RC-01-19-30, 716 NE 92nd St 2MMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
716 NE 92ND ST 2M, Miami Shores, FL 33138 1132060440520
Contacts
EDUARDO ARAOZ Owner MAROCEF INC Contractor
1026 NE LITTLE RIVER DR, EL PORTAL, FL 33138 CARLOS E FERNANDEZ
3140 S OCEAN DR APT 1109, HALLANDALE, FL 33009
Business: 7864869845
Inspection Requests:
Description: KITCHEN CABINETS REPLACED, TILE FLOOR AT i Valuation: $ 6,500.00
3£}5 762 4949
BATHROOM, REMOVE AND REPLACE PLUMBING FIXTURES AND p e
POLISH FLOOR. Total Sq Feet: 0.00
REPLACED RC18-1673 L ��
Fees Amount
Payments
Date Paid Amt Paid
Permit Fee $97.50
Total Fees
$97.50
Credit Card
02/06/2019 $97.50
Total: $97.50
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.
re: Owner / Appr6nt / Contractor / Agent Date
February 06, 2019 Page 2 of 2
Miami Shores Village R F 11�' E W E D
BuildingDepartment p JAN 0 7 2019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Cl�
Tel: (305) 795-2204 Fax: (305) 756-8972 41
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No. r z>0
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
Folio/Parcel#:
the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Fcl o J►rcfV AQ0 02. Phone#:
Address: 102(o NC P I t,L& jDf i Ve(,C 3&A 2 p
City: f— 1 'f�or'i�.�tI State: -p ( Zip: �J 3Q
Tenant/Lessee Name:
Email:
h
CONTRACTOR: Company Name: MOAix-6-F 1,�+1y...- Phone#:--jc�— `1'gyq/J
Addreiiss:,.,5A pN �6 • oc-ear) Or r �/ I
City: H a"I� �s� CI—U State: ` , Ziipp: 55 qi0 �
.� +hV— qO �� Qualifier Name: ��I�>tv ,T��5 �"'�f�n�'e�"" Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Certificate of Competency #:
hone#:
Address: City:
Value of Work for this Permit: $sa) Square/Linear Footage of Work:
Type of Work: ❑ Addition p,❑. Alteration,r� ❑ New n❑Repair/Replace
Description of Work: 1�
Specify color of color thru the:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
te: Zip:
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ � --� • so
(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. A
Signature log d�4t,�--4 /
OWNER or AGENT
The foregoing instrumentwasacknowledged before me this
3 day of AA lvQ"r 20 _(#T , by
FG(O✓tt o4o ao2 o is personally kn
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Si
Print:
Signatu
CO
The foregoing instrument was acknowledged before me this
�J day of �_nQ 20 by
�` CX o iCersonallyknown
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
p�� , Blanca L. Moreno — PY•?��, - Blanca L. Moreno
Seal: ;r. Seal: ; �'
Commission # GG129380 _ �'; Commission GG129380
Expires: July 30, 2021 =* '* Expires: July 30, 2021
•.
