PLC-18-970Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permi=t NO.: PLC -4-18-970
Permit Type: Plying - Commercial
ftmk work slassifcat on. Addition/Alteration
Permit Status: Approved
Issue Date: 03/29/20191 Expiration: 09/25/2019
Location Address Parcel Number Project
9534 NE 2 AVE, Miami Shores, FL 33138 1132060132630 NE 2 AVE SEWER CONNECTION
Contacts
LEOCAVA LLC Owner LEOCAVA LLC Applicant
LEOCAVA LLC LEOCAVA LLC
EDWARD ROJAS PLUMBING CORP Contractor
EDWARDO ROJAS
880 NE 111 ST, BISCAYNE PARK, FL 33161
Business: 3059446788 EDDIE.ROJAS@HOTMAIL.COM
Home: 7864439846
Inspection Description: CONVERT SEPTIC TO SEWER Valuation: $ 8,000.00 Inspection Re nests:7 4949
CONNECTION
Total Sq Feet: 0.00
Fees
Amount
CCF
$4.80
DBPR Fee
$3.60
DCA Fee
$2.40
Education Surcharge
$1.60
Permit Fee
$240.00
Scanning Fee
$12.00
Technology Fee
$6.40
Total:
$270.80
Payments
Date Paid Amt Paid
Total Fees
$270.80
Credit Card
03/29/2019 $220.80
Cred itCard
04/12/2018 $50.00
Amount Due:
$0.00
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, PWMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify hat II the foregoing information is accurate and that all work will be done in comp lance wi h all applicable laws
regulating construction and zoning F he ore, I authorize the above named contractor to do the work stated. 2
Authorized Signature: Owner / Applicant / Contractor / Agent Die
March 29, 2019 Page 2 of 2
FOG CONTROL DEVICE (FCD) INSTALLATION INSPECTION
COUNTY , , J
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES
Division of Environmental Resources Management (DERM)
Water and Wastewater Section 1 701 NW 1 st Court • Miami, FL 33136
•
I.ISIO.O. TL- IM- 0
Environmental Health
Florida Health 9�I�
eQ�0 Miami -Dade County �O
OSTDS/Well Division
11805 SW 26th Street • Miami, FL 33175
InspectorfLx�wr( l ! Date — j
Address 1 S7 3 cc /Va' I /1�fl OSTDS # l L � � A
Comments:
Signature
DIVISION OF
Environmental Health
Florida Health
Miami -Dade County
eQ� OSTDS/Well Division
11805 SW 26th Street • Miami, FL 33175
• Inspector �' W�'" ` 1 dV/91 * 1 Do
Address Cf /v 2 A4 �
Comments:
PLC -1- 18970
.9%
J
LL 2_ �
Signature
A T LLC I l T
I � , 3?J
A -ti G�
K\ BUILDING
L'
ry
Miami Shores Village If
' J PERMIT APPLICATION
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
BUILDING ❑ ELECTRIC ❑ ROOFING
Ty
APR 1 X018
BY:
FBC 20P 01
Master Permit No.C �; — — I1 V
Sub Permit No
❑ REVISION ❑ EXTENSION RENEWAL
(PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
Q /� CONTRACTOR DRAWINGS
JOB ADDRESS: l 5 2m N c- ZA, Av e
City: Miami Shores County: Miami Dade zip: 3313
Folio/Parcel#: ) 1- 32 O% - o13 -2630 Is the Building Historically Designated, Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: 1 BFE: FFE:
OWNER: Name (Fee Simple Titleholder): L,%l cow, LLC. Phone#: 30S- 1�(O•
Address: PL 160k
City: (4iC.M State: �L Zip: S32,39
Tenant
Email:
CONTRACTOR: Company Name:^ (, 1 61ACI 1-6 J >hi S ' P I UM /J1�N1 Phone#: � 0�( glj3 � 0 `f-/
Address: S90 N G 11 t 'S %—
City: �o'�j cJ� %U e /�/�' State: —Tr�/ � Zip: 61
Qualifier Name:
e#:
State Certification or Registration #: rF(.._ • /jQjW/ Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ 'SUDO, 0o Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ /Re lace
Re air
p p F-1 Demolition
4 Description of Work: c✓l v-er -f- 5e=et l ' C. y-� Shu Lr
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ �� ;-7'0
,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 a e of such posted notice, the
inspection will not be approve and a reinspection fee will be charged.
I
Signature Q(�v Signature 'O�IAm
OWNER or AGENT 'CONTRFfCTOR
The
Qforegoing instrume t was acknowledged beforemethis The foregoing instrument was acknowledged beforemethis
day of �+ 20 a by day of �� / 20 �d by
%bA�W 1-0?1/111 who is personally known to 16bi- 16 1-2&S who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: 11 Sign:
Print: tl��,,��/ WG Print:
Seal: , ANDREW VOGEL, Seal:
® MY COMMISSION a FF91%83 "' EEXPIRES:Novent=25,2019
R�E sloN OGE9 s3
aM1 EXPIRES: November 25, 2019
********************************************************************* *****************
APPROVED BY Plans Examiner Zoning
.? �1D�
` %-Stractcrr�Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
s PROPERTY
Summary Report
Property Information
Folio:
11-3206-013-2630
Property Address:
9534 NE 2 AVE
Miami Shores, FL 33138-2705
Owner
LEOCAVA LLC
Mailing Address
PO BOX 381703MIAMI, FL 33238
PA Primary Zone
6400 COMMERCIAL - CENTRAL
Primary Land Use
1229 MIXED USE -
STORE/RESIDENTIAL : MIXED USE
- COMMERCIAL
Beds / Baths / Half
0/0/0
Floors
2
Living Units
0
Actual Area
Sq. Ft
Living Area
Sq.Ft
Adjusted Area
19,229 Sq. Ft
Lot Size
19,500 Sq. Ft
Year Built
1925
Assessment Information
Year
2017
2016
2015
Land Value
$507,000
$507,000
$339,000
Building Value
$1,070,295
$1,019,798
$788,000
XF Value
$81,797$82,945
Taxable Value ;
$0
Market Value
$1,659,092
$1,609,743
$1,127,000
Assessed Value
$1,363,670
$1,239,700
$1,127,000
Benefits Information
Benefit
_ ..�._..........._.___
Type
2017
2016
2015
Non -Homestead
____... .....
Assessment
... ... __.._.
Sale
Cap
Reduction
$295,422
$370,043
Taxable Value ;
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
1 5341 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 1 TO 3 INC BLK 20
LOT SIZE 19500 SQUARE FEET
OR 21000-1079 0203 2 (3)
Generated On 4/12/2018
Taxable Value Information
Previous
OR Book -
2017
20161 2015
County
Description
Sale
Exemption Value
$0
$0
$0
Taxable Value ;
$1,363,670
$1,239,700
$1,127,000
School Board
Exemption Value-®.®®
$0
$0
$0
Taxable Value I
$1,659,092
$1,609,743
L$1,127,000
City
Exemption Value
parcel
$0
$0
$0
Taxable Value
$1,363 1 6701
$1,239,700
$1,127,000
Regional
Exemption Value 4
$0
$0
$0
Taxable Value _
$1,363,670
$1,239,700
$1,127,000
Sales Information
Previous
OR Book -
Price
Description
Sale
PageQualification
Deeds that include more than one
02/01/2003
$1,370,000
21000-1079
parcel
Deeds that include more than one
12/01/1986
$865,000
13142-1876
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 hftp://www.miamidade.gov/info/disclaimer.asp
Version:
https://www.miamidade.gov/propertysearch/ 4/12/2018
2018 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT
DOCUMENT# L02000029124
Entity Name:,LEOCAVA LLC- f
Current Principal Place of Business:
9534 NE 2 AVE
MIAMI SHORES, FL 33138
Current Mailing Address:
PO BOX 381703
MIAMI, FL 33238
FEI Number: 02-0651120
Name and Address of Current Registered Agent:
-LEONI; TODD'
7100 BISCAYNE BLVD
206
MIAMI, FL 33138 US
FILED
Mar 28, 2018
Secretary of State
CC4631491522
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 Date
Authorized Person(s) Detail :
Title
MGRM
Title
MGR
Name
LEONI, TODD MMR
Name
CAVA, RICHARD H
Address
7100 BISCAYNE BLVD SUITE 206
Address
1865 BRICKELL AVE
City -State -Zip:
MIAMI FL 33138
City -State -Zip:
MIAMI FL 33129
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
J
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Vwner — womers' 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:
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 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 from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW IOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: 6)VAI�
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this �-1 day of
By -"DOD Loa I who is personally known to me or has produced
Notary:
SEAL:ANDREW VOGEL
MY COMMISSION # FF919693
1i)
EXPIRES: November 25, 2019
as identification.
Edward Rojas Plumbing Service
880 NE 11 I" St.
Biscayne Park, FL 33161
305.944.6788
3/28/19
State of 110a)Ck
County of D&A
tl��rd�aS
Before me this day appeared who, being duly sworn,_
deposes and says:
That he or she will be the only person working at the project located at:
Contractor Signature
Sworn to (or affirmed) and subscribed before me this
by IW"J O
28 day of d , 2019
Personally Known
OR Produced Identification ff pit,/(,
Type of Identification Produced
JA 0 'J
Print, Type, or Stamp Name of Notary
�'"""'�. ANDREW VOGEL
MY COMMISSION # FF919683
'+�.,�a� EXPIRES: Nrnember 25, 2019
i
r7
NOTE: ALL SHEETS MUST BE REVIEWED
MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES
Herbert S. Saffir Permitting and Inspection Center
11805 SW 26th Street (Coral Way) • Miami, Florida 33175-2474 • (786) 315-2000
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR ENVIRONMENTAL SERVICES
(� „�
PROVIDE MUNICIPAL PROCESS NUMBER HERE
Job Address r53N N 2 /T►^�
n � i
Contractor No. l..r�- a'1T-A I
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Last four (4) digits of Qualifier No.
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Lot % 3 Block 2�
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Qualifier Name 90%4e
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Address I
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INew
Metes and bounds
New Construction on
[ ] Demolish(
myil-tel
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Vacant Land[
]Shell Only
Current use of pr/o�perty
tli�t'�c�
LL
[ Alteration Interior
[ ] Addition Attached
Description of Work eonrks`k �a
ww
[ Alteration Exterior
[ ] Addition Detached
[ ] Relocation of Structure
[ ] Re -Roof
Sq. Ft. Units Floors
[ ]Enclosure
[ ] Foundation Only
[ ] Repair
[ ] Tent
�¢
t a 0
[ J Repair Due to Fire
Value of Wot G
[ ] MBLD-
[ j Chg. Contractor
Owner L.C.0-00, LL(.
LU a
[ ] Category
MELE
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[ ] Re -Issue
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Address QD QbA
City 1'�ia^^� State Fes- Zip 33 _t1%
[iS) MPLU D
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[ I Re -Stamp
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[ J MLPG
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[ ] Revision
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Phone '�°� �$�' 11-4-A'
Last four (4) digits of
2310
U.1
[ ] MMEC
w
X
[ ] Not Applicable for
0
[ ] FIRE
Fire
Owner's Social Security No.
o z
Name OOA N� 1�
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Owner
Address
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Address [ Q j S c 0.y (� RiuJ S4 - 2o10
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00.
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Phone g5`% Ca�J ��/ZS
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Phone
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! am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible. There is a minimum charge of
one-hour. Please contact the Fire Department for current rate.
vale
LLu
t 91 Request: Date:
w - LU
wn-
m w ¢
rL
2nd Request: Date:
31' Request: Date:
If the applicant is a known named violator with: unpaid civil penalties; unpaid administrative costs
of hearing; unpaid County investigative, enforcement, testing, or monitoring costs; or unpaid liens,
any or all of which are owed to Miami -Dade County pursuant to the provisions of the Code of
Miami -Dade County, Florida, a hold on the review may be placed on this application.
12301-192 5/17
C
r•
Department of Regulatory and Economic Resources
Miami -Dade County
Plan Review Summary
Process Number: M2018010227
-FINAL CORE REVIEW DATE: 4/23/2018
PROJECT DETAILS:
. FOLIO: 11-3206-013-2630
ADDRESS: 9534 NE 2 AVE, , FL
PERMIT TYPE DESC.: CONNECT TO SEWER
DISAPPROVAL CODES:
OVERALL STATUS: Overall Disapproval
CONTACT DETAILS:
NAME: JONATHAN ANILLI
EMAIL:
PHONE #: 9546651928
Disapproval Code 02: 0231 - Water & Sewer verification form is required from the Water & Sewer Utility Company
serving the property. (Also referred to as Plumbing Section Form).
Disapproval Code 03: 0214 - Remarks
TASK REVIEWED BY STATUS DATE STATUS
Initial Core Review Julio Diaz 04/18/2018 Reviewed
Comments: PERMIT FOR SEPTIC TANK ABANDONMENT FOR COMMERCIAL PROPERTY CONNECTING TO
CITY SEWERS. (9534 NE 2 AVE)
CITY OF MIAMI SHORES PROCESS #PLC18970.
MAIN ADDRESS: 9534 NE 2 AVE
#9526 - MIAMI SHORES MEDICAL CENTER 11,699 SF
#9534- FAMILY MEDICINE 2,000 SF
#9534 -BICYCLE SHOP 830 SF
#9540 -PIZZA FLORA 1,700 SF
#166 -RETAIL 750 SF
#168 -OFFICE 750 SF
#170 -SALON 750 SF
#179 -OFFICE 750 SF
TOTAL AREA = 19,229 SF
4,860 GPD
(SEE ATTACHMENT)
SEPTIC TANK ABANDONMENT #AP854649.
PS#99-1346A (NOT CERTIFIED)HOLD PLACED.
TREES SECTION APPROVED.
ALLOCATION LETTER #2018-A-00245 (APPROVED)
FOR 214: PLEASE PROVIDE CORRECT MUNICIPALITY NAME ON COVER SHEET AND CORRECT
PROPERTY ADDRESS.
FOR 214: REFER TO WATER TREATMENT SECTION COMMENTS.
FOR 231: REQUIRES MWASD VERIFICATION FORM.
TREES Review Lazaro Quintino 04/19/2018 Approved
Comments: The Tree and Forest Resources Section has reviewed the subject application and plans for a sewer
connection. The plans do not indicate that any trees will be removed or affected by the proposed work. Section 24-
49 of the Miami -Dade County Code states that a Tree Removal Permit is required prior to the removal or relocation
of any County -jurisdictional trees. The Section has no objection to the approval of this application provided the
applicant and contractor adhere to the requirements of Section 24-49 of the Code. Please be advised that Section 24
-49.9 of the Code and Objective CON81 of the Master Plan will require the removal of all prohibited species listed in
Section 24-49 that exist on any development site prior to development or redevelopment and any developed parcels
shall be maintained to prevent the growth or accumulation of prohibited species. For more information please contact
the Tree and Forest Resources Section at 305-372-6574.
WATER TREATMENT Review Pablo Asencio 04/20/2018 Disapproved
-Comments: PLUMBING PLANS FOR SEWER CONNECTION TO PRIVATE PUMP STATION NO.99-1346A
LOCATED AT PROPERTY 9534 NE 2ND AVE, MIAMI SHORES, FOLIO # 11-3206-013-2630 ARE
DISAPPROVED. PLEASE SEE REVIEW COMMENTS BELOW:
1. THE PUMP STATION NO.99-1346A WHERE THE SEWER CONNECTION IS PROPOSED IN THE PLUMBING
PLANS HAS NOT BEEN CERTIFIED.THE REQUIRED
SUBMITTAL OF THE "REQUEST FOR APPROVAL TO PLACE A DOMESTIC WASTEWATER
COLLECTION/TRANSMISSION SYSTEM INTO OPERATION" / CERTIFICATION HAS NOT BEEN RECEIVED,
REVIEWED, AND APPROVED BY RER-DERM.
2. IT IS A REQUIREMENT THAT THE CERTIFICATION SUBMITTAL IS APPROVED BY DERM BEFORE THE
PLUMBING PLANS, PSO NEW PERMIT APPLICATION, ETC. ARE REVIEWED.
3. PLEASE SUBMIT THE CERTIFICATION PACKAGE FOR REVIEW AND APPROVAL BY DERM.
REMARKS: THE PSO NEW PERMIT APPLICATION WAS NOT SUBMITTED WITH THE PLUMBING PLANS. IT IS
REQUIRED.PLEASE FIND ATTACHED TO THE "CITY COPY' OF THE PLANS THE PSO NEW PERMIT
APPLICATION FOR YOUR USE.
PLEASE CONTACT THIS PLAN REVIEWER - PABLO ASENCIO - (305) 372-6431 OR AT email:
pablo.asencio@miamidade.gov SHOULD YOU HAVE ANY QUESTIONS.
END OF COMMENTS.
Final Core Review Julio Diaz 04/23/2018 Overall Disapproval
Comments: 4/23/18
FOR 214: PLEASE PROVIDE CORRECT MUNICIPALITY NAME ON COVER SHEET AND CORRECT
PROPERTY ADDRESS.
FOR 214: REFER TO WATER TREATMENT SECTION COMMENTS.
FOR 231: REQUIRES MWASD VERIFICATION FORM.
PLAN CONDITIONS:
NO. COMMENTS DATE ISSUED BY TYPE
APPLIED
1 057-DERM Hold 4/23/2018 Julio Diaz Notice
PS#99-1346A MUST BE CERTIFIED PRIOR TO OBTAINING
CO/CU/CC.
PLAN REVIEW FEES (FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL):
FEE CODE
DESCRIPTION
USER
DATE UNIT
TOTAL
D034
FastTrack Fee
ADMIN
04/13/2018 1
$80.00
D034R
FastTrack Fee
ADMIN
04/13/2018 1
($80.00)
Total
Coastal:
EQCB:
FOR MORE INFORMATION PLEASE CONTACT:
YOUR DERM CORE REVIEWER: diazju@miamidade.gov
DERM PERMITTING AND INPECTION CENTER, 11805 SW 26 ST, 786-315-2800
DERM OVERTOWN TRANSIT CENTER, 701 NW 1 CT, 305-372-6899
dermcr@miamidade.gov
egcb@miamidade.gov
$0.00
Specialty Engineering Reviews (industrial, storage tanks, industrial waste pretreatment, asbestos, paving
& drainage, trees): dermengreviews@miamidade.gov
Tree Permit applications: dermtreeprogram@miamidade.gov
. Water Control: dermwatercontrol@miamidade.gov
4/23/2018
Issued Date: 4/23/2018
LEOCAVA LLC
PO BOX 381703
MIAMI„ FL 33238
JONATHAN ANILLI
7100 BISCAYNE BLVD
MIAMI, FL 33138
2018 -ALLOCATION -01243
RE: Conditional Sanitary Sewer Certification of Adequate Capacity
The Department of Regulatory and Economic Resources (RER) has received your application for approval of additional sewer flows for
following project, which is more specifically described in the attached project summary.
Project Name: 9534 NE 2 AVE COMMERCIAL BUILDING CONNECTING TO SEWER/M2018010227
Project Location: 9534 NE 2 AVE, MIAMI SHORES, FL 331382705
Previous Use: 19,229 SF COMMERCIAL BUILDING ON SEPTIC TANK.
Proposed Use: 13,699 SF MEDICAL OFFICE/1,700 SF FULL SERVICE RESTAURANT/1,580 SF RETAIL/750 SF BEAUTY SALON
AND 750 SF OFFICE.
Previous Flow: 0 GPD
Total Calculated Flow: 4824 GPD
Allocated Flow (additional sewer flows): 4824 GPD
Sewer Utility: PRIVATE
Receiving Pump Station: 99 - 1346A
RER has evaluated your request in accordance with the terms and conditions set forth in Appendix A of the Consent Decree (CASE No.'
1:12 -CV -24400 -FAM) between the United States of America and Miami -Dade County. RER hereby conditionally certifies that adequate
treatment and transmission capacity will be available for the above-described project subject to the following conditions:
PERMITTING, CONSTRUCTION, COMPLETION AND CERTIFICATION OF THE SANITARY SEWER EXTENSION REQUIRED FOR
THIS PROJECT. PLEASE BE ADVISED THAT ISSUANCE OF ANY CERTIFICATE OF OCCUPANCY, CERTIFICATE OF
COMPLETION, CERTIFICATE OF USE AND/OR OCCUPATIONAL LICENSE FOR THE SUBJECT PROJECT WILL BE WITHHELD
PENDING COMPLIANCE WITH ANY AND ALL CONDITIONS STIPULATