAL REPORT View image in PDF format 02125/2013 -- ANNUAL REPORT View image in PDF format 02/16/2012 -- Florida Limited Liabilily View irnaye in PDF formai Page 2 of 3 http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entit... 10/29/2019 w.15 ALL— ... 1..... . T' ASPHALT PAW.UENT:..'.. MIAMI SHORES SECT/ON �5 R. B.: ) © RC.. 47 ........... _ ELV.. 706 O\ y �'.°. FOUND 1 "0 IRON PIPE ID CAP OR DISK IDENTIFICATION 105.35(R) N 89°24'03" W(M) INERHEAD POWER LINE IP IRON PIPE ELV. 10.4'\ WATER LINE IRC IRON REBAR 0 CAP /--------/-- Q A J N tOp• GRASS NATIONAL GEODETIC VERTICAL DATUM BEARING BASE ON AN ASSUMED MERIDIAN DUE CHAIN LINK FENCE P.B. PLAT BOOK N CENTER LINE P.G. PAGE U 2",l 1 RECORDED CBS CONCRETE BLOCK AND STUCCO R.D.V. • g ELEVATION 22.0. 8.9 . FENCE OWNERSHIP NOT DETERMINED .... .. .. RAULTIIA -------------------------- H6 Lu GRASS STATE OFFLORIDA 14612 S.V. 52Gd STREET MIAMI, FLORIDA 33175 PHONE, 786-975-8588 NOT VALID WITHOUT THE SIGNATURE AND THE ELECTRONIC SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER SCALE SHEET NUMBER C4 SLA R- .� FIELD JOB DATE AUG.29 2017 FILE NAME 85 NIN 103 ST MIAMI SNORES FL 33750 �0 ... 17.4''// • . ... Z � 25.1' i= Q .:a...:.':'::'.r ': .': :I' corrc.// ONE STORY / FOUND 1 "m -t 0. 2' 1101 PIPE T /ELV. 10.3' CHAIN LINK FE 4' HEIGHT W: :{:'::!' ' ' // RESIDENCE / 24.3' NO. 85 Zr-' ELV. 10.2'/ CHIMNEY N/ ...:....... 19.2 ... (j(j. .. ]]LES IO j .. .'. �r. .'. .'..'. .'..'. FOUND I"0 CRASS V ..('\... .. :..:.'.:. IRON PIPE i ELV. 10.1' d. FOUND 1-0 F{ N 1 �r, IRON PIPE 7, CONCRETE ORNAMENTAL O.2' WALL 0.7' W 5'T07'HT 14.6' \ELV. 10.1' GRASS ..( [] 105.40'(R) N89-2239"W(M) MRL ND. -e i. SCONC.SlOf1VALK e T "* ' K�. • " IRON /P£ : e .. ... ...... . ... ... ..... 7 I "P PIPE 1n/03_..... '......... '1�1). .'..... AAM+! -W :103rd:�STREET� g ............. .... _..... ....... .. A ASF' LT V. _.: IDA.D. .:.... ... /� r�T RFF��1 0 V E[7fi�t' .... ... AFL ..... Q.I'....... ... BLDG DEPT I I r e suBJEJOT 10 CCNlPLPN` CE WI rH ALLYE ' I STATE ANo CCIj I'f r3LJLS AND REGULATIONS ■RRRRI11m 111■ ai r FLOOD ZONE INFO: ZONE X MAP No. 12086C0302 SUFFIX L FIRM INDEX DATE -09111109 LEGEND � h Wj1'z ti Z c)p ID CAP OR DISK IDENTIFICATION I INERHEAD POWER LINE IP IRON PIPE PROPERTY ADDRESS: 85 NV 103RD ST, MIAMI WATER LINE IRC IRON REBAR 0 CAP /--------/-- Q L.B. J CONCRETE ORNAMENTAL O.2' WALL 0.7' W 5'T07'HT 14.6' \ELV. 10.1' GRASS ..