% F o Bonded thru Aaron Notary -; i�- '' Bonded thru Aaron Not,
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
�` SNORES LQ
r
°. ENro
Ftor�YVA
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
716 NE 92 Street Number: 2-M� 1132060440520
EDUARDO ARAOZ
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
EDUARDO ARAOZ 1026 NE LITTLE RIVER Driveway
EL PORTAL FL 33138-
..:,
1026 NE LITTLE RIVER Driveway
EL PORTAL FL 33138-
Contractor(s) Phone Cell Phone
MAROCEF INC (786)486-9845
Valuation: $ 6,500.00
Total Sq Feet: 0
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: KITCHEN CABINETS REPLACED, T
Occupancy:
Stories:
Exterior:
Front Setback:
Rear Setback:
Left Setback:
Right Setback:
Bedrooms:
Bathrooms:
Plans Submitted: Yes
Certificate Status:
Certificate Date:
Additional Info:
Bond Return :
Classification: Residential
Fees Due
Amount
CCF
$4.20
DBPR Fee
$2.93
DCA Fee
$2.00
Education Surcharge
$1.40
P&Z Review Fee
$35.00
Permit Fee
$195.00
Scanning Fee
$9.00
Technology Fee
$5.60
Total:
$255.13
Pay Date Pay Type Amt Paid Amt Due
Invoice # RC-6-18-67970
07/05/2018 Credit Card $ 205.13 $ 50.00
06/19/2018 Credit Card $ 50.00 $ 0.00
Avanaoie
Inspection Type:
Final PE Certification
Window Door Attachment
Framing
Insulation
Drywall Screw
Window and Door Buck
Fill Cells Columns
Review Electrical
Review Building
Review Planning
Review Structural
Review Mechanical
Review Plumbing
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 wilbe done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractd ado ft work stated.l
July 05, 2018
Authorized Signature: Owner / Applicant / Contractor /
Building Department Copy
July 05, 2018
1
--A5e
g��6 Miami Shores Villa
•
G� BuildingDepartment
RECEIVED
p JUN 19 2018
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 201--_�
BUILDING Master Permit No. ac.
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
-'7 �(� y (� �C/ONTRACTOR DRAWINGS
JOB ADDRESS: 7 t W I\JC "�� � Z- P
City: Miami Shores County: Miami Dade Zip:
Fo
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE
OWNER: Name (Fee Simple Titleholder):UQ (�V 1 Q Phone#:_
Address: 1 VLj� I'V, ll-M LC r IvC_f
City: �Q (+� I State:
Tenant/Lessee Name:
Email
p:
FFE:
CONTRACTOR: Company Name: "of VC,_ �Phone#:-m `Cew
Address: 3LID t�(�• oo Ex ((09
City: 4_10M%aYdat -0 State: Zip:
Qualifier Name: Cctf 10.5 Phone#:
State Certification or Registration #: Q'C'C 1.15 1 tz)-�5 �a Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ Square/Linear Footage of Work:
a
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair,
-t-4-N V- _0 , 7 1 n I n e) 1 n
Description of Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee
Structural Reviews $
Permit Fee $ S' C7 CCF $
Radon Fee $ 2 DBPR $ Z • 67 3
Training/Education Fee $
Zip:
❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 20 S • ( >
(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 m be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. P
e absent ofisuch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signatu
OWNE or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument acknowledged before me this
day of 3A },f� 20 � , by day of , X � 12016 by
-L dtL [ dofi,"Cz OZ who is a sr onallykno n to -J-e#'nCtI7*'L. , who personally known t
me or who has produced
as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
06tA
14
Sign: Sign: _
Print:,btc 1 ���9 [j��:t � Print:
Seal: Seal 2q�PRY,P����'
Blanca L. Moreno
Blanca L. Moreno } _ Commission GG129380 ; Expires. July 30, 2021
Commission # GG129380
FOFFV Bonded thru tary
APPROVED BY 91 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
6/19/2018 Propertv Search Application - Miami -Dade County
OFFICE OF THE PROPERTY APPRA51SER
Summary Report
Property Information
Folio:
11-3206-044-0520
Property Address:
716 NE 92 ST UNIT. 2M
