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PW-19-884Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 04/24/2019 Location Address Parcel Number 465 NE 96TH ST, Miami Shores, FL 33138 1132060170120 Contacts Permit No.: PW-04-19-U4 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Expiration: 10/21/2019 JOSEFINA GEREZ Owner CONSTRUCTION DEVELOPER GROUP Contractor 465 NE 96 ST, MIAMI SHORES, FL 33138 CORP GUSTAVO ASMAN 20381 NE 30 AVE 414, AVENTURA, FL 33180 Business: 3052151988 Description: SIDEWALK REPAIR Valuation: $ 500.00 Inspection Requests:305 762 4949 Total Scl Feet: 300.00 Fees Amount Education Surcharge $0.20 Public Works Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $111.70 Payments Date Paid Amt Paid Total Fees $111.70 Credit Card 04/24/2019 $111.70 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Date April 24, 2019 Page 2 of 2 RECEIVED Miami Shores Village APR 2 3 20419 R Public Works Department • (305)795-2210 Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138 'J - PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property V\` Permit#: ip w '0� 1q _ 3S Name of Applicant (if utility see below): .305e.(�A A (7_-ery_z_ Owner off the following described property: Legal Description: Lot 44 ✓4'$ Block SG Subdivision M%Awik S%1,0veS SEI_q Atrnp Folio #; Address: UTILITY NAME: Qualifier/Authorized Agent: Address: City: State: Telephone: Email: State Certification or Registration #: CONTRACTOR NAME: Qualifier/Authorized Agent: Address: Zn 3R 4 Ni= Shore ZIP: Certificate of Competency # City: 71V"dW State: mil- ZIP: 3p I'JU Telephone: Email Con5clan ne.v� C-,-4 p 0. 6M�% / , � w1 State Certification or Registration #: CGC ISM gSCertificate of Competency #: Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: De N,, 11` (-4f y9tnvi r Type of Work: ❑ Paving ❑ Utility DA Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: State: ZIP: Telephone: Email: - Registration #M Value of Work for this Permit: $r` sb' Square/Lineal Footage of Work: Fees r Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Sca�ning1$,;° P Bond $ (if required) Total Fee Now Due $ 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. I 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 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 works permit is issued. In the absence of such posted notice, the inspection will not be approved Vd a reinspection will be charged. Signature Appl cant r Authorized Agent The foregoing instrument was acknowledged before me this 9 day of %),pM 201 of . by Dye P'n A 6aZC who is rsonally known to me or who has produced as identification. NOTARY P BLIC: Sign: Print: SEAL: ..iassioiv..A�'y \�— CdTiipany/Utility Agent The foregoing instrument was acknowled4eefore methis � dayof %L. 2by ��I5 ►i(� Asm "\ who is personally known to me or who has produced as identification. NOTARY PUBLIC: Sign: Print: SEAL: ��rwr.. Notary Public State of Florida Josefina Gerez s7 My commission GG 238740 a �dR Expires 06/30/2022 *� ►•� :*z OGG 066755 '&q 'y0°�de00�.►*******************s********************* APPROVI►fC,�ST������ Public Works Director, or Designee �//llllllll! 2017-04-15 4/23/2019 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAISER " y Summary Report Property Information Folio: 11-3206-017-0120 Property Address: 465 NE 96 ST Miami Shores, FL 33138-2733 Owner CRISTIAN LONGO JOSEFINA GEREZ Mailing Address 465 NE 96 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,826 Sq.Ft Living Area 2,235 Sq.Ft Adjusted Area 2,510 Sq.Ft Lot Size 11,050 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2018 2017 2016 Land Value $331,177 $331,177 $276,124 Building Value $224,199 $226,078 $227,957 XF Value $19,889 $20,089 $20,288 Market Value $575,265 $577,344 $524,369 Assessed Value 1 $412,187 $403,710 $395,407 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $163,078 $173,634 $128,962 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 4 PB 15-14 LOT 17 LESS W15FT & ALL LOT 18 BLK 86 LOT SIZE 85.000 X 130 OR 20471-4889 06 2002 1 Generated On : 4/23/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $362,187 $353,710 $345,407 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $387,187 $378,710 $370,407 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $362,187 $353,710 $345,407 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $362,187 $353,710 $345,407 Sales Information Previous Sale Price OR Book -Page Qualification Description 04/18/2018 $745,000 30959-0214 Qual by exam of deed 03/26/2014 $585,000 29096-3815 Qual by exam of deed 08/13/2012 $560,000 28270-4384 Qua[ by exam of deed 07/22/2011 $515,000 27768-4793 Qual by exam of deed 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: L167 CONSTRUCTION DEVELOPER GROUP. 20381 NE 30th Ave. #414, Aventura, FL 33180 PH: 305-878-4688 FAX: 786-265-6263 April 9th, 2019 State of Florida County of Miami Dade Before me this day personally appeared Gustavo Asman who, being duly sworn, Deposes and says: That he or she will be the only person working on the project located at: 465 NE 96th street, Miami Shores, FL 33138 uustavo [-isman Construction Developer Group - Owner License Number: CGC1504895 Sworn to (or affirmed) pnd subscribed before me this _�_ day of _ dl .2019 By 6) u S (Z;, vCU isrnCc ✓� Personally Know v/ Or produced Identification Type of Identification i� Notary Public State of Florida Josefina Gerez 1� My Commission GG 238740 OP V6 Expo -- 09/30/2022 Print, Type 6—rVamp Name of Notary Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 riouce to VWner — VVorKerS- %,ompenSaiion insurance tXemptlon 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. 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; The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 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 CONTENTS. Signature: caner , State of Florida County of Miami -Dade The foregoing was acknowledge before me this �3 day of �'� Q , 2019. By ( j� pENzo LY,y'�i.. �,O ....10 . , C., ��i v \\� • .��C7� 9,\L 2. Notary: SEAL: = 2 OGG 096755 5. i�> •��:k,6 nded ublic unda O :; �ii A(j • cn• CNN 001111 mikWO\\\ who is personally known to me or has produced as identification. / LOT-21 BLOCK - 86 ` X�h . ,JJ5' ALLEY FOUND 1 11. IRON PI E_--� of M 0.87' I x�r I REMAINDER I OF LOT 17 BLOCK 86 I I LOT - 16 I O BLOCK - 86 I O M I I 3 }/ O 0 O Z 0.26' FOUND Yz" IRON PIPE ---------- ?-W 50 f --- I PORTION OF I LOT 18 LOT - 17 I A BLOCK - 86 BLOCK - 86 x o` i a} i i 3.13' 9_b0' O M 'vP0.4, 0 WELL cv ®' V21.40' T1111 P s I CONC. ,\,JPr) V- V41 r2 65.13' I I ZONE STORY BUILDING No. 465 F. (`. ELEV = /0 62' I I I 12.00' o I CONCRETE DRIVEWAY I 0 N N J 23.13' i CONC. 5"1Dc—W Ff14. CONC. 80' TOTAL R/W ASPHALT PAVEMENT (PER PB 15- PG.14) MEDIAN WE 96ST STREET 0�1-19�Fsq FOUND Yz" M arr S`,(--( Vill :gF _T_ �F'RO�Eo DATE N I N G, DEPTI I ,I DG FQ)FNT E1� AI_l FE� I - UB FrGO GC;P,�I.1� ICE WI >TA I E ANL) la -UN IY Hi L S A0) =�-GUI AT(ONS - --N<__ Li. O LU 32' ! � o Z 17 W 11J I �{ < ,N O Y/ 0 /O� V/ W Z LOT - 19 BLOCK - 86 I I I i i APR 2 3 209 0.20' CP y N89°56'08"E op — IOO.W. ,VK' —`� FOU D Y IRON PIPE FOUND y" e° BOCK CORNER PI bu IRON PIPE S)pe W A-1 %- �cCpr 6Z 0 MAP OF BOUNDARY SURVEY Property Address: 465 N.E. 96st STREET, Miami Shores, Florida 33138 act No. 18716 Page 1 of 1 .. • • • • •• • •••••• A d (ons and deletions to this Survey Map are prohibited. This Survey Mapand Pteport are not • v It hout the signature and original raised seal or without the authenticated'electrtnic •' • • si ure and seal of the undersigning Florida licensed Surveyor and Mapperp + e • • • • • 6 see 8 fVt +••_ •• •• •a • •J "51 LJIo ••o •. 