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ELC-18-2526Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: OS/26/2018- Permit NO.: ELC-09-18-2526 Permit Type: Electrical - Commercial Work Classification: Service Change Permit Status: Approved Expiration: 03/25/2019 Parcel Number 9822 NE 2ND AVE, Miami Shores, FL 33138 1132060132240 Contacts MIAMI SHORES CENTER LLC Owner 210 71 ST 309, MIAMI BEACH, FL 33141 EVOLUTION ELECTRICAL CONTRACTOR Contractor GROUP LLC 81 SW 91 ST 107, PLANTATION, FL 33324 (305)986-8537 Description: REPLACE EXISTING METER BOX Fees Amount Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: $50.00 $0.60 $2.00 $2.00 $0.20 $50.00 $9.00 $2.50 $116.30 Valuation: $ 800.00 Total Sq Feet: 0.00 i Payments Total Fees Credit Card Amount Due: Amt Paid $116.30 $116.30 $0.00 Inspection Requests: 305-762-4949 Inspections: Inspection Type Work With Inspection Electrical Final Permit Received By Date Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date September 26, 2018 Page 2 of 4 BUILDING PERMIT APPLICATION ❑BUILDING ELECTRIC ❑ PLUMBING ❑ MECHANICAL JOB ADDRESS: 0 - J C Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 EP 2.4 2018 FBCf 20 F� Master Permit No i�L (9 - 25 2-6 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Z N� Au.6 City: Miami Shores County: Miami Dade Zip: 3 3)3$ Folio/Parcel#: ) j — 3 Z , — o J 3 .- 2 zi e. Is the Building Historically Designated: Yes NO )C Occupancy Type: 6 Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): II Ihn4, S4) ..4 C44 ,,. /1 C Phone#: 3u 5 7 1 3 LP/4 Ll Address: -2 j c7 `7 1 • S4' , 4 309 City: i:1 r, ,y) j �, State: Tenant/Lessee Name: Cd.20..>et, CiPsc trri , Email: C0 Q.&.. 1�� P.G1lti ivr,i ALA' 2CGS( Y1 t Co en CONTRACTOR: Company Name: • E v v i c �.� r�yV ace r. n*r a a°a' Address: i' 41. i 31 N vJ 11 'cif • zip: 331Y1 Phone#: 7q, 6 — 3 25 - 71S S Phone#: S -'9e. 8153 City: PA r , T ("p ASA, C7t R S State: [ c Zip: 3 3 2 Qualifier Name: C Pad -S ,G -14 Z.A L. 4 S ,. c: Phone#:133S--99b '�c3 $? State Certification or Registration #: l C 13 Oo 5 c'j 89' Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ir 0 0 Type of Work: ❑ Addition ❑ Alteration ❑ New Description of Work: R pig c-Q. €. 45+uvI 4-€ Square/Linear Footage of Work: Repair/Replace ❑ Demolition 4.1:d^:7g,..Y:-+Qw 'CPAs ria.. �.kn va s::.i,". '..kL: ct kryfMkt 1... r.tl >`7 9:1; rW.! fi cr::416 41A Specify colpr of co/oritlir'"u:;tile: 1'1 Submittal Fee $ Permit Fee 3 %3'4ePia6) Scanning Fee $ Technology Fee $ Training/Education Fee $ Double Fee'$ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ CCF $ �-•.y .,...,: a ;• CU/GC-$ •� < , . . DBPR $ Radon Fee $ Notary $ , (Revised02/24/2014) 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. � _ r. , r "WARNING 'TO `OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULPIN 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." t•• ,.'`y. .•! cyr `i ` � to Notice to Applicant: As a condition to the issuance of a building permit with an estirnnted value exceeding $2300, 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 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 ' OWNER or AGENT The foregoing instrument waacknowledged day of HA;M '-Itle,e.��...L me or who has produced as identification and who did take an oath. NOTAR Sign: Print: Seal: ? .,.1.• , t _i Signature before me this CONTRACTOR The foregoing instrument was acknowledged before me this by 4- I. day of ;91 , 20 11 , by . tit cs .1} - -j Cdr2.L45 60iv?A & ? , who is . • ..II known to me or who has produced as identification and who did take an oath. C.) tr NOTARY PUBLIC: • ti • -^'• •`Sign ._otrs+�"` -. ***********m& APPROVED BY STACY OSKOLSKI Notary Public - State of Florida Commission # GG 071356 My Comm. Expires Apr 11, 2021 Bonded through National Notary Assn. Print: Seal: .!****************************************************************** 2�9.E7/0 Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) OFFICE OF THE PREIPERTV APPAISER Summary Report Property Information Folio: 11-3206-013-2240 Property Address: 9830 NE 2 AVE Miami Shores, FL 33138-2313 Owner MIAMI SHORES CENTER LLC Mailing Address 210 71 STREET #309 MIAMI BEACH, FL 33141 PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 1211 MIXED USE - STORE/RESIDENTIAL : RETAIL OUTLET Beds / Baths / Half 0/6/0 Floors 2 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 16,735 Sq.Ft Lot Size 13,459 Sq.Ft Year Built 1947 Assessment Information Year 2018 2017 2016 Land Value $349,934 $349,934 $349,934 Building Value $678,445 $678,445 $350,066 XF Value $25,735 $25,960 $0 Market Value $1,054,114 $1,054,339 $700,000 Assessed Value $693,451 $630,410 $573,100 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction $360,663 $423,929 $126,900 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 LOT 2 & E57FT OF LOTS 3 & 4 & N4.92FT OF E57FT OF LOT 5 & S19.71 FT OF E49.67FT OF LOT 5 BLK 17 Generated On : 9/24/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $0 $0 Taxable Value $693,451 $630,410 $573,100 School Board Exemption Value $0 $0 $0 Taxable Value $1,054,114 $1,054,339 $700,000 City Exemption Value $0 $0 $0 Taxable Value $693,451 $630,410 $573,100 Regional Exemption Value $0 $0 $0 Taxable Value $693,451 $630,410 $573,100 Sales Information Prev'ous Sale OR Page 9 Qualification Description 02/01/2002 $1,244,000 20241-3676 Other disqualified 05/01/1985 $500,000 12511-0993 Deeds that include more than one parcel 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.govtinfo/disclaimer.asp Version: Detail by Entity Name Page 1 of 2 • Fiorida Department of StatOF ATONSC Oa P OR iONS Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company MIAMI SHORES CENTER, LLC Filing Information Document Number L02000000072 FEI/EIN Number 02-0533246 Date Filed 12/26/2001 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 05/31/2017 Event Effective Date NONE Principal Address 210 - 71ST STREET SUITE 309 MIAMI BEACH, FL 33141 Changed: 04/03/2009 Mailing Address 210 - 71ST STREET SUITE 309 MIAMI BEACH, FL 33141 Changed: 04/03/2009 Registered Agent Name & Address PIOTRKOWSKI, JOEL SESQ 317 71ST STREET MIAMI BEACH, FL 33141 Name Changed: 01/04/2011 Address Changed: 01/04/2011 Authorized Person(s) Detail Name & Address Title Manager Mussaffi Investments, Inc. http://search. sunbiz. org/Inquiry/CorporationSearch/SearchRe sultDetail?inquirytype=Entity... 9/24/2018 Detail by Entity Name Page 2 of 2 r •.• 210 71ST STREET, SUITE 309 MIAMI BEACH, FL 33141 Title Manager Yehezkel, Haim 210 - 71ST STREET SUITE 309 MIAMI BEACH, FL 33141 Annual Reports Report Year Filed Date 2016 02/10/2016 2017 02/23/2017 2018 04/18/2018 Document Images 04/18/2018 -- ANNUAL REPORT 05/31 /2017 -- L.0 Amendment........................................................................................ 02/23/2017 -- ANNUAL REPORT 05/12/2016 -- LC Amendment 02/10/2016 -- ANNUAL REPORT 03/04/2015 -- ANNUAL REPORT 03/12/2014 -- ANNUAL REPORT 04/12/2013 -- ANNUAL REPORT 01/31f2012 -- ANNUALREPORT 01/04/2011 ANNUAL REPORT 02/16/2010 -- ANNUAL REPORT 04 /03 /2009. _-.:._!`.•: NN U n t;;, (-f F f" O R T. 02/06/2008 -- ANNUAL REPORT 01/29/2007 -- ANNUAL. REPORT 03/21/2006 ANNUAL REPORT 02/21/2005 -- ANNUAL REPORT 03/29/2Q04....- ANNUAL REPORT 04/24/2003 -- ANNUAL REPORT 07/30/2002 -- ANNUAL REPORT 12/26/2001 - Florida Limited Liabilites View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDI- format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image it PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 9/24/2018 "ru Ne.v.a.kar At&c Ni& 0 5c.--.Te 'DV Rap\ace the 2.)L,4--,N,..) onakef StAIN.ES CtNYZE„--i.Lc cb2.2.. NE 2Awe_ Mkt\ PJ.0. Si-VDCLES• ••• OX •- 'k;12. EK1 • • • • • • • • • • • • • • • • • • • • • 1 • • • • • • • • • • • • • • • • • • • • • • • • 11 • • • • • • • 11• Il• • • • • • • • • • • • • • • • • • • • • •• • • • . • • • • • • • • • • • . • • • • • • • • • • • • • • Lc,te 2-0 Nliarni Shores Village APPROVED BY DATE ZONING DEPT A-/Ac FiLDG DEPT /ff In, I ANII:17 WITH Al I FrOrriAl. AND I3f (;IJI A IV)NF; E.Lac:T CoNYT \ \ NUJ c'kzK.a Q P.e.S L 3313 ECksocisc% GoNLNA--7 7_ cl