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PL-18-1537Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Parcel Number Permit NO. PL-6-18-1' 537 Permit Type: Plumbing - Residential Work Classification: Add ition/Alteration Permit Status: APPROVED Expiration: 12112/2018 Applicant 671 NE 105 Street Miami Shores, FL 33138-2053 1122310120100 Block: Lot: CAROL INVEST USA INC Owner Information Address Phone Cell CAROL INVEST USA INC 671 NE 105 Street MIAMI SHORES FL 33138- (305)747-3098 671 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone FELIX FERA PLUMBING, INC 954-981-3016 Cell Phone Valuation: $ 18,000.00 Total Sq Feet: 565 Type of Work: INSTALL PLUMBING FOR KITCHEN, 2 BAT Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $10.80 $9.45 $6.30 $3.60 $630.00 $3.00 $14.40 $677.55 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-6-18-67807 06/05/2018 Credit Card $ 50.00 $ 627.55 06/15/2018 Credit Card $ 627.55 $ 0.00 Available Inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 ontractor / Agent Building Department June 15, 2018 June 15, 2018 Date 1 BUILDING PERMIT APPLICATION CBUILDING ELECTRIC 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 IT ROOFING 11+ FBC 20 nr6 Master Permit No. 1C— / — / R 9 Sub Permit NoPU 9 - S3- 4 REVISION EXTENSION El RENEWAL PLUMBING El MECHANICAL (PUBLIC WORKS ri CHANGE OF n CANCELLATION El SHOP CONTRACTOR DRAWINGS 10B ADDRESS: 671 NE 105 St. City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-2231-012-0100 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Carol Invest, USA Address: 990 Biscayne Blvd. Suite 801 City: Miami Phone#: State: FI. Zip: 33132 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Felix Fera Plumbing Phone#: (954) 929-7473 Address: 5634 SW 25 St. City: West Park Qualifier Name: Anthony Catapano State: Florida State Certification or Registration #: CFC 1426161 DESIGNER: Architect/Engineer: Victor'Bnice Address: 370 NE 101 St. Value of Work for this Permit: $ 18,000 Zip: 33023 Phone#: (954) 929-7473 Certificate of Competency #: Phone#: (305) 310-5030 city: Miami Shores State: FI• Zip: 33138 Square/Linear Footage of Work: 565 Sq. Ft. Type of Work: ( Addition Alteration n New Description of Work: Install plumbing for kitchen, 2 bathrooms Repair/Replace n Demolition Specifyzco/or of color thru,tile '� a• • Submittal Fee $ Permit Fee $ CCF $ • ,,-:cO/CC $ , Scanning Fee $ Radon Fee $ DBPR $ __ '' N Technology Fee $ Training/Education Fee $ Double Fee $ 127 Structural Reviews $ Bond $ 1 /� TOTAL FEE NOW DUE$ \Q� r (Revised02/24/2014) Y R Bonding'Company's Name (if applicable) IBonding 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 ORGAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ,1 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 : OWN ER`orAGENT Signature CTOR The foregoing instrument was acknowledged before�me this The foregoing instrument was acknowledged before me this 01 day of CAP- 20 o by day of , 20 is , by 1i i (o--) /2117 Z I' '. who is r ally I n to who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ******** APPROVED BY uact kasi LUCIA G ISASI • MY COMMISSION #FF182628 ,0, ber 1 EXPIRES Decem( (114 ji3 e-i53 FloridallotaryService.com Plans Examiner, 7(� - meeor�►who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ****** <14 Notary Public - State of Florida •= Commission # FF 923820 ;� „� S My Comm. Expires Jan 24; 2020 ,: 4t Bondsdthrau0 National Notay Assii. l .- as Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-2231-012-0100 Property Address: 671 NE 105 ST Miami Shores, FL 33138-2053 Owner CAROL INVEST USA INC Mailing Address 990 BISCAYNE BLVD 802 MB 17 MIAMI, FL 33132 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 4 / 4 / 0 Floors 1 Living Units 1 Actual Area 7,856 Sq.Ft Living Area 6,116 Sq.Ft Adjusted Area 6,290 Sq.Ft Lot Size 29,600 Sq.Ft Year Built 1950 Assessment Information Year 20171 2016 2015 Land Value $810,300 $763,236 $610,500 Building Value $441,104 $441,113 $441,123 XF Value $41,607 $41,987 $28,897 Market Value $1,293,011 $1,246,336 $1,080,520 Assessed Value $1,293,011 $1,246,336 $663,790 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $416,730 Homestead Exemption $25,000 Second Homestead Exemption $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 31 52 42 GOLF VIEW EST CORR PL PB 41-58 LOT 11 & THAT POR LOT 12 DESC BEG AT SW COR LOT 12 N17.5FT TO POB NELY205.17FT TO PT ON E/L Page 1 of 1 Generated On : 6/5/2018 Taxable Value Information 2017 20161 2015 County Exemption Value $0 $0 $50,000 Taxable Value $1,293,011 $1,246,336 $613,790 School Board Exemption Value $0 $01 $25,000 Taxable Value $1,293,011 $1,246,3361 $638,790 City Exemption Value $0 $0 $50,000 Taxable Value $1,293,011 $1,246,336 $613,790 Regional Exemption Value $0 $01 $50,000 Taxable Value $1,293,011 $1,246,336 $613,790 Sales Information Previous Sale Price OR Book - Pa 9a Qualification Description 11/08/2017 $3,000,000 30756- 1001 Qual by exam of deed 05/18/2015 $1,050,000 29627 2110 Qual by exam of deed 05/01/1999 $500,000 18621 3078 Sales which are qualified 11/01/1995 SO 17015- 2695 Sales which are disqualified as a result of examination of the 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: https://www.miamidade.gov/propertysearch/ 6/5/2018 Detail by Entity Name Page 1 of 2 Horde Department of State Q partment of State / Division of Corporations / Search Records / Detail gy Document Number / ;oN iiPC CRe ORF.' :DNS Detail by Entity Name Florida Profit Corporation CAROL INVEST USA, INC. Filing Information Document Number P14000015318 FEI/EIN Number 38-3924898 Date Filed 02/18/2014 State FL Status ACTIVE Principal Address 990 BISCAYNE BLVD Suite 802, MB 17 MIAMI, FL 33132 Changed: 11/22/2016 Mailing Address 990 BISCAYNE BLVD Suite 802, MB 17 MIAMI, FL 33132 Changed: 11/22/2016 Registered Agent Name & Address BOLOGNA, ESQ., STEFANIA 100 S.E. SECOND STREET SUITE 3800 MIAMI, FL 33131 Name Changed: 04/30/2018 Address Changed: 04/30/2018 Officer/Director Detail Name & Address Title President, Treasurer, Secretary VERLICCHI MARAZZI, EMANUELA 990 BISCAYNE BLVD Suite 802, MB 17 MIAMI, FL 33132 http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/5/2018 Detail by Entity Name Page 2 of 2 Title VICE PRESIDENT MARAZZI, CAROLINA 990 BISCAYNE BLVD. SUITE 803, MB 18 MIAMI, FL 33132 Title Director, VP Bruzzi, Marco 990 BISCAYNE BLVD Suite 801, MB 16 MIAMI, FL 33132 Title Director, VP Melotti, Monica 990 BISCAYNE BLVD Suite 801, MB 16 MIAMI, FL 33132 Annual Reports Report Year Filed Date 2016 04/25/2016 2017 04/23/2017 2018 04/30/2018 Document Images 04130/2018 -- ANNUAL REPORT 04/23/2017 -ANNUAL REPORT 11/2212016 -- AMENDED ANNUAL REPORT 111/16`201 6...--AMENDED ANNUAL„ REPORT 05/27/2016 -- AMENDED ANNUAL REPORT 04/2 5/2010 -- ANNUAL REPORT 10/08/2015 AMENDED ANNUAL REPORT 10/06/2015 -- AMENDED ANNUAL REPORT 63/26/21)15„-.-1 NNU.A€„ f E.PORT 02/ 1812014 -- Domestic Profit View image in PDF format View image in PDF format View image in PDF format View image in P01= format View image in PDF format View image in PDF`ormat Vle w image in PDF format View image in PDF format Vi/•w image in PDF format View image in PDF format http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/5/2018 RICK SCOTT, GOVERNOR LICENSE NUMBER KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The PLUMBING CONTRACTOR Named below IS CERTIFIED Underthe provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 CATAPANO, ANTHONY JOSEp,}L FELIX FERA PLUMBINGdt C•- 3750 HACIENDA BLVD SU 'E"F '•'"' DAVIE ..FL 3.33144W' ISSUED: 06/21/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1606210000854 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018 DBA: Business Name: FELIX FERA PLUMBING INC Receipt#:pLUM ING/LWN SPRNKL/CONTRA Business Type: (MASTER PLUMBER CONTRACTOR Owner Name: ANTHONY JOSEPH CATAPANO • Business Opened:10/31/2007 Business Location: 3750 HACIENDA BLVD, SUITE F State/CountylCert/Reg:CFC1426161 DAVIE Exemption Code: Business Phone: 954-945-5325 Rooms Seats Employees 4 Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 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 WHEN VALIDATED Mailing Address: ANTHONY JOSEPH CATAPANO 3750 HACIENDA BLVD, SUITE F DAVIE, FL 33314 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 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. Receipt #1CP-16-00020251 Paid 08/22/2017 27.00 08/18/2017 Effective Date OR 20.17__2018 ACORN® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/31/2018 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 BB Insurance Marketing Inc 10167 W Sunrise Blvd 3rd Floor Plantation FL 33322 CONTACT NAME: Certificate Department PHONE FAX (A/C, No. Extl: 888-728-0817 (A/C, No): 954-452-0450 AADDRESS: Certificates@bbimi.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Wesco Insurance Company 25011 INSURED FELIFER-01 Felix Fera Plumbing, Inc 5634 SW 25th Street West Park FL 33023 INSURER B : Zenith Insurance Company 13269 INSURER C : St Paul Fire & Marine 24767 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1866024294 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY WPP1220185 03 12/8/2017 12/8/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PRO JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X - X LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS NON -OWNED AUTOS WPP1224756 03 12/8/2017 12/8/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ C X UMBRELLA LIAB EXCESS LIAB X O OCCUR CLAIMS -MADE ZUP-71M46121-17-NF 12/8/2017 12/8/2018 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DED X RETENTION $ 10 000 $ g WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A Z126893704 12/8/2017 12/8/2018 X STATUTE MUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Plumbing Contractor. The General Liability includes the "Blanket Additional Insured" as required by contract. It also includes the wording for "primary and noncontributory" and includes the "waiver of subrogation". Contractor License# CFC 1426161 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue 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 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01)