FW-19-1560FW-o�-i�-156a
Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
s sin 1�5
Issue Date::07/1S/2019
Parcel Number
935 NE 99TH ST, Miami Shores, FL 33138 1132060340251
Contacts
Permit Aro.: FW -07-19-1660
Permit Type: Fenee/Wati
Work Classification: Woocifenee
Permit Status: Approved
Expiration: 01/13/2020
USA SPECIALTY REALTY LLC Owner APC ENGINEERING ENTERPRISES INC Contractor
3233 Commerce PKWY, Miramar, FL 33025 DAVID DIPUGLIA
2150 w. 10th ave, hialeah , FL 33010
Business: 3052198267
Description: NEW WOOD FENCE Valuation: $ 5,132.00 Inspection Res uests:LL
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$1.20
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.75
Wire and Wood Fence Fee
$60.00
Total:
$165.55
Building Department Copy
Payments Date Paid Amt Paid
Total Fees $165.55
Cash 07/15/2019 $165.55
Amount Due: $0.00
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, FOOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accw
regulating construction and zoning. Futhermore, I authorize the above named
Authorized Signature: Owner / Applicant /
July 15, 2019
done in compliance with all applicable laws
Date
Page 2 of 2
RECEIVED
Miami Shores Village J 09 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
FBC 20 os
BUILDING Master Permit No. t"W"o"'�
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL OPUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): 8f) Phee#: Z &4gjq%1 q_
Address: 11 � S A )�C-- 9 / S�
City: M - I►- 3► _�" Inez, State:
Tenant/Lessee Name:
Email:
e#:
CONTRACTOR: Company Name: 4, P _ n lircV,Phone#:
Address: —7) 25d W A j Av"'o .
City: H ! 4 Ua � S1
Qualifier Name: DC(✓�� n �l�,,cl°llc
State Certification or Registration
Zip:
Zip: 1.1 4 )Q
Phone#: 3c11- gT_�— SS.2 7/
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: ) �Zip:
Value of Work for this Permit: $ Jr� ��.a� Square/Linear Footage of Work: 1/yr
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ (2)�
�3 X11.
7/
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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
7_2r /,Yas or AGENT
The foregoing instrume acknowledged before me this
day of M/ w� � 20 1 9 by
who is personally known to
me or who has produced L Sl (o --a I'I 'V6Zda as
L,
identification and who did take a oath
NOTARY PUBLIC:
Sign's
Print:
SANDY ROMERO
Notary Public - State of Florida
Commission # FF 915708
is**sir3e**hl'# GR�11'**e�P**'s 0fi* ***�
APPROVED BY
(Revised02/24/2014)
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
16 day of 20 lei by
he, who i ersonally known o
me or who has pr duced as
identification and who did take an oath.
NOTARY PUBLIC:
_ V.` -SANDY ROMERO
Notary Public - State of Florida
Commission # FF 915708
%Nl GY:
OF F11 My Comm. Expires Sep 7, 2019
*********** ********************* **** *************
Plans Examiner ✓ Zoning
Structural Review Clerk
Property Search Application - Miami -Dade County
Page 1 of 7
Address Owner Name Folio
............................................................... .............................................
SEARCH:
Suite I CL
Owner
USA SPECIALTY REALTY LLC
Mailing Address
3233 COMMERCE PKWY
MIRAMAR, FL 33025
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT
Beds / Baths / Half
Floors
Living Units
Actual Area
Living Area
Adjusted Area
3/2/0
1
1
2,833 Sq. Ft
2,124 Sq. Ft
2,447 Sq. Ft
https://www8.miamidade.gov/Apps/PA/propertysearch/ 6/24/2019
Property Search Application - Miami -Dade County
Lot Size
Year Built
9,996 Sq.Ft
1961
Page 2 of 7
Featured Online Tools
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Special Taxing Districts and Other Non -Ad valorem
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Tax Comparison
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https://www8.miamidade.gov/Apps/PA/propertysearch/ 6/24/2019
Detail by FEI/EIN Number
Detail by FEI/EIN Number
Florida Limited Liability Company
U.S.A. SPECIAL REALTY LLC
Filing Information
Document Number
FEI/EIN Number
Date Filed
State
Status
Last Event
Event Date Filed
Event Effective Date
Principal Address
3233 COMMERCE PKWY
MIRAMAR, FL 33025
Mailing Address
3233 COMMERCE PKWY
MIRAMAR, FL 33025
L15000112340
47-4447051
07/02/2015
FL
ACTIVE
LC STMNT OF AUTHORITY 21
04/05/2016
NONE
Registered Agent Name & Address
ZAMBRANO, ALEXANDER
3233 COMMERCE PKWY
MIRAMAR, FL 33025
Authorized Person(s) Detail
Name & Address
Title MGR
ZAMBRANO, ALEXANDER
3233 COMMERCE PKWY
MIRAMAR, FL 33025
Annual Reports
View image in PDF format
Report Year
Filed Date
2017
04/22/2017
2018
03/31/2018
2019
04/29/2019
Document Images
04/29/2019 -- ANNUM_ REPORT
View image in PDF format
01,31i2U18 - _ANNUAL REPORT
View image in PDF format
04/22/2017 ANNUAL. REPORT
View image in PDF format
04(051201.6....... C{)RLCr�UTH.
View image in PDF format
03/24/2016 -- ANNUAL REPORT
View image in PDF format
07102/2015 -- Florida Limited Liability
View image in PDF format
Page 2 of 3
http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=FeiNu... 7/9/2019
Date : 07/08/2019
State of Florida
County of Miami -Dade
Before me this day personally appeared�who, being duly
sworn, deposes and says:
That he or she will be the only person working on the project located at:
935 NE 99' St Miami Shores, FL 33138
Contractor Signatur
Sworn to (or affirmed ) and subscribed before me this j day of , 20 f
Personally know
OR Produced Identification
Type of Identification Produced
,,,,11111,,
PUB(��i SANDY ROMERO
,�OgPRY
_; �',""
Notary Public -State of Florida
°'' ' =
Commission # FF 915708
'N°Y`
I%t-UF�_J`
My Comm. Expires Sep 7, 2019
APC Engineering Enterpr'te
2150 West 10t1 AVENUE - Hialeah, FL 33010 - T (305) 885-5371 - F (305) 885-5073 ■ apchomeinspections@gmail.com
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner —Workers' Compensation 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.
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
CONTFNT(Z
The foregoing was ack owledgee before me this day of , 20)q_.
By Q,�C� /'GGt ✓� who is personally known to me or hasP roduced
21-16 �2 84 as identification.
Notary:
SANDY ROMERO
Notary Public - State of Florida
r_ Commission # FF 915708
FENCES, WALL.S, HEDGES
INSTALLED ON ALLEY MUST
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_4
TRASH CANS, TREE TRIMMINGS, ETC,
fP' ALLEY
J,
J
Fences Good Side C. ana norizumdi
supporting merri", ienci- shall face the
inte(ior of the p,i ',p v.00ct, iiie fence is located
and the finished shall face the adjoining
N.4
tOT -19 CERTIFIED TO:
ILI, i wz rx
SULLIVAN, ADMIRE & SULLIVAN. P.A.
USA SPECIAL REALTY, LLC
A FLORIDA LIMITED LIABILITY COMPANY,
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY,, ; A 411+
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10 FS ANDAl InN,,; lCi DRAWING0;STANCF BETWEEN WALLS AND/OR FENCES AND PROPERTYLWES MAYBE
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FLORIDA LIMITED LIABILITY COMPANY, kromlly CERIWY ""AT This 90WOAR� SUR.ICY PROFESSIONAL SURVEYING AND MAPPING
WASU4X UNLERW 31"�ft �Ilcm
STAAMPZS OF PAACriCE sal FORTH BY TW�
FLOPOASCAPI) or PPOAFSI.�' CANNES & GARCIA, INC.
935 NE 99th STREET. MkPPERS IN CHAP TER 6117.030 rHP.Lv *H &I - I i� I
MIAMI SHORES, FLORIDA 33138 Fi.nnoAADAvN,'srRAnvE LB # 2098
m for, 150VIMMA 710 N 4 72, r2?. R � OR A C,01rA*1'.`TVR`AL.W.4T,,T.0 7 Tyr. WlnbDUT THE �!OM TURE ANO YHS� FRANCISCO F. FAJARDO PSM # 4 76 7 (QUALIFIER)
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SURVEYORANDMAPPER ANU a04T. UL64ECT FV 2700 SW 371h AVE
OVT ES AMO NOTAnOWS3HOmt'%4Vft MIAMI, FLORIDA 33133
PH (305) 666-7909 FAX (305) 442-2530
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