CC-18-673Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. CC-3-18-673
Permit Type: Commercial Construction
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 6/1/2018'
Expiration: 11/28/2018
Parcel Number
Applicant
9501 NE 2 Avenue
Miami Shores, FL 33138-
1132060133920
Block: Lot:
DVS LLC
Owner Information
Address
Phone
Cell
DVS LLC
201 NE 95 Street
MIAMI FL 33138-
(305)756-3711
201 NE 95 Street
• MIAMI FL 33138-
Contractor(s) Phone Cell Phone
SLATE MEDICAL&DENTAL CONSTRU (954)589-2169 (954)803-3069
Valuation:
Total Sq Feet:
$ 46,040.00
1151
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: REMODEL A PORTION OF DENTAL
Stories:
Front Setback:
Left Setback:
Plans Submitted: Yes
Certification Date:
Bond Return :
Scanning: 13
Occupancy Load:
Exterior:
Rear Setback:
Right Setback:
Certification Status:
Additional Info: REMODEL A PORTION OF DENTAL
Classification: Commercial
Fees Due
CCF
CO/CC Fee
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Plan Review Fee (Engineer)
Scanning Fee
Technology Fee
Total:
Amount
$28.20
$200.00
$20.72
$13.82
$9.40
$1,381.20
$90.00
$39.00
$37.60
$1,819.94
Pay Date Pay Type Amt Paid Amt Due
Invoice # CC-3-18-66800
06/01/2018 Check#: 1336 $ 1,619.94 $ 200.00
03/14/2018 Check #: 1225 $ 200.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Window Door Attachment
Tie Beam
Slab
Termite Letter
Framing
Store Front Attachment
Insulation
Drywall Screw
Fill Cells Columns
Window and Door Buck
Ceiling Grid
Review Planning
Review Structural
Review Electrical
Review Electrical
Review Building
Review Building
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 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.
uthorjzed-Sigiiature:Owner / Applicant / Contractor / Agent
June 01, 2018
Date
`uilding Department Copy
ne 01, 2018
1
BUILDING
PERMJ.1 PPLIC ION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
:EcT\TE15
MAR 1 018
FBC 20(1
(7t6
Master Permit No. CC 'F) — 46 13
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
PLUMBING "MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ISO 1 Ai L^ 4Q Ave I O S03I qs)5, if) S" / 1 +ARM t S I-64 _ ri► 3 3 t 3e
City: Miami Shores County: Miami Dade Zip:
, Folio/Parcel#: t 1 *- 3 // },o b " f%) b 3110 Is the Building Historically Designated: Yes NO
,Occupancy Type: b Load: 49 Construction Type: V -1 Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): O VJ Ll.c_. Phone#: 3 o $ -7 5'i . )2241
Address: 'ID 1 ()� q.5
y M i' "t{
City: `��) State: Zip: 33 f 3Q
Tenant/Lessee Name: Pc c44 L Oef1111.- 5 77...LC('t Phone#: l.1 ��-- 5-7
t4E(568e A>fJEfi•L-
Email:
S CONTRACTOR: CompanyA1�-
11Name: SL M LA 4 G 'iL CA Tfr Phone#: [ r803 r3v11
Address: ,^,3� C : 0 ti C t wy s P6
City: F-1,Ltiv State: f+-- Zip: 3(4.
cc,, o
Qualifier Name: La: c' q cj ii i Phone#: gQ 3 ;•Qv?
State Certification or Registration #: -ITG f J)- c30 Si Certificate of Competency #:
DESIGNER: Architect/Engineer: ` S JL(C rt�j(LC�5ic
Address: 2 1'11 cA-16 (1 %A -
Value of Work for this Permit: $ b OtiC
Type of Work: ❑ Addition ErAlteration
Cr9'-�B2 - S71/45
!
City: Co�r�iP 1 State: CA Zip: q 28 (
Square/Linear Footage of Work: t �l
❑ New
Phone#:
❑ Repair/Replace T4emolition
Description of Work: hG''toO L A P0R-11o' OF A e^`l'`� (=6"T J j r404 '5 04-1-, AT114-rikr1
o(Tw . 5W0444 H-C,>41C- Ccb - r MCt,t -4 et- 0( ^v3�1'l0• Est
A-40 o kr SI!4 Ao A O
Specify color of color thru tile:
1 2
Submittal Fee $ Zd O xA� H Permit Fee $ 1 7 i • ?eaT CO/CC $ 2C:31 O
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee '$ Double Fee $ `--
Structural Reviews $ Bond $
(Revised02/24/2014)
)
TOTAL FEE NOW DUE$ ' Of 9,
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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 • e. and a rein ction fee will be charged.
Sign
ER or AGENT
The . egoi instrument was acknowledged before me this
/2- day of s%%!4RCSt ,20 /Y ,by
7heres- (1a Ccc rjr/.se who is personally known to
me or who has produced FL -
identification and who did take an oath.
NOTARY PUBLIC:
/7i ' v
Sign: /
Print:
Seal:
;I OF 4.•
�gn3ture
CONTRACTOR
The foregoing instrument was acknowledged before me this
a day of IV 4►Q-C.' , 20%e , by
u, . S 1 /Tr , who is personally known to
as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC: •
APPROVED BY
(Revised02/24/2014)
4.•�F�1 P,,,, JIM D PAMPUN
�'�`�%•. Notary Public • State o1 Florida
e Commission # GG 041934
g My Comm. Expires Jan 13, 2021
Sign: -
Print:
Seal:
,%V[ 2 aIGr4c�/✓
F O MN I
OeIIMIJu o ! 600Z7001
wires: Ave. 21, 2020
an.
Plans Examiner Zoning
Structural Review Clerk
2017 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT
DOCUMENT# L10000129579
Entity Name:-DVS,'L'L-C ).
Current Principal Place of Business:
201 N.E. 95TH STREET
MIAMI SHORES, FL 33138
Current Mailing Address:
201 N.E. 95TH STREET
MIAMI SHORES, FL 33138 US
FEI Number: 80-0670481
Name and Address of Current Registered Agent:
CACCAMISE, THERESA
201 N.E. 95TH STREET
MIAMI SHORES, FL 33138 US
FILED
Mar 26, 2017
Secretary of State
CC1177868782
Certificate of Status Desired: No
The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: THERESA CACCAMISE- 03/26/2017
Electronic Signature of Registered Agent
Authorized Person(s) Detail :
Title AUTHORIZED MEMBER, MANAGER
Name CACCAMISE,'THER A
Address 201 N.E. 95TH STREET
City -State -Zip: MIAMI SHORES FL 33138
Title
Name
Address
City -State -Zip:
AUTHORIZED MEMBER, MANAGER
CACCAMISE, RICHARD
201 N.E. 95TH STREET
MIAMI SHORES FL 33138
Date
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and
that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: THERESA CACCAMISE
AUTHORIZE MEMBER
03/26/2017
Electronic Signature of Signing Authorized Person(s) Detail
Date
•
Proper Search Application - Miami -Dade County
•
Summary Report
Property Information
Folio:
,
11-3206-013-3920
Property Address:
9501 NE 2 AVE
MIAMI SHORES, FL 33138-2704
Owner
DVS LLC
Mailing Address
201 NE 95 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
6400 COMMERCIAL - CENTRAL
Primary Land Use
1229 MIXED USE -
STORE/RESIDENTIAL : MIXED USE
- COMMERCIAL
Beds/Baths/Half
0/0/0
Floors
1
Living Units
0
Actual Area
25,475 Sq.Ft
Living Area
25,475 Sq.Ft
Adjusted Area
24,806 Sq.Ft
Lot Size
40,200 Sq.Ft
Year Built
1949
Assessment Information
Year
2017
2016
2015
Land Value
$959,400
$959,400
$798,600
Building Value
$1,872,540
$2,080,600
$1,684,559
XF Value
$0
$0
$0
Market Value
$2,831,940
$3,040,000
$2,483,159
Assessed Value
$2,754,599
$2,504,181
$2,131,801
Benefits Information
Benefit
Type
2017
2016
2015
Non -Homestead
Cap
Assessment
Reduction
$77,341
$535,819
$351,358
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 12 TO 17 INC BLK 29
LOT SIZE 40200 SQUARE FEET
COC 22525-4024 07 2004 6
Page 1 of 1
Generated On : 3/14/2018
Taxable Value Information
1 2017
2016i 2015
County
Exemption Value
$0
$0
$0
Taxable Value
$2,754,599
$2,504,181
$2,131,801
School Board
Exemption Value
$0
$0
$0
Taxable Value
$2,831,940
$3,040,000
$2,483,159
City
Exemption Value
$0
$0
$0
Taxable Value
$2,754,599
$2,504,181
$2,131,801
Regional
Exemption Value
$0
$0
$0
Taxable Value
$2,754,599
$2,504,181
$2,131,801
Sales Information
Previous
Sale
Price
OR Book -
Pa a
9
Qualification Description
12/23/2010
$1,600,000
27542-4900
Qual on DOS, multi -parcel sale
08/06/2010
$100
27394-3799
Corrective, tax or QCD; min
consideration
07/01/2004
$3,900,000
22525-4024
Other disqualified
12/01/1971
$400,000
00000-00000
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/
3/14/2018
SPECTION RECO
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores. FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
POST ON SITE
Permit NO. C C -3 -18-6 7 3
Permit Type: Commercial Construction
Work Classification: Alteration
Issue Date: 6/1/2018
Expires: 1 1/ 28/ 201 8
INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.comlcap
REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3 pm for following day inspections.