Miami Shores, FL 33138-3243
Owner
EDUARDO ARAOZ
Mailing Address
1026 NE LITTLE RIVER DR
EL PORTAL, FL 33138 USA
PA Primary Zone
5000 HOTELS & MOTELS -
GENERAL
Primary Land Use
0407 RESIDENTIAL - TOTAL VALUE
: CONDOMINIUM - RESIDENTIAL
Beds / Baths / Half
0/0/0
Floors
0
Living Units
0
Actual Area
Sq.Ft
Living Area
717 Sq.Ft
Adjusted Area
717 Sq.Ft
Lot Size
0 Sq.Ft
Year Built
1949
Assessment Information
Year
2018
2017
2016
Land Value
Building Value
$0
$0
$0
$0
$0
$0
XF Value
$0
$0
$0
Market Value
$103,688
$109,017
$94,797
Assessed Value
$103,6881
$109,0171
$51,676
Benefits Information
Benefit
11
Type
i 2018;
'
20�$43,121
Save Our Homes Cap
Assessment Reduction
Homestead
Exemption
$25,000
Second Homestead
Exemption
$1,676
Civilian Disability
Exemption
$500
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
SHORES PLAZA EAST CONDO
UNIT 2M - 1ST FLOOR
UNDIV .01745% INT IN COMMON
ELEMENTS
CLERKS FILE 73R213197
Generated On : 6/19/2018
Taxable Value Information
2018
2017E 2016
County
Exemption Value
$0
$0
$27,176
Taxable Value
$103,688
$109,0171
$24,500
School Board
Exemption Value
$0
$0 $25,500
Taxable Value
$103,688
$109,017 $26,176
City
Exemption Value
$0
$0
$27,176
Taxable Value
$103,688
$109,017
$24,500
Regional
Exemption Value $0
$0
$27,176
Taxable Value ? $103,688
$109,017
$24,500
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
02/09/2016
$137,500
29964-3001
Qual by exam of deed
04/01/2003
$52,500
21154-3216
Sales which are qualified
02/01/1999
$32,500
18488-1865
Sales which are qualified
07/01/1997
$26,000
17761-3360
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/disciaimer.asp
Version:
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
12/15/2017
To: Current Owner
716 NE 92 Street # 2M
Miami Shores, FL
Permit: RC-10-16-2773
Address: 716 NE 92 Street Miami Shores FL
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to obtain new permits, refinance or
sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
y
Ismael Naranjo (CBO)
Building Director
Miami Shores Village
10050 N.E. 2nd Avenue NE
£� ...�
Miami Shores, FL 33138-0000
Phone: (305)795-2204
FCORtDp'
Project Address
716 NE 92 Street Number: 2-M
Miami Shores, FL
EDUARDO ARAOZ
Permit NO. RC 10-16-2773
r itPermit Type: Residential Construction
Work Classification: Alteration
Permit Status: APPROVED
u � ?Issue Date: 12/12/2016 Expiration: 06/10/2017
Parcel Number
1132060440520
Block: Lot:
Aaoress
716 NE 92 Street
MIAMI SHORES FL 33138-
1026 NE LITTLE RIVER Drive
EL PORTAL FL 33138-
Contractor(s) Phone Cell Phone
MAROCEF INC (786)486-9845
In Review
ate Approved:: In Review
ate Denied:
Fpe of Construction: KITCHEN CABINETS REPLACED, T
Occupancy:
ories:
Exterior:
ont Setback:
Rear Setback:
:ft Setback:
Right Setback:
�drooms:
Bathrooms:
ans Submitted: Yes
Certificate Status:
�rtificate Date:
Additional Info:
>nd Return :
Classification: Residential
Fees Due
Amount
CCF
$4.20
DBPR Fee
$2.93
DCA Fee
$2.93
Education Surcharge
$1.40
Permit Fee
$195.00
Scanning Fee
$9.00
Technology Fee
$5.60
Total:
$221.06
Applicant
EDUARDO ARAOZ
Phone
Valuation: �$ 6,500.00
Total Sq Feet 500
Pay Date Pay Type Amt Paid Amt Due
Invoice # RC-10-16-61632
12/12/2016 Credit Card $ 221.06 $ 0.00
Available Insoections:
Inspection Type:
Final PE Certification
Window Door Attachment
Framing
Insulation
Drywall Screw
Window and Door Buck
Fill Cells Columns
Review Electrical
Review Electrical
Review Electrical
Review Plumbing
Review Plumbing
Review Planning
Review Building
Review Building
Review Structural
Review Mechanical
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, PLUMB 1G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERSaFIDAVIT: I certify that II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructs afidzoninm,Fut more H3nrize the above -named contractor to do the work stated.
Authorized
Building [
December 12, 21
nature: Owner / Applicant / Contractor / Agent
partment Copy
December 12, 2016
1
3011 (0 1
• `!s Miami Shores Village
�o�KC9Building Department /j�V� ry10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B.
\0 Tel: (305) 795-2204 Fax: (305) 756-8972 .t
INSPECTION LINE PHONE NUMBER: (305) 762-4949 l
F B /C� 20 l `f'
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
[QR1C 1LDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
d'�{ y� ((,�� CONTRACT��O�R DRAWINGS
JOB ADDRESS: � I /V G vl 7_ st V �1, � r"Y
City: Miami Shores County: Miami Dade Zip: �� 3
Folio/Parcel#: 2.0Q�, — o4 S2-0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 4940 A RA0 A Phone#(-?f �� (- 13-S-)
Address: l - t �i �.1�
City: V�11i (] o rq S State: Zip: �]> 1-3®
Tenant/Lessee Name: Phone#:
Email: ck;:-
CONTRACTOR: Company Name: ' "1A-40(-EF ,Dw cj Phone#-\�86)
Address: 3140 S r OC-9 4nJ
City: IV/u�< State: 1-
Qualifier Name: i'i Phone#:
State Certification or Registration #: c6lru s( p7-Tt- Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
3300
Address: City: State: Zip:
Value of Work for this Permit: $ C r Square/Linear Footta�age of Work:
Type of Work: El Addition ❑ Alteration El -FNew 'Repair/Reglace ❑ Dem.
Description of Work:
Q
Q H 00
Specify color of color thru tile: (jQ
Submittal Fee $ U Permit Fee $ I Lq CCF $ "� 2" CO/CC $ T�
Scanning Fee $ r'1 Radon Fee $ Z 3 DBPR $ Z Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
s
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 oc rs seven (7) days after the building permit is issued. In th 'absence of h posted notice, the
inspection will not be qQoved a reinspection fee will be charged.
Signature i u myvx Signature
or AGENT
The foregoing instrurUgent Was acknowledged before me this
da of '' �+� 20J by
�A,o4Z } V'0.0%, who ' _ personally kno n to
me or who has produced
identification and who
NOTARY PUBLIC:
an oath.
Sign:
Print: .
NOTARY PUBLIC
Seal: STATE OF FLORIDA
• Cant# F"M42
Fires 8/13/2019
APPROVED BY A V(.4
as
R
The ff(oe�going instrumentwa?acknowledged before me this
day of 11'6C144S*-- 20 tig� by
5 `�3NC.144— whom rsonally kno
me or who has produced as
identification and w
NOTARY PUBLIC:
Sign:
Print:
Seal: 321111110
Plans Examiner
take an oath.
NOTARY P JWC
STATE OF FLORIDA
Commit F.F909242
9 s**************
Zoning
(Revised02/24/2014)
Structural Review
Clerk
?4e s� pc14 E4a e4awo*va4wc A"O&4tO*,
745 North East 91 sc Street
Miami Shores, FL 33138
305-759-9069 / FAX 305-759-2101
E-MAIL: spel23@att.net
September 28, 2016
Miami Shores Village
Building Dept.
10050 NE 2nd Avenue
Miami Shores, FL 33138
Dear Sir / Madam:
This letter will serve as your confirmation that "MAROCEF, Inc." has been
contracted by the owner of Unit 2M, at 716 NE 92 Street, Miami Shores, FL,
and is authorized by the Board of Directors of the Shores Plaza East
Condominium Association to perform "Interior Remodeling of Bathroom
(Re -Tile) and Install Kitchen Cabinets" also "Replace and Polish Floors"; .at
said Unit.
Should you have any questions regarding the enclosed, please feel free to
contact the condominium office.
