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PLC-18-1223 (2)Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. PLC-5-i 8-1223 Permit Type: Plumbing - Commercial Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 6/18/2018 Expiration: 12/15/2018 9600 NE 2 Avenue Miami Shores, FL 33138- Parcel Number 1132060132510 Block: Lot: Applicant PALAZZO LEONI LLC Owner Information Address Phone Cell PO BOX 381703 MIAMI FL 33238- Contractor(s) Phone EDWARD ROJAS PLUMBING CORP (305)944-6788 Cell Phone Valuation: Total Sq Feet: $ 4,000.00 0 Type of Work: HOOK UP SEWER SYSTEM TO CITY LATERA Type of Piping: Additional Info: HOOK UP SEWER SYSTEM TO CITY LATERA Classification: Commercial Scanning: 4 Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $500.00 $2.40 $2.25 $2.00 $0.80 $150.00 $12.00 $3.20 $672.65 Pay Date Invoice # 05/08/2018 06/18/2018 Bond #: 3801 Pay Type PLC-5-18-67468 Credit Card Check #: 763 Amt Paid Amt Due $ 50.00 $ 622.65 $ 622.65 $ 0.00 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Water Main Lavatory 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 fo go g i, ation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I auth. ize t -L1. •ve-named contractor to do the work stated. June 18, 2018 Authorized Signature: Owner / pplicant / Contractor / Agent Date Building Department Copy June 18, 2018 1 Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: Phone#: 30S / 6 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC PLUMBING ❑ MECHANICAL JOB ADDRESS: City: Miami Shores Folio/Parcel#: ft - 320(o — 013 - 257O Occupancy Type: Load: 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 ❑ ROOFING ❑ PUBLIC WORKS givot If z' Ay* County: Construction Type: Master Permit No. Sub Permit No. MAY 0 $ dl� ck Cs? -h FBC 20C4- PIC Ie-1223 ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Dade Zip: 33 11% Is the Building Historically Designated: Yes NO si Flood Zone: is BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1)0,7,0 L.,01>i LL ft &or 3B11-T3 tiva,mi Ft_ 33Z3$ Address: D 0 V N (D it( s" City:1 _S clay e f o F '(. State: p Qualifier Name: cluad o /t7S' Phone#: State Certification or Registration #: eft: �C/5! 3 i Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ y 4 Cat ° 6'0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Phon #`. Lit/3 ,(:)e¢G. Zip: 3 31L/ CONTRACTOR: Company Name: dip 1;2o/O4 f dti T 6 )4/ Description of Work: 14-O C (2 Lc Q e (Lf ! sue/ ST a »�1 CLiTe T"O n Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ (CC/ ' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ SO + TOTAL FEE NOW DUE $ 2 (ca..> (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. "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 wtl'ch occurs seven (7) days after the building permit is issued. In the absen • .f such posted notice, the inspection will not be apprved and a reinspection fee will be charged. Signature OWNER or AGENT Signature NTRACTIR e,c6L-fri The foregoing instrument was acknowledged before me this The foregoing instrume t was acknowledged before me this `I t. day of <� I , 20 12 by day of pp / 20 1 2 , by pop -t °' , who is personally known to EDUA4 F-o 5 , who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBL Sign: Print: Seal: *********** kivottek) APPROVED BY ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: November 25, 2019 identification and who did take an oath. NOTARY PUBLIC Sign: " �/� , J Print: 1'T,iDelio 6i t Seal: ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: November 25, 2019 ******************************************* *** ************* Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) IVI iami Shores Vivage 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 Exem tion :mow. t°,4 Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 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: I . 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 fromthe contractor's company for day labor, part-time employees or subcontractors, BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State ofFlorida County of Miami -Dade The foregoing was acknowledge before me this 8 day of / 4 I I , 20 / 1 who is personally known to me or has produced as identification. By Notary: SEAL: poo 1,e0100 ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: November 25, 2019 CC-CFC-049431 Edward Rojas Plumbing Complete plumbing Services Hi Speed Water Jetting 24 Hour Service Licensed, Bonded & Insured One Call Does It All (786) 443-9846 1 (305) 944-6788 Email: eddie.rojas@hotmail.com We are now accepting Insurance Claims eposes and says: Sdiea � o /19,c who,, Ong duly sworn, That he or she will be the only person workin lebject locA(td at: Con ractor Signature Sworn to (or affirr'ivi) and subs. ' ri ' this S day of by FD wP-t- ,'j`a s _ I)�A/ .20 Personally know r/ OR Produced Identification Type of Identification Produced Print, Type or Stamp Name of Notary ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: Novena 25, 2019 5/8/2018 Detail by Entity Name Detail by Entity Name Florida Limited Liability Company PALAZZO LEONI LLC Filing Information Document Number L13000150548 FEI/EIN Number 46-4350354 Date Filed 10/25/2013 Effective Date 10/25/2013 State FL Status ACTIVE Principal Address 9600 NE 2 AVE MIAMI, FL 33138 Mailing Address PO BOX 381703 MIAMI 33238 AF Changed: 03/06/2014 Registered Agent Name & Address LEONI, TODD 9600 NE 2 AVE MIAMI, FL 33138 Authorized Person(s) Detail Name & Address Title MGRM LEONI, TODD 9600 NE 2 AVE MIAMI, FL 33238 Annual Reports Report Year Filed Date 2016 03/31/2016 2017 03/20/2017 2018 03/28/2018 Document Images 03/28/2018 -- ANNUAL REPORT 0/20/2017 -- ANNUAL REPORT 03/31/2016 -- ANNUAL REPORT 03119/2015 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format 03/0612014 -- ANNUAL REPORT View image in PDF format 10/25/2013 — Florida Limited Liability View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNam eOrder=PALAZZOLEON 1% .. 2/3 Property Search Application - Miami -Dade County 5/8/2018 oto 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 Cap Assessment Reduction $285,161 $198,328 $188,685 Note: Not all benefits are applicable to all Taxable Values ('.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 : 5/8/2018 Taxable Value Information 20171 2016 2015 County Exemption Value $0 $0 $0 Taxable Value $1,574,839 $1,431,672 $1,301,520 School Board Exemption Value $0 $0 $0 Taxable Value $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 $0 $0 $0 Taxable Value $1,574,839 $1,431,672 $1,301,520 Sales Information Previous Sale Price OR Book- Page 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 Forcbsure" 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. 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