( [] 105.40'(R) N89-2239"W(M) MRL ND. -e i. SCONC.SlOf1VALK e T "* ' K�. • " IRON /P£ : e .. ... ...... . ... ... ..... 7 I "P PIPE 1n/03_..... '......... '1�1). .'..... AAM+! -W :103rd:�STREET� g ............. .... _..... ....... .. A ASF' LT V. _.: IDA.D. .:.... ... /� r�T RFF��1 0 V E[7fi�t' .... ... AFL ..... Q.I'....... ... BLDG DEPT I I r e suBJEJOT 10 CCNlPLPN` CE WI rH ALLYE ' I STATE ANo CCIj I'f r3LJLS AND REGULATIONS ■RRRRI11m 111■ ai r FLOOD ZONE INFO: ZONE X MAP No. 12086C0302 SUFFIX L FIRM INDEX DATE -09111109 LEGEND $C;[J♦7VIfARIw S�JRVEY LEGEND AND ABBREVIATIONS GAS LIRE ID CAP OR DISK IDENTIFICATION - 911141.11101 INERHEAD POWER LINE IP IRON PIPE PROPERTY ADDRESS: 85 NV 103RD ST, MIAMI WATER LINE IRC IRON REBAR 0 CAP /--------/-- WOOD FENCE L.B. LICENSE OF BUSINESS S -----S----- SEVER LRE NGVD NATIONAL GEODETIC VERTICAL DATUM BEARING BASE ON AN ASSUMED MERIDIAN DUE CHAIN LINK FENCE P.B. PLAT BOOK E CENTER LINE P.G. PAGE BM BE MARK R RECORDED CBS CONCRETE BLOCK AND STUCCO R.D.V. RIGHT OF WAY ELEV. ELEVATION SOF SDUARE FOOT $C;[J♦7VIfARIw S�JRVEY •♦• •r. - 911141.11101 ♦ 48 ` •SAJ V 4(1'L`. ES +•• •• PROPERTY ADDRESS: 85 NV 103RD ST, MIAMI SHORES, FL33150 LEGAL DESCRIPTION: LOT 15 AND 16, BLOCK 124, AMENDED PLAT OF SECTION No 5, OF MIAMI SHORES, A SUBDIVISION ACCORDING TO THE PLAT THEREOF RECORDED AT PLAT BOOK 10, PAGE 47, IN THE PUBLIC RECORDS OF MIAMI -MADE COUNTY, FLORDA. SUBJECT TO EASEMENTS,RESTRICTIONS AND RESERVATIONS. LEGAL NOTES: BEARING BASE ON AN ASSUMED MERIDIAN DUE N 89'2239' V ALONG THE SOUTHERLY LINE OF SAI DPROPERTY, DEFINED BY THE TWO FOUND IRON PIPES. ELEVATIONS SHOWN ARE BASED IN N.G.V.D. 1929 VERTICAL DATUM EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. LEGAL DESCRIPTIONS PROVIDED BY CLIENT. UNDERGROUND ENCROACHMENTS, IF ANY, ARE NO SHOWN. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR FOUNDATIONS AND/OR UNDERGROUND IMPROVEMENTS OF ANY NATURE. THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES. FOR TXOSE PURPOSES A TOPOGRAPHIC SURVEY IS REGUIRED. FENCE OWNERSHIP NOT DETERMINED CERTIFY TO, JLELIAN II LLC. RAULTIIA -------------------------- LAND SURVEYOR AND MAPPER NO. 6942, LB 6029, STATE OFFLORIDA 14612 S.V. 52Gd STREET MIAMI, FLORIDA 33175 PHONE, 786-975-8588 NOT VALID WITHOUT THE SIGNATURE AND THE ELECTRONIC SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER SCALE SHEET NUMBER 1.1=20' FIELD JOB DATE AUG.29 2017 FILE NAME 85 NIN 103 ST MIAMI SNORES FL 33750 t