Commercial Construction
Owner's Name:
Job Address: 9501 NE 2 Avenue
Miami Shores. FL 33138-
Bond Number:
Contractor(s) Phone Prig:
SLATE MEDICAL&DENTAL CONSTF (954)589-2169 Yes
Parcel #:1132060133920
ner's Phone:
I Square Feet:
(305)756-3711
1151
I-I Job Valuation:$ 46 040.00
1
IS ALLOWED:
Y THROUGH FRIDAY, 8:00AM - 7:00PM.
DAY 8:00AM - 6:00PM.
NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS.
BUILDING AND ROOFING INSPECTIONS ARE DONE
MONDAY THROUGH FRIDAY.
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
REQUIRED TO ALLOW INSPECTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE 0
COMMENCEMENT.
INSPECTION RECORD
INSPECTION
Foundation
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewall
Wire Lath
Pool Steel
Pool Deck
4(41
�yt
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
Roof in Progress
Mop in Progress
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA compliance
Soil Bearing Cert
t:
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWS & DOORS
INSPECTION DATE INSP
Attachment
FINAL
PUBLIC WORKS
INSPECTION DATE INSP
Excavation
FINAL
ELECTRICAL
INSPECTION
DATE
INSP
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab Ili
Wall Rough�=
Ceiling Rough"-
Roug iemAgir�
Telephone Rough
Telephone Final
TV Rough
TV 61AM,,FoilWaffrAIM
Cable Roug
NMI
Cable Final
=_
Intercom Rough
Intercom Final
AlarmlarmRough
Alarm Final
Fire
Fire Alarm Rough
A.
Fire Alarm Final
Mr AMMO
SIMMIIME
ENV
Service Work With
FINAL
ELECTRICAL
%
COMMENTS
PLUMBING
INSPECTION
DATE
INSP
Rough
Water Service
2nd Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook-up
Roof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
PLUMBING COMMENTS
INSPECTION
MECHANICAL.__
DATE
INSP
Underground Pipe
Rough /C
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
FINAL
INVEAMILI
MECHANICAL CO ENTS
J.
4 ifF414gl744,,..
- •
•- ,
Certificate of Completion
Miami Shores Village
10050 NE 2 Ave, Miami Shores FL, 33138
Tel: 305-795-2204 Fax: 305-756-8972
Building Inspection Department
This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in
‘,...,k, compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following:
ikg-.7.-4-.EfS'
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,(127...:-:- .
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me k,..., •-r-
r
Permit Type
COMMERCIAL CONSTRUCTION CC 3 18 673
Bldg. Permit No.
SLATE MEDICAL & DENTAL CONSTRUCTION
Owner DVS LLC Contractor
SERVICES OF SOUTH FLORIDA
-..';'. i'
Subdivision/Project MIAMI SHORES SEC 1 AMD Date Issued July 27, 2018
•ii-;;' T
,e''r
.".+.',...''''.
Occupancy
Construction Type Load N/A
Occupancy
Square Footage 0 Type N/A
.
'Crei;1--1..7:;2' ''''' ) •
itr (3•7'..-1-::k'..' .
(..,,, ...t. -.:I.4 ,-• ` ' ."- -,01.. :--'..--,r*ii,l',:`,T. -
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k-,-;•:::.,-4- '.0-','I.'-,,,'• -.1, •••,Rtz,. i'..-01:'.q6?-f ';g.42,iF-K,.:',..h;',:'-'..'.• '14-,'
4l° ''-tr -• '''.441i.''.:41.1,.ili "...-..''' 'el'ill:--4::1:1H,t--i;..1„f
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k- •••••_,Ire••...- 1.!1“ •. • ...;47?'*`-.- -i•-,
Description of
Work
III-B
DENTAL OFFICE
Location
9501 NE 2 AVE UNIT# 9503,9505& 9515
Miami Shores FL 33138
ws,c1"
Not Transferable
Applicable
2017 FLORIDA BUILDING
Code
Flood Zone X F.F.E N/A
Building Officials Approval
POST IN A CONSPICUOUS PLACE
‘00
V0g .0.11.
•
Ismael Naranjo, CBO
;71 -