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PLC-18-1224Address Cuntmen's; tiigualure DIVISION OF Environmental Health Ida Health Dade County /Weil Division DIVISION OF nvironmental Health ealih I -Dade County ht1�4`e1l Division DIVISION OF Environmental Health Florida Health Miami -Dade County OSTDS/Well Division ti44 !6i1t S*, et • ~florid. F L 3.4173 /1(4- 7 Date Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. 'PLC-5-18-1224 Permit Type: Plumbing - Commercial Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 6/18/2018 Expiration: 12/15/2018 Parcel Number Applicant 9636 NE 2 Avenue Miami Shores, FL 33138- 1132060132500 Block: Lot: PALAZZO LEONI LLC Owner Information Address Phone Cell PALAZZO LEONI LLC PO BOX 381703 MIAMI FL 33238- PO BOX 381703 MIAMI FL 33238- Contractor(s) Phone EDWARD ROJAS PLUMBING CORP (305)944-6788 CeII 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 Amount $500.00 $2.40 $2.25 $2.00 $0.80 $150.00 $12.00 $3.20 Total: $672.65 Pay Date Pay Type Amt Paid Amt Due Invoice # PLC-5-18-67469 06/18/2018 Check #: 763 $ 622.65 $ 50.00 05/08/2018 Credit Card $ 50.00 $ 0.00 Bond #: 3800 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 fof in (ormation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I autb‘riz t ove-named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent June 18, 2018 Date Building Department Copy June 18, 2018 1 BUILDING PERMIT APPLICATION BUILDING ❑ 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 Master Permit No. ❑ ROOFING ❑ REVISION Sub Permit No. [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 463 NE Z") City: Miami Shores County: Folio/Parcel#: %/ -3206 ' 613 — 25Da Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder): \ ® Z24) C o Address: QO 12,40‹ 38/-3 City: Miami i F — State: f Tenant/Lessee Name: Phone#: Email: Miami Dade RECEIVED MAY o s zone h FBC zot� PIC t8-122q ❑ EXTENSION ❑ RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Zip: 33in Is the Building Historically Designated: Yes Flood Zone: BFE: NO FFE: Phone#: 30S •0S6 • J/ 9-4- Zip: 337.3 S 78G- 9&44 CONTRACTOR: Company Name: JW Gbl� O 'i9-iT ?/twh1WV) Phone#: L/Li 3 $ %i4 Address: 1 b N (p ((I %"- r City: 31' Sl (2l Z.S e: Zip: 3 3) �i u!uc"�cjo Qualifier Name: x} s Phone#: State Certification or Registration #: C' . Q 31 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ lr L . a Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration [,[,New ❑ Repair/Replace E Demolition Description of Work: Ooc t Gc S_VAP i L lr No, -ac l laTQ 12 /4 Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Tb Permit Fee $ l v' CCF $ CO/CC $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ O TOTAL FEE NOW DUE $ (Revised02/24/2014) 41_ .(a 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 whi occurs seven (7) days after the building permit is issued. Ihe absence of such posted notice, the inspection will not be approved and a rginspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 11: day of Aft.' 1 , 20 I g_ by ppb Le 'i 1 , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: Print: Seal: ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: November 25, 2019 ***************************************** ******** APPROVED BY Pat 5/3i64, Signature CONTRACTOR The foregoing instrument was cknowledged before me this day of ri 20 /8 by , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: Print: Seal: *************** Plans Examiner ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: November 25, 2019 * ************************ Zoning Structural Review Clerk (Revised02/24/2014) IVIiami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — WorkersCompensation Insurance Exemption 147�,i '+ - u,v 4�W++.drye' a f X" 'gyp r'Vv : rP rat fey ._.0 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: 1. 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 arc 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 from the 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 of Florida County of Miami -Dade The foregoing was acknowledge before me this 3 day ofnr , 20 By lb P lfoN Notary: SEAL: ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: November 25, 2019 who is personally known to me or has produced as identification. 24 Hour Service Licensed, Bonded & Insured One Cali Does It All (786) 443-9846 (305) 944-6788 Email: eddie.rojas@hotmail.com We are now accepting Insurance Claims eposes and says: That he or she will be the only person workifyj 'h 36 W� .A/ ,h ., Con ractor Signature 'd//4s' who,,king duly sworn, Qroject Ipcd at: Sworn to (or affirr.iwi) and subst ' o �. this day of MA-y . 20 1 0 by awl) ,e j s _ Personally know OR Produced Identification Type of Identification Produced Print, Type or Stamp Name of Notary ANDREW VOGEL MY COMMISSION # FF919683 EXPIRES: November 25, 2019 5/8/2018 Property Search Application - Miami -Dade County • r Summary Report Property Information Folio: 11-3206-013-2500 Property Address: 9636 NE 2 AVE Miami Shores, FL 33138-2722 Owner PALAZZO LEONI LLC Mailing Address PO BOX 381703 MIAMI, FL 33238 USA PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 2413 INSURANCE COMPANY : OFFICE BUILDING Beds / Baths / Half 0/0/0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 11,065 Sq.Ft Lot Size 23,850 Sq.Ft Year Built 1936 Assessment Information Year 2017 2016 2015 Land Value $579,850 $524,700 $484,450 Building Value $820,150 $621,495 $621,495 XF Value $0 $0 $0 Market Value $1,400,000 $1,146,195 $1,105,945 Assessed Value $1,168,684 $1,062,440 $965,855 Benefits Information Benefit Type 2017 2016 2015 Non -Homestead Cap Assessment Reduction $231,316 $83,755 $140,090 Note: Not all benefits are applicable to all Taxable Values (i e. County, School Board, City, Regional). Short Legal Description 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1-2 & 6-7 BLK 19 LOT SIZE IRREGULAR 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 $1,168,684 $1,062,440 $965,855 School Board Exemption Value $0 $0 $0 Taxable Value $1,400,000 $1,146,195 $1,105,945 City Exemption Value $0 $0 $0 Taxable Value $1,168,684 $1,062,440 $965,855 Regional Exemption Value $0 $0 Taxable Value $1,168,684 $1,062,440 $965,855 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 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: 5/8/2018 ° Detail by Entity Name Florida Limited Liability Company PALAZZOLEON|LLC -~ Fi/inn|nfo,mabon Document Number FEKE|NWunmbmr Date Filed Effective Date State Status Principal Address 98OONE2AVE yN|AyNiFL33138 Mailing Address POBOX 381703 M|AM|33238AF Changad:U3X06V2U14 Reg /stered LEONiTOOD 050ONE2AVE /N|A/N|.FL33138 A.utbo,iz dJ2mm(,)Dotai| Name &Address Title MGRM LE0N|.TODD 0G0ONE2AVE [N|AM|.FL33238 An,,ual Renuna RaputYear 2016 2017 2018 Qq!�uooeu�hrnaaeo L13000150548 48-435O354 10/25/2O13 10/25/2O13 FL ACTIVE Filed Date O3/31/2010 03/20/2017 03/28B2U18 »3128/2m-*wwu*Lnsponr o3/zo/2on-ANNUAL REPORT oms1xm10-ANNUAL REPORT 03/19!21s-AwwuALesponr uym6/uw-ANNUAL REPORT '1CW25/2013 — Florida Limited Liability ry/Corporati��ityName&directionType=Initial&searchNameOrder=PALAZZoLEOw|� 2/3