PLC-18-1223Miami 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
y�
JOB ADDRESS: II�D� �I% L �
REC k , \ r
J -N
BY:
FBC 2Ia0 11
BUILDING Master Permit No.PLC l0 '"M.'5 r).,
PERMIT APPLICATION Sub Permit No. ..C' I - 12Z3
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [II RENEWAL
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 33I38
Folio/Parcel#: ` 32 Ob b i3 - 7,S f o
Is the Building Historically Designated: Yes
/I� NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: / "[ n FFE:
OWNER: Name (Fee Simple Titleholder): fait?? o LLOrv,' L LL Phone#: 105 ?'S6 J/�� k/b
Address: I. 6 by 3 $/ 7-0 3
' , / City: Mram i State: L— Zip: 33 2-
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 0^^
Address: l (5 W '3 2 7Crr
Phone#: 3 ,4-m
City: 1-4i1 Qer.L State: r C_ Zip: 3 3 e [ 2-
Qualifier Name: tw; 1kk-r►ko fib%."-t_na.s Phone#: 3/ 9 ' '70}b
State Certification or Registration #: `, `I l/0/3Z(+ Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ / /Z 00 - ob Square/Linear Footage of Work:
Type of Work: ❑ Addition n Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work:
Specify color ofcccolor thru tile: c..�/ r
Submittal Fee $ a'?Cl1 Permit Fee $ ( J CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ 2 • ZS Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ C.18 r 12-2
TOTAL FEE NOW DUE$ I(O'
(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 rh{' s...i 1 State Zip
1
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 le approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
, 20 // , by
9 day of
TdowitJo
, 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
ANDREW VOGEL
MY COMMISSION # FF9I9683
EXPIRES: November 25, 2019
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
17 day of /��% , 20 if by
Gvil/ermv /J Lit etc , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
**********************
d,7,/
ANDREW VOGEL
MY COMMISSION # FF9I9683
EXPIRES: November 25, 2019
************
6`(Hg Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
STATE di' FLORIDA
DEPARTINT OF HEALTH
ONSITE EWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR:4 OSTDS Abandonment
APPLICANT: (Palazzo Le?,:ni LLC)
PERMIT #:13-SC-1852011
APPLICATION #: API 347808
DATE PAID:
FEE PAID•
RECEIPT #•
DOCUMENT #: PR1119684
PROPERTY ADDRESS:
LOT : 3 4 5
960 NE 2 Ave Miami, FL 33138
BLOCK: 19 SUBDIVISIO
(SECTION, TOWNSHIP, RANGE, PARCEL NUMBER}
PROPERTY ID #: 11-3206-013-2510
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMAN E FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A OASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PEII IT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTNG REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
at
SYSTEM DESIGN AND SPECS ICATIONS
T [ ] GALLONS GPD CAPACITY
A [ ] GALLONS , GPD CAPACITY
N [ ] GALLONS CASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY ( }GALLONS rt ]DOSES PER 24 HRS #Pumps [
D [ ] SQUARE
R [ ] SQUARE
A TYPE SYSTEM:
I CONFIGURATION:
f[
FEV1 SYSTEM
FET SYSTEM
[ STANDARD [ ] FILLED ( ] MOUND [ ]
TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK
I ELEVATION OF PROPOSEiijSYSTEM SITE
A
E BOTTOM OF DRAINFIELD ?]'O BE
L
D FILL REQUIRED:
0
T
H
E
00] INCHES
i 1 [ ABOVE / BELOW j BENCHMARK/REFERENCE POINT
/ 7(ABOVE/ BELOW]BENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: [ ] INCHES
Have the tank abandonedn accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom of
7
the tank shall be opened et ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The
tank shall be filled with cle n sand or other suitable material, and completely covered with soil Have the system inspected
by the health department i fter it has been pumped , ruptured and filled with sand and covered.
r
R
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
Lttanss X pdnzalez
00104/2018
DH 4016, 08/09 (Obsolete s all previous editions which may not be used)
Incorporated: 64E-6.03, FAC
TITLE:
TITLE: Engineering Specialist II
Dade CHD
EXPIRATION DATE: 09/02/2018
Page 1 of 3
Property Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-3206-013-2510
Property Address:
9600 NE 2 AVE
Miami Shores, FL 33138-2725
Owner
PALAZZO LEONI LLC
Mailing Address
PO BOX 381703
MIAMI, FL 33238 USA
PA Primary Zone
6400 COMMERCIAL - CENTRAL
Primary Land Use
1913 PROFESSIONAL SERVICE
BLDG : OFFICE BUILDING
Beds / Baths / Half
0/0/0
Floors
2
Living Units
0
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
23,108 Sq.Ft
Lot Size
19,500 Sq.Ft
Year Built
1952
Assessment Information
Year
2017
2016
2015
Land Value
$507,000
$468,000
$429,000
Building Value
$1,353,000
$1,162,000
$1,061,205
XF Value
$0
$0
$0
Market Value
$1,860,000
$1,630,000
$1,490,205
Assessed Value
$1,574,839
$1,431,672
$1,301,520
Benefits Information
Benefit Type
2017
2016
2015
Non -Homestead Assessment
Cap Reduction
$285,161
$198,328
$188,685
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 3-4-5 BLK 19
LOT SIZE 19000 SQUARE FEET
COC 23732-4546 08 2005 4 (CD)
Generated On : 6/18/2018
Taxable Value Information
2017 2016, 2015
County
Exemption Value
$0
$0
$0
Taxable Value
I
$1,574,839
$1,431,672
$1,301,520
School Board
Exemption Value
1
$0
$0
$0
Taxable Value
t
$1,860,000
$1,630,000
$1,490,205
City
Exemption Value
$0
$0
$0
Taxable Value
$1,574,839
$1,431,672
$1,301,520
Regional
Exemption Value
1
$0
$0
$0
Taxable Value
$1,574,839
$1,431,672
$1,301,520
Sales Information
Previous
Sale
Price
OR Book -
Pa 9e
Qualification Description
12/18/2013
$2,425,000
28971
3673
Qual on DOS, multi -parcel sale
03/24/2011
$3,084,000
27638-
1734
Financial inst or "In Lieu of Forclosure"
stated
08/01/2005
$0 23732-
4546
Sales which are disqualified as a result
of examination of the deed
07/01/2005
$4,500,000� 23628-
2089
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.gov/info/disclaimer.asp
Version:
https://www.miamidade.gov/propertysearch/
6/18/2018
2018 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT FILED
DOCUMENT# L13000150548 Mar 28, 2018
Entity Name: PALAZZO LEONI LLC Secretary of State
CC3572668885
Current Principal Place of Business:
9600 NE 2 AVE
MIAMI, FL 33138
Current Mailing Address:
PO BOX 381703
MIAMI, 33238 AF
FEI Number: 46-4350354
Name and Address of Current Registered Agent:
LEONI, TODD
9600 NE 2 AVE
MIAMI, FL 33138 US
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:
Electronic Signature of Registered Agent
Authorized Person(s) Detail :
Title MGRM
Name LEONI, TODD
Address 9600 NE 2 AVE
City -State -Zip: MIAMI FL 33238
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: TODD LEONI MANAGING MEMBER
03/28/2018
Electronic Signature of Signing Authorized Person(s) Detail Date
��1C
��.