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DS-18-3362Location Address Permit NO.: DS-11-18-3 82 Miami Shores Village Permit Type: Driveways/Sidewalks/Slabs 10050 NE 2 Ave Miami Shores FL 33138) Work Classification: Addition/Alteration 305-795-2204 Permit Status: Approved issue ate:11/29/2018 Expiration:05/28/2019 Parcel Number 138 NE 109TH ST, Miami Shores, FL 33161 1121360090130 Contacts EAL INVESTMENT INC Owner 138 NE 109 ST, MIAMI SHORES, FL 33161 Other: 7863160828 ONE STOP PAVING Contractor CARLOS M ACOSTA 1463 NE 173 ST, N MIAMI BEACH, FL 33162 Business: 7862991354 carlosmarcia@yahoo.com ti Description: STAMPED CONCRETE DRIVEWAY Valuation: $ 5,000.00 Inseton Requests: 305-ti Re 49 Total Sq Feet: 1,100.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 Concrete/asphalt/pavers, slabs, dways, $100.00 swalks DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $1.00 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $3.75 Total $206.00 Payments Date Paid Amt Paid Total Fees $206.00 Check# 2263 11/29/2018 $206.00 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con§;;uction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Iq Date November 29, 2018 Page 2 of 2 a✓ G -CA, ,,erg, -hj C/j=P ' • cked.: .. .410 NEW ASPHALT o•. Aiwa• .a.I�: i,.� �4 •,!� 1 1� �1 1 i ` , •f / -DRIVEWAY iw .•/�i�y •h•.• .• .•/• =mot '•i.•,' ''��'a�. \7. �i:•;�: �i Ufa; � ��'I,i' Mltd: �F 2��V 1NG SAND\\�`\\\\\\\/ \\�.0 (�Cl� W COMPACTEp //\ \ \�\ \'� \ \\/� E)1 #6 MIN,' CONTINUOUS- NO REINF, IN R,'4;W, F) MO A�! MiN. • I OT, fa� • PAVER DETAL OPTION 2 ET END PAVER D) EXISTING LIM ���-N0 LOOSE mATERtAL E) EXISTING COMPACTED BASE A ASPHALT RESURFACE OVER EXISTING DRIVEWAY , 4.*••:•i�'j:h•�`+',tNd•�•+'r!`O;a�.'•.�y,'f..r•.1:J�.\//�///j\/`\j�•X'.�.X:f►TX�X�d X�X ,4. •a\\//\\//\/\/\f/ AN' MIN • FIB \ \ N��\/j\//\ / '� COMPACTED \ \ �C/ C, RUE M DRIVEWAY OAc,4.FIBER B) COMPACTED B \\ IN•R.O.W �JN MESH /\/''� • •"'�— • • .` .� ✓. \ • CONCRETE DRIYEYIR�Y Ar�RQgCH NOOEMOK'ar • • • • : • DRIVEWAY&APRON STe0,Ep$y0;�1^1b1°PlIMs MAP OF BOUNDARY SURVEY h�JN n N ASPHALT PAVEMENfi:. . a 5 A LLEY = .� r �2EItu►�y a- FND.I •••••• ... •. ap" — auL ENO ID. � JL — UUL —r— YL -W— out ouL — aul — auL — auL _ IC= OtR —_UIL IctR W %�J.� N - E I.R�1 .•.... • . •.•• . .•. .. Cd ..pp � � 1 •.• a• N w SOD in 13 Z: W . RE C Ivy ^ CONCRETE : - M W 'SSLAB N000- 1 Z. 2 6 2018 �: i i : i 1.:.. 04 '- CL Qv L:� $: 2.4f , .3 N =r:: M V o a / ORCH oN W (Y� L W 1 / S S P/ 0 z CO 00 O - W S ua z ORATIVE — "i.0 O r :c a Cn �, Aa Cwt� ei u c © - �, m C I z 3 oQ l I C� 1/2" 224:64`� I 75.00' ., A FND.LP.mt/2" 5` SIDEWAL(( FND G �� .I.P:01 2" (NO ID.) (NO ID.) BLOCK CORNER Encroachments and other points of interest: None visible. ABBREVIATIONS & LEGEND A Arc Pg. Page © Unknown Manhole Fire H Y dront FND Found R/W Right -of -Way U.E. Utility Easement Center Line Q Sewer Manhole Electric Box 129 IP Iron Pipe Monument Line D Telephone Manhole #MLP Light Pole IR Iron Rebor TBM Temporary ® Water Meter CO-, Utility Pole N&D Nail & Disc PWY Benchmark Parkway V Water Valve LP Concrete Light Pole COL. Column B k Wy/ p Water Pump t ® Catch basin © Property Corner P.B. Plat oo ENC Encroachmen Form Tech Land Surveying, Inc. Stale of Florida LB # 7980 12209 S.W.129th Court, Miami, Florida, 33186 Ph:(786)429-3034 (786)443-0285 (786)443-0678 www.formtechsurveyors.com email:info@_ formtechsurveyors.com —is--x— Chain Link Fence —Wood Fence -o—o--- Metal or plastic Fence — ouL — Overhead 00 Utility line o• + Spot Elevation 20' i 0 40 GRAPHIC SCALE Job # 18-10090 Date: 10-25-2018 2of2 Miami Shores Village 1�c4�1 Building Department "0`06 0 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ��%B Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 L BUILDING PERMIT APPLICATION PUILDING ❑ ELECTRIC ❑ ROOFING PLUMBING [---]MECHANICAL PUBLIC WORKS JOB ADDRESS: 136 k) E 105 5( FBC 201-1 Master Permit No. D S j e c2 73r y 2 Sub Permit No. REVISION EXTENSION RENEWAL CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Da & Miami Dade Zip: 33 1 (0 ( Folio/Parcel#: 1 I a 13 40 W R 0130 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): C•A-t_ n �i4�3S1.1C�� i �1 C_ Phone#(� 3Sa -3� 30 Addresspp:11 �3+�� City: 1V • Y�/L(.GiA.t,x-l� i State: Zip: 33 (d Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: 190 C 5tD 0Q. i ✓iG�rl C Phone#:-f6 (V (3 54 Address: � 4 (P 3 APE 1_� b `or City: Aj.". n-G-if (- VI //�� State: �� Zip: .331 �Pz QualifierName: o5 CoJg Phone#: 135I State Certification or Registration #: Ea3 ( 50b Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 5b00• 00 Square/Linear Footage of Work: M30. Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color o color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $. Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $_ a TOTAL FEE NOW DUE $ co (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 iY N AGENT The foregoin&i rument was acknowledged before me this day of iU O Ll , 20 by ar%�re"� �J • Ct v% , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: 4fSign: Print: Seal. Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of kJ a 20 1 g by / 5 CF3if G who is personally known to �-- as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: /f c Print: lJa( bu BARBARY S0BRIN0 MY COMMISSIO it FF IMM Seal: EXPIRES: February 3, 2018 Bonded Thor NotsY Pubic Undewftok 121M BARBMB SO8NI 0 .4 W COMMISSION li FF 195634 EXPIRES: February 3, 2019 �yY+ Bonded TMu Noisy Pubk Und�rrdMn as ssss*****s*******s***ss********s ss*s*ssss******ss*ss*sss*ss*****s**s****s *ss*s***W s*s ** ss****s*sss APPROVED BY I Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) OFFICE Pr THE PROPFRTY Summary Report Property Information Folio: Property Address: 11-2136-009-0130 138 NE 109 ST Miami Shores, FL 33161-7042 Owner Mailing Address PA Primary Zone Primary Land Use 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 I Baths I Half 2/2/0 Floors 1 Living Units _ Actual Area Living Area Adjusted Area Lot Size 1 1,780 Sq.Ft 1,412 Sq.Ft 1,588 Sq.Ft 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 $345,0151 $110,523 $108,250 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment $234,492 $203,949 Cap Reduction 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 DUNNINGS MIAMI SHORES EXT NO 5 PB 48-21 LOT 5 BLK 216 LOT SIZE 75.000 X 124 OR 12587-754 0785 4 Generated On : 10/21/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $50,0001 $50,000 Taxable Value 1 $345,015 $60,5231 $58,250 School Board Exemption Value $0 $25,000 $25,000 Taxable Value $345,015 $85.5231 $83,250 City Exemption Value $0 $50,000 $50,000 Taxable Value $345,015 $60,523 $58,250 Regional Exemption Value $0 $50,0001 $50,000 Taxable Value $345,0151 $60,523 $58,250 Sales Information Previous OR Book- [0a',le Price Pa a Qualification Description 9 05/2017 $325,000 30770-3185 Atypical exposure to market; atypical motivation 05/2017 $303,000 30714-2530 Atypical exposure to market; atypical motivation 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 hitp://www.miamidade.govfinfo/disclaimer.asp Version: Florida Deoartment of State till gjft4rtf Department of State / Division of Corporations / Search Records / Detail By Document Number / DIVISION OF CORPORATIONS 13499 BISCAYNE BLVD TS3 NORTH MIAMI, FL 33181 Title VP COPPOLA, SERGIO A 13499 BISCAYNE BLVD TS3 NORTH MIAMI, FL 33181 Annual Reports Report Year Filed Date 2016 01/05/2016 2017 04/29/2017 2018 03/27/2018 Document Images 03/27/2018 — ANNUAL REPORT View image in PDF format 04/29/2017 — ANNUAL REPORT View image in PDF format 04/25/2016 — Off/Dir Resignation I View image in PDF format 01/05/2016 --ANNUAL REPORTIView image in PDF format 04/24/2015 -- ANNUAL REPORT View image in PDF format 04/29/2014 -- ANNUAL REPORT View image in PDF format 02/18/2013 -- ANNUAL REPORT View image in PDF formal 10/23/2012.-- ANNUAL REPORT View image in PDF format 03/04/2012 — ANNUAL REPORT View image in PDF format 05/05/2011 — Domestic Profit I View image in PDF format Florida Department of State, Division of Corporations One j _ _ - o- a b: t Paving Inc. TO: PROJECT: 17� �V. QllrE1� NAME: NAME: ADDRESS: ADDRESS: PHONE: FAX: DATE S -/,/ d/ --F/o1-7- d 0- ' ol/ 13.0 �� m ,e ��r's �� �rsvn ��% � �cl '7�• C..G��s oG, S 4 w�ip � i`nc� 4 t SWOP h o��Ott� G v�� So S: 7ka-/ 6e cv; // 6e -�4e 0:1 % 0pvsV v) &� ti -1 e �i� e �� �D ��e � cz7" l �S �� /D�% 5 �' P'�G m• •-S�'�"-Cs 2� T / T `dsal CG- SGVd/!ij /d 64 e 0///.- Vle DATE: M COMMISSION M FF 195634 z i�.i, ,: EXPIRES: February n 2019 �'4.DF F1� Bonded ThN WOhry Pubk lHldeIYYIIIeA Notice to Owner - Workers' C®m Miami shores Village iF uilding Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ®n 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 constmetion 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 (LLQ 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 fled 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 BIIAW_ YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. n l State County bf Miami -Dade. The foregoing was acknowledge before me this day of 060. , 20��. By l� l � A AJ, A.yld(✓'e.�S' who is personally known to me or has produced as identification. Notary: CA IL BARBAR' SOBRINO MY COMMISSION 1 FF 195634 L. EXPIRES: February 3.2019 Bonded Thru Nowt' Pubic LhWwit rs