2a ..' w•.;Z =••• • • (D Q0095 U, Y 01 •••••• Sig o • s LEGAL DESCRIPTION:00 be LOT 17 LESS THE WEST 15 FEET; ALL OF LOT 18, BLOCK 86, AMENDED PLAT OF MIAMI •SHORES • ahl •ctJ•� SECTION No. 4, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 15, PAGE 14.OF THE ••� •• YZ w O PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. M O iXo E SURVEYOR'S REPORT AND GENERAL NOTES O U (Not valid without the attached Survey Map) _J Ur W 1. Legal Description has been furnished by the client. W Z W CDCU 2. References to "Deed", "Record" or "Plat" refer to documents and instruments of record as part of } m o the pertinent information used for this survey work. Measured distances, directions and angles m W ¢ °, a) along boundary lines are in consistency with corresponding values from records, unless otherwise > co N shown. L6 o 3. These lands are subject to additional restrictions of record that were not furnished to the O to co_S undersigning registered surveyor. A title search has not been performed. J p to —_ 4. North arrow direction is based on an assumed Meridian. Bearings are based on an assumed W Z N o m meridian on a well -established line, said line is being noted as BR on the Survey Map. m J a (v 5. Only above ground improvements are shown herein. Foundations, underground features and IL utilities have not been located. LEGEND & ABBREVIATIONS 6. Fence ownership has not been determined. Distances from existing fences to boundary lines are = CONCRETE (GONG ) = CONIC. BLOCK WALL approximate. Fence/walls width and conditions must be considered to determine true location. WOODDECN COVERED AREA Lands located beyond perimeter fences might or might not be being used by adjoiners. Adjoining o ° ASPHALT CHAIN LINK FENCE (CLF) parcels have not been investigated. —F WOOD FENCE(WF) IRON METAL BARS FENCE (IF) 7. This Survey Map is intended to be displayed at the scale shown hereon. Data is expressed in U.S. —OHL— OVERHEAD WIRES Survey Foot. D WATER VALVE (WV) -0, POER POLE 8. This Survey Map is being prepared for the use of the party/parties that it is certified to and does ----i =GUY ANCHOR (PP) not extend to any unnamed individual, entity or assignee. ©= WATER METER (WM) * = CONC LIGHT POLE (LP) 9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of ®= WELL Community No. 120652 (Village of Miami Shores), Panel 0302, Suffix L, revised on Sep 09th, T = =TREE, SIGN 2009, this real property falls in Zone "X" with Base Flood Elevation 8 feet (NGVD 1929) O =SANITARY MANHOLE O =DRAINAGE MANHOLE 10.HORIZONTAL ACCURACY: Accuracy obtained thru measurements and calculations meets and O = MANHOLE exceeds the minimum horizontal feature accuracy for a Suburban area being equal to 1 foot in 7, =FIRE HYDRANT 500 feet. • `ABLE BOX (CAT" 11.VERTICAL CONTROL AND ACCURACY: The elevations as shown are referred to the National X =FPL TRANSFORMER Geodetic Vertical Datum of 1929 (NGVD 1929). The closure in feet, as computed, meets the ® ` CATCH BASIN OR INLET f. EXISTING ELEVATION standard of plus or minus 0.05 feet times the squared root of the loop distance in miles. Elevation = PERMANENT REFERENCE MONUMENT(PRM) are based on a level loop from and to the following official Bench Marks: ®= PROPERTY CORNER Bench Mark # 1: Miami -Dade County Public Works Department Bench Mark N-603-R e = PERMANENT CONTROL Elevation = 8.06 feet POINT (PCP) P T a POINT OF TANGENCY Bench Mark # 2: Miami -Dade County Public Works Department Bench Mark N-802, P C = POINT OF CURVATURE Elevation = 8.98 feet P C C - POINT OF COMPOUND CURVE P R C - POINT OF REVERSE CURVE B M = BENCH MARK B R = BEARING REFERENCE T B M = TEMPORARY BENCH MARK It = PROPERTY LINE -CENTER LINE I HEREBY CERTIFY TO: p = MONUMENT LINE ristian Longo; Josefina Gerez CALC = CALCULATEDMEAS = FIELD MEASURED P = PER PLAT PSM = PROFESSIONAL SURVEYOR AND That this Survey conforms to the Standards of Practice as set forth by the Florida Board of MAPPER Profes " nal Surveyors and Mappers in applicable provisions of chapter 5J-17, Florida administrative AIC : AIR CONDITIONER PAD ENCR = ENCROACHEMENT ft u nt to Section 472.027 Florida Statutes. This Survey is accurate and correct to the best of F F ELEV = FINISHED FLOOR ELEVATION my led and belief.P 8 PLAT BOOK PG = PAGE ORB = OFFICIAL RECORD BOOK CBS = CONCRETE BLOCK STRUCTURE R/W = RIGHT OF WAY Odalys C. Bello-Iznaga ELEV = ELEVATION Professional Surveyor and Mapper LS6169 • State of Florida . SEC SECTION Y PP T = TOWNSHIP Field Work Date: 07/13/2018 R =RANGE