FW-18-3398Permit NO.: FW-11-18-3M
Miami Shores Village `
'�-Permit Type: Fence/Wall
10050 NE 2 Ave , J(
Miami Shores FL 33138 } Work Classification: Wood Fence
305-795-2204 Permit status: Approved
Issue Date:11/08/2018 Expiration:05/07/2019
Location Address Parcel Number
138 NE 109TH ST, Miami Shores, FL 33161 1121360090130
Contacts
EAL INVESTMENT INC Owner ONE STOP PAVING Contractor
138 NE 109 ST, MIAMI SHORES, FL 33161 CARLOS M ACOSTA
Other: 7863160828 1463 NE 173 ST, N MIAMI BEACH, FL 33162
Business: 7862991354 carlosmarcia@yahoo.com
Description: WOOD FENCE ENCLOSED FOR TRASH AND GATES Valuation: $ 2,000.Inspection Requests:
00 ros-76'2-404�
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$2.50
Wire and Wood Fence Fee
$50.00
Total:
$152.10
Payments
Date Paid Amt Paid
Total Fees
$152.10
Credit Card
11/08/2018 $50.00
Check # 2231
11/08/2018 $102.10
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating co truction Wd zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized ignature: Owner / Applicant / Contractor / Agent Date
November 08, 2018 Page 2 of 2
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
Miami Shores Village RECEIVED
Building Department NOV 08 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Q�)q_jTel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBB(C� �20 9f
Master Permit No.
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS Ej CHANGE OF ❑ CANCELLATION M SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 13 6 A hoe7' --) T
City Miami Shores County: Miami Dade zip: 331 (CJ )
Folio/Parcel#:1101360 Oo 9 0 /2d Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): F&,J-iIVPAY1e4 j Tn G Phone#: T&P 26Z i ($ IO
Address: 13 1? AJ E/ O S 5 l
City:
/1dreS
State: [71
Tenant/Lessee Name: Phone#:
Email:
v-31co/
CONTRACTOR: Company Name: 0,7, pap nM) 30 G Phone#:3 R (o ati-9 12)�`4
Address:
city: z_" i 'l
Qualifier Name:
State Certification or Registration #:
CO 3
E a3 /
E/ Zip:
yOf (oZZ
Phone#: �O �O gq 1,;IS4
3= rt ficate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 2 (O D o , O 0 ,�,/ Square/Unear Footage of Work: _�_
Type of Work: ❑ Addition ❑ Alteration l �f New 1 ❑ Repair/Replace ❑ Demolition
Description of Work: W 00 A �-e v) D e eA^ cAo so I -a' —' ru s
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $ CCF $_
Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $ 1�
Bond $ `
TOTAL FEE NOW DUE: `
(Revised02/24/2014)
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 Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of N Qi) . 20 � , by
Or) ages 1J, ar/ r.,Qic , who is personally known to
me or who has produced
The foregoing instrument was acknowledged before me this N day of 020 I by
OS 0-co who is personally known to
as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
as
Sign:
Sign:
Print: i
PD
t•Yl b
Print:
N r� V
Seal:
r•�'�%'"
9ANF1R6:�. 9RIN0
MY CUM?ddSS Dta 4 FF 195634
Seal:
I
''�:
BARBARaSO�IINO
MY COMMISSION 1 FF 195G?A
gs
EXPIRES: Fe'bi.wy 3, 2019
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EXPIRES: February 3, 2019
Bonded Thtu Notes; ,'�b�e Undon�hn
9onded Thru NoWY Pti�c tMw
s*s*sss#s**s#ss#**ss#ssss#**sss#/*## s s*s#***ssssss*#ss***ssssssss#ss**#ssssssssss*#*ss*sssss#s**s*##ss*#**s
APPROVED BY
/
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
OFFICE OF THE PROPERTY APPRAISER
Detailed Report
Summary Report
Property Information
Folio:
Property Address:
Owner
Owner
Mailing Address
PA Primary Zone
Primary Land Use
11-2136-009-0130
138 NE 109 ST
Miami Shores, FL 33161-7042
138NE109ST
EAL INVESTMENT INC
EAL INVESTMENT INC
13499 BISCAYNE BLVD # TS3
NORTH MIAMI, FL 33181 USA
1000 SGL FAMILY - 2101-2300 SQ
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
1,780 Sq.Ft
Living Area
1,412 Sq.Ft
Adjusted Area
1,588 Sq.Ft
Lot Size
9,300 Sq.Ft
Year Built
1951
Assessment Information
Year
2018
2017
2016
Land Value
$232,690
$232,690
$199,874
Building Value
$110,525
$110,525
$110,525
XF Value
$1,800
$1,800
$1,800
Market Value
$345,015
$345,015
$312,199
Assessed Value
$345,015
$110,523
$108,250
Benefits Information
Benefit
Type
2018
2017 2016
Save Our Homes
Cap
Assessment
Reduction
$234,492 $203,949
Homestead
Exemption
$25,000
$25,000
Second Homestead
Exemption
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
(Short Legal Description I
DUNNINGS MIAMI SHORES EXT NO 5
PB 48-21
LOT 5 BLK 216
Generated On : 11/7/2018
Taxable Value Information
2018
2017
2016
County
Exemption Value
$0
$50,000
$50,000
Taxable Value
$345,015
$60,523
$58,250
School Board
Exemption Value $01 $25,000 $25,000
Taxable Value $345,015 $85,523 $83,250
City
Exemption Value
$0
$50,000
$50,000
Taxable Value
$345,015
$60,5231
$58,250
Regional
Exemption Value
$0
$50,000
$50,000
Taxable Value
$345,015
$60,523
$58,250
Sales Information
OR
Previous
Qualification
Previous
Previous
Sale
Price: Book -
a
Description
Owner 1
Owner 2
9
Atypical exposure
30770-
to market;
CAPTAL
10/05/2017
$325,000
3185
atypical
AXCESS LLC
motivation
Atypical exposure
30714-
to market; PEGGY JO
10/05/2017
$303,000
2530
atypical HALLMARK
motivation
LOT SIZE 75.000 X 124
OR 12587-754 0785 4
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
11/8/2018 Detail by Entity Name
DIViS-DN IN Corivor;.ar;;;r,'.
Djvja'io!l of
Department of State / Division of Corporations / Search Regards / Detail By Document Number /
Detail by Entity Name
Florida Profit Corporation
EAL INVESTMENT INC.
Filing Information
Document Number
P11000043554
FEUEIN Number
90-0715841
Date Filed
05/05/2011
Effective Date
05/01/2011
State
FL
Status
ACTIVE
Principal Address
13499 BISCAYNE BLVD
TS3
NORTH MIAMI, FL 33181
Changed: 03/27/2018
Mailing Address
13499 BISCAYNE BLVD
TS3
NORTH MIAMI, FL 33181
Changed: 04/24/2015
Registered Agent Name & Address
Andrada, Andrea N.
13499 BISCAYNE BLVD
TS3
NORTH MIAMI, FL 33181
Name Changed: 01/05/2016
Address Changed: 04/24/2015
Officer/Director Detail
Name & Address
Title P
Andrada, Andrea N.
13499 BISCAYNE BLVD
TC'2
http://search.sunbiz.org/Inquiry/CorporabonSearctVSearchResultDetail?iriqui rytype=EnWName&directionType=Initial&searchNameOrder=EALINVESTM ENT... 1/2
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 Exem
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 hasprovided 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
The foregoingwas acknowledge before me this day of 20�.
By . Q A//6A /G�,/�i' who is personally known to me or has produced
us identification.
Notary: - -4)(X�av
„ ,u,,,
ter, WIMOSOMINO
MY COMMISSION A FF IZW
SEAL: EXPIRES: Febru" 3, 2019
4:� Bonded TMa Nobly Poo w6ft om .
One s
o.
Paving Inc.
D� (;Vy,i Q°� PROJECT:
TO: N—
NAME: NAME:
ADDRESS: ADDRESS:
PHONE: DATE
FAX:
S -/a/lP , / —Fioll-do-
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i
° BARBARO SDBRIND
MY COMMISSION / FF I 634
t, 1 EXPIRES: February 3, II01B
!ff Bonded ihru Nmary Pubro UndVm*rn
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, Qndf*I-a M • AN�' c does hereby attest that
(Property owner)
The attached survey, performed by �aKC-1 -LAC
(Name of surveyor's company)
Q For address: � 3 b & E 101 _ ST 1 cte"9 t G� oP�e 5
Performed on 10a 15 t Eq (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.
\ / Furth etntseth naught. n n /
Proner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this day of IUbO . D016
Affiant is personally known to me, produced as identification.
L19
11ARBAR480BRIN0
MY COMMISSION N FF 1SV44
IXPIRES: February 3,2019Notary
Bonded Tbiu Notuy Publb UndawnbR
Revised on 5/2212009/ Revised on 6112/09
MAP OF BOUNDARY SURVEY
'BBLOCK 2__ ... __ RECEIVED
� , PG � NOV 0 8 2018
71 X1 l
ASPHAL FAIIEM€IV7...:..-tDQ
C'J
C6 ouL N ID. ouL — 011 — — auL — OUL auL ouL — ouL _
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Fences Good Side Out. vertical- end hor _C; A' ,
supporting members f enS�NliRQI� M a_
interior of the plot on vv 'the k.��.is I.;c"'; ! 6
and the finished side ,h N facethe ad- -,i; 611
p lot or any abutting righto
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47&_TS RATIVE
• WALLn LLY
•....• pS� YvWrY • ♦��CM Co
N O N
•
.' • FND.LPXAi :0P 94 224.64'
...... .. (NO.Q
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..... -� •... SIDEWAL - !f W.. = 7J6.0� ., - FNO.LP.Ot 2" � w
• (NOID.) (NOID.)
•••... '• " •••• BLOCK CORNEkm
• • • � � � 11' PARKWAY
...... •
.
...... ... 16
''``A Pfrll :•,PAVEMEN.T
=N. + :1.04th::: ST E TAL_ Wj
MEDIAN GRASS
This Survey Map and Report are not full and complete without the other.
Encroachments and other points of interest:
—None visible.
A Arc Pg. Page ABBREVIATIONS & LEGEND Chain Link Fence
FND Found R/W Right —of —Way ® Unknown Manhole �CC Fire Hydrant —Wood Fence
U.E. Utility Easement Center Line SQ Sewer Manhole E FMetal ence Electric Box ��— or plastic
IP Iron Pipe 1� Monument Line QQ Telephone Manhole NLP Light Pole — GUL —Overhead
IR Iron Rebor Temporary
wM
N&D Nail & Disc TBM Benchmark ® Water Meter c(, Utility Pole o�0 Utility line
COL. Column PWY Parkway D4 Water Valve CLP Concrete Light Pole + Sot Elevation
W/P Water Pump ■ p
P.B. PLat Book ENC Encroachment ISM Catch basin O Property Corner
90
FormTech Job # 1.0
Scale: 1 " = 20' Date: 10-25-2018
Land Surveying, Inc.
State o1 Florida LB # 7980 0' 10' 20' 40'
12209 S.W.129th Court, Miami, Florida, 33186 GRAPHIC SCALE
Ph:(786)429-3034 (786)443-0285 (786)443-0678
www.formtechsurveyors.com email:infoP- formtechsurveyors.com Page 2 of 2
❑ Shadow Box
❑ Vertical Picket
❑ Board on Board
Fence Good Side
Out. The vertical
and horizontal
supporting
members of a
fence shall face
the interior of the
plot on which the
fence is located
and the finished
side shall face the
adjoining lot or
00
• aray abutting jIght-
• 0O;way. •
•..••.
00*0
00*0:
. •
• • .
Miami shores Village
Building Department
Fences Good Side Out. 1"e veil+cal aw, 1 50 N.E.2nd Avenue
supporting members of a fence sf�ailOiWfitt6ores, Florida 33138
interior of the plot on wh"ch the fence i; located Tel: (305) 795.2204
and the finished side shall iE,,e the adjoining ax: (305) 756.8972
lot or any abutting right-c{,,"
W.
WOOD FENCE DETAIL A
Fences < = 6' high posts spaced at 4' on center maximum
Fences < = 5' high posts spaced at 5' on center maximum
Fences < = 4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
•. . • • 4x4 pressure treated
�. • • • posts embedded 2' into
• • • concrete footing 10"
diameter x 2' deep
• ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
Revised 10/142016AS
1x pickets fastened
with two corrosion
resistant fasteners per
connection
2x4 horizontal
pressure treated
wood members
with two corrosion
resistant fasteners
per connection
e
A op
I AL
IL
ON
MEL
ou
o y"
oi44
'4 tl
oty
V
�B
supponing r!!
t ►� Interior of the F +
"^ t," r l
finished Shall
lot or t I -