Sincerely yours,
Oscar Zarag za
Secretary / Treasurer
Shores Plaza East Condominium Asso.
cc: file
Miami shores village
Building Department
10060 N.E.2nd Aven
Miami Shores, Florida 33138
"Tel: (305) 795,2204
Fax: (305) 756,8972
PONTMC—TO _ION
IF CONTRACTOR IS A Et tJR,_ IDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE`
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MAST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
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BUSINESS NAME: Q 3;n46
BUSINESS ADDRESS:' -0c_i&0ey%4LM cn j AAL STATE
ZIP
BUSINESS PHONE: ( jib) ' & 5 b 9 S FAX NUMBER (� j
CELL PHONE &-OW,45
QUALIFIER'S NAME: 01s,'�'-P� Po1,
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QUALIFIER'S LIC NUMBER: � S i K�
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STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
• �CDD�4p 7 2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
FERNANDEZ, CARLOS E
MAROCEF INC
3140 S OCEAN DRIVE APT 1109
HALLANDALE FL 33009
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order
to serve you better. For information about our services, please
log onto www.myfloridalicense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and learn more about
the Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT, GOVERNOR
LICENSE NUMBER
(850) 487-1395
'+ r- STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CGC1516756 ISSUED: 07/31 /2016
CERTIFIED GENERAL CONTRACTOR
FERNANDEZ, CARLOS E
MAROCEF INC
IS CERTIFIED under the provisions of Ch.489 FS.
Exr radon date AUG 3' 2013 L16073100032-1
DETACH HERE
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2018
FERNANDEZ, CARLOS E
MAROCEF INC
3140 S OCEAN DRIVE APT 1109
HALLANDALE FL 33009
ISSUED: 07/31/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1607310003272
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
DBA: Receipt #'GENERA5L1 CONTRACTOR
Business Name: MAROCEFINC Business Type: Y (CONSTRUCTION INDUSTRY)
Owner Name: CARLOS E FERNANDEZ Business Opened: 0 9 / 2 6 / 2 012
Business Location:3140 S OCEAN DR STE 1109 State/County/Cert/Reg CGC1516'756
HALLANDALE Exemption Code:
Business Phone: 786-486-9845
Rooms Seats Employees Machines Professionals
1
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount
Transfer Fee
NSF Fee
Penalty
Prior Years
1
Collection Cost
Total Paid
27.00
0.00
1 0.00
0.00
0-.00
0.00
27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non -regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements: This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not indicate that the business is legal or that
it is in compliance with State or local laws and regulations.
Malling Address:
MAROCEF INC
3140 S OCEAN DR STE 1109
HALLANDALE, FL 33009
Receipt #52A-15-00009948
Paid 09/30/2016 27.00
2016 - 2017
r•v
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law,
EFFECTIVE DATE: 9,15/2016 EXPIRATION DATE: 9115i2018
PERSON: FERNANDEZ CARLOS E
FEIN: 271261923
BUSINESS NAME AND ADDRESS:
MAROCEF INC
3140 S OCEAN DR. SUITE 1109
HALLANDALE FL 33009
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL LICENSED ROOFING
CONTRACTOR CONTRACTOR
Pursuant to Chapter 41,' 05..11; F S an officer of a corporation -aho elects exemption from this chapter by filing a certificate of election under this section
may not recover benefits or compensation under this chapter Pursuant to Chapter 440 05 12) F S Certificates of election to be exempt. apply only
within the scope of the business or trade listed on the notice of election to be exempt Pursuant to Chapter 440 05r13N F S . Notices of election to be
exempt and certificates of election to be exempt shall be subject to revocation if at any time after the filing of the notice or the issuance of the certificate
the person named on the notice or certificate no longar meets the requirements of this section for issuance of a certificate The department shall revoke a
EFS-F2-D`,N'1-252 CERTIFICATE OF ELECTION TO BE EXE11PT REVISED 08-13 QUESTIONS? 1850j413-1609
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. S 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 BEL9W YOU_' KNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: �'.t�J
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this —��l day of�4t� 20 t(0
who is personally known to me or has produced
identification.
Notary:
SEAL:
Alicia Maria Ordz
NOTARY PUBLIC
STATE OF FLORIDA
. Corm# Ff 909242
Expires 8/13/2019
MAROCEF Inc
3140 S Ocean Dr, ste # 110
Hallandale F13300
Uc: CCC15 6T66. CCC13294 6, H12023
c 5Rmarocef.com
State of Florida
County of Miami Dade
Before me this day personally appeared Carlos Fernandez, who being duty
swom, deposes and says:
That he will be the only person working on the project looted at 716 NE
92nd St, unit 2M Miami Shores Fl
Saturn to (or m ii� and su4scribed before me this 1,? , day of OCI
2016, by Q"kos,"vv�wcle
Personally know
or Produces! Identification
•goyy���r
.1
Print, Type or Stamp of Notary
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16
AcoRDi CERTIFICATE OF LIABILITY INSURANCE
161,/
DATE (MMIDDIY YYY)
1 10/12/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
tiewtek Insurance Agency
301 Mexico Blvd.
Spite H4 A
Brownsville TX 78520
�NMTACT Leticia CO1Vln
PHONE (866)380-7007 No: (866)648-0916
ADE-MAIL SS: lcolvin thesba.com
DR
INSURER(S) AFFORDING COVERAGE
NAIC S
INSURERA:United Specialty Insurance CO
INSURED
Marocef Inc.
3140 South Ocean Dr. Ste. 1109
Hallandale Beach FL 33009
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURERF:
COVERAGES CERTIFICATE NUMBER-CL166211230 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMID
POLICY EXP
MWD
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE F OCCUR
D MISES E ToEa occurrRENTEence
$ 50,000
MED EXP (Any one person)
$ 5,000
SII1003A14517-01
5/28/2016
5/28/2017
PERSONAL R ADV INJURY
$ 1, 0o0, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY ,PRO LOC
PRODUCTS - COMNOP AGG
$ 1,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea acciden
$
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
PROPERTY DAMAGE
er accident
$
NON -OWNED
HIRED AUTOS AUTOS
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
I PER OH -
STATUTE ER
ANY PROPRIETORIPARTNERlD(ECUTIVE
EL. EACH ACCIDENT
$
OFFICERIMEMBER EXCLUDED? ❑
N / A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOY
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
EL. DISEASE -POLICY LIMIT 1
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
General Contractor
ltla:4ll.1Lh-11;V:Lei 14DIR ef-ICLefa11M_1ILei '
Village of Miami Shores
10050 ME 2nd Ave
Miami Shores, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Kyle Sloane/BETHP
ACORD 25 (2014I01)
INS025 ('X11dr111
9)1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
T
ADD SMOKEfCAI'iBON MONOXIDE DETECTORS
Ai: ANY AND ALL CLOTH AND RUBBER
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BAT , BATNAdIOM RECEPTACLE ON 20 AMP CKT
. AND G.FI PROTECTED
FLORIDA BUILDING CODE 2014
FBC LEVEL 2 ALTERATION
COMPLY WITH SECTION 107 OF THE
2014 FLORIDA BUILDING CODE AND
CHAPTER 8-10 OF THE MIAMI DADI
COUNTY CODE
SCOPE OF WORK
1. REPLACE EXISTING KITCHEN CABINETS WITH NEW CABINETS
2. REMOVE & REPLACE TILE FLOOR IN BATHROOM
3. REFINISH EXISTING WOOD FLOOR, W/ NEW BASEBOARD
4. NEW INTERIOR PAINT EXISTING WALLS
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2. REMOVE & REPLACE TILE FLOOR IN BATHROOM
3. REFINISH EXISTING WOOD FLOOR, W/ NEW BASEBOARD
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KED APPLIANCES ON; DEDICATED CKTS
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