PL-18-2179�` yeortes cr
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F10R1D4'
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. PL-8-18-2179
Permit Type: Plumbing - Residential
IWork Classification: Septic
Permit Status: APPROVED
Issue Date: 8/1712018 1 Expiration: 02/13/2019
_ji arcei numoer Applicant
975 NE 94 Street 1132060350020
Miami Shores, FL 33138- Block: Lot: SEVEN BALCONIES LLC
Owner Information Address Phone Cell
SEVEN BALCONIES LLC 6815 BISCAYNE Boulevard (786)387-1483
MIAMI SHORES FL 33138-
6815 BISCAYNE Boulevard
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
A SUPER SEPTIC & DRAIN FIELD INC
of Work: SEPTIC TANK AND DRAIN FIELD INSTALL
of Piping:
onal Info:
Return :
ification: Residential Scanning: 1
Fees Due
Amount
CCF
$6.00
DBPR Fee
$4.83
DCA Fee
$3.22
Education Surcharge
$2.00
Notary Fee
$5.00
Permit Fee
$322.00
Scanning Fee
$3.00
Technology Fee
$8.00
Total:
$354.05
Valuation: $ 9,200.00
Total Sq Feet: 575
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-8-18-68569
08/16/2018 Credit Card $ 50.00 $ 304.05
08/17/2018 Credit Card $ 304.05 $ 0.00
Available Inspections:
Inspection Type:
HRS Approval
Final
Review Plumbing
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 ins t conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I a u e responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAI�JMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVI i that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction ap ing. uj ore, I agjheriZ€1hq above -named contractor to do the work stated.
Auaust 17. 2018
L_AtRhorized Sighature: Owner / Applicant / Contractor / Agent
Building Department Copy
August 17, 2018
1
DIVISION OF
• Environmental Health A
44O Florida Health 404
O�V Miami -Dade County
Q� OSTDS/Well Division
S� h Street-Mismt, FL 33173
11805
i� Date R- 30' �7
0 Inspector 'vl
Address l'
Comments:
Signature
BUILDING
PERMIT APPLICATION
❑ BUILDING
PLUMBING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138-Yj'
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ELECTRIC ❑ ROOFING
G16R18,
69
FBC 20 1 1
Master Permit No. M, 9 -129 V
Sub Permit No.pj ,k o _ 21 ? i
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: q'15 PJ j h( S ) Re P-T_
City: Miami Shores County: Miami Dade Zip: 3 ?/ 3S /
Folio/Parcel#: I I- go b h - (i qg n"r, Is the Building Historically Designated: Yes NO ✓
Occupancy Type Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ro t„" '-a 3 Phone#:
Address
City: �� rn i o S State: R r ii A Zip: 9 3
Tenant/Lessee Name:, Phone#:
Email
CONTRACTOR: Company Name:4 Ao 2=Q,,pp7 4 ��nr'(z) )' e (cI -nC _ Phone#: 1411
Address: 7110)
City:
Qualifier Name:
E(() Zip: '3' r 1 k/
3c�:�-�LN-olio
State Certification or li4istration #: Jib 6 Ih 17 1 o2- Certificate of Competency #: idj 0
DESIGNER: Architect/Engineer: Phone#:
Address: / City: State: Zip:
Value of Work for this Permit: $ .;2C& Square/Linear Footage of Work: 626 L'4 _ f '
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ '03 • Q� Permit Fee $
°` CCF $
CO/CC $
Scanning Fee $ Radon Fee $ 3 - Z Z DBPR $ '-4 • `v3 Notary $ S I Ck�_
Technology Fee $ Training/Education Fee $
Structural Reviews $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ -3'0 4 Q
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be app(aed and a reinspection fee will be charged.
The foregoing instrument was acknowledged before me this
IS day of 20 I by
o Is^persoon Ily known to
me or who has produced 4A � 1 � i as
identification and who did take an oath.
NOTARY PUBLIC:
Prim so<PP• °�B� MAHARAI K. GONZALEZ
*`
Seal: EXPIRES: November 2, 2020
=; P'
Bonded Thru Notary Public Underwriters
Signature
CONTFWaOR
The foregoing instrument was acknowledged before me this
N day of -A1U G(-.) S f 20 ( rd by
'r?>C-1-eAN (zo who is personally known to
me or who has produced rL- 1)OtQ� as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ) c C�.►K> (a py.1zJ-
Seal:
r ` 1. t Public State of Florida
*ta*�(1*vt�*ts***:***** ss*****
c MY Commission FF 156750
oOWFxpires0910312018� A r R Zoning
APPROVED BY SA&Plans Examiner
Structural Review Clerk
(Revised02/24/2014)
8/15/2018 Property Search Application - Miami -Dade County
.nrA OFFIC"E PROPER117Y
Summary Report
Property Information
Folio:
11-3206-035-0020
Property Address:
975 NE 94 ST
Miami Shores, FL 33138-2916
Owner
SEVEN BALCONIES LLC
Mailing Address
6815 BISCAYNE BLVD #103
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
3,829 Sq.Ft
Living Area
3,307 Sq.Ft
Adjusted Area
3,533 Sq.Ft
Lot Size
15,361 Sq.Ft
Year Built
1950
Assessment Information
Year
2018
2017
2016
Land Value
$414,747
$414,747
$384,025
Building Value
$252,706
$253,387
$282,580
XF Value
$28,047
$28,280
$0
Market Value
$695,500
$696,414
$666,605
Assessed Value
$695,500
$696,414
$666,605
Benefits Information
Benefit Type 2018 2017 2016
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
MAGEE & HAWKINS SUB PB 51-5
LOT 2
LOT SIZE 15361 SQUARE FEET
OR 19992-0656 10 2001 1
COC 24174-1751 01 2006 5
Generated On : 8/15/2018
Taxable Value Information
2018
2017
2016
County
Exemption Value
$0
$0
$0
Taxable Value
$695,500
$696,4141
$666,605
School Board
Exemption Value
$0
$0
$0
Taxable Value
$695,500
$696,414
$666,605
City
Exemption Value
$0
$0
$0
Taxable Value
$695,500
$696,414
$666,605
Regional
Exemption Value
$0
$0
$0
Taxable Value
$695,500
$696,414
$666,605
Sales Information
Previous
OR
Sale
Price
Book-
Qualification Description
Page
04/04/2018
$830,000
30938-
Qual by exam of deed
4457
11/26/2013
$100
28945
Corrective, tax or QCD; min consideration
3359
07/09/2012
$600,000
28209
Qua[ by exam of deed
0536
01/01/2006
$0
24174-
Sales which are disqualified as a result of
1751
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
8/15/2018
Detail by Entity Name
Detail by Entity Name
Florida Limited Liability Company
SEVEN BALCONIES, LLC
Filing Information
Document Number L18000058090
FEI/EIN Number NONE
Date Filed 03/05/2018
State FL
Status ACTIVE
Principal Address
6815 BISCAYNE BOULEVARD
103 #338
MIAMI, FL 33138
Mailing Address
6815 BISCAYNE BOULEVARD
103 #338
MIAMI, FL 33138
Registered Agent Name & Address
JOSEPH, SETH Z
255 ALHAMBRA CIRCLE
SUITE 1250
CORAL GABLES, FL 33134
Authorized Person(s) Detail
Name & Address
Title MGR
GOLDSTUCKER,ANDRES
1114 FERDINAND STREET
CORAL GABLES, FL 33134
Title MGR
GIANGRANDI, LISSANDRA
1114 FERDINAND STREET
CORAL GABLES, FL 33134
Annual Reports
No Annual Reports Filed
Document Images
G3iO512018 -- Florida Limited Liability View image in PDF format
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai I?i nqui rytype=EntityN ame&directionType=Initial&searchNam eOrder=SEVEN BALCON IE... 2/2
A SUPER SEPTIC & DRAIN FIELD INC.
Cr: SR0161772
PHONE: 305-364-0113
DATE: 8-1y,ly
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
7701 WEST 18 LANE
HIALEAH, FLORIDA 33014
Licensed and Insured
E-MAIL: ASUPERSEPTIC@GMAIL.COM FAX: 305-364-0349
WWW.ASUPERSEPTIC.COM
BEFORE ME THIS DAY PERSONALLY APPEARED, Z(-�:/''7 WHO
BEING DULY SWORN, DEPOSES AND SAYS:
THAT HE OR SHE WILL BE THE ONLY PERSON WORKING ON THE PROJECT AT:
q7- A,, to E s+ _j 77 tZZ
Contractor Signature:
SWORN TO (OR AFFIRMED) AND SUBSCRIBED TOME THIS f--/ DAY OF
A 1Gc I Srt , 2018, BY:-3�e- , nt
t►RY yb -
:o eL^ Notary Pubtic State of Florida
Sindia Alvarez
cf nMY Commission FF 156750
Expires 09/03/2018
PERSONALLY KNOWN /
OR PRODUCED IDENTIFICATION
V
TYPE OF INFORMATION PRODUCED
PRINT, TYPE, OR STAMP NAME OF NOTARY
Miami shores Village
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 Exemption
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:
l . The officer ownsat 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 urance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELO YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS. ----JJ-
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this �— day of 20_te)
By N � � V� IDS+v �. Qo is personally known tome or has produced
IIC X1 as identification.
Notary
s Ar P°e. MAHARAI K. GONZALEZ
*. *: MY COMMISSION # GG 044602
SEAL: :o EXPIRES: November 2, 2020
Bonded Thru Notary public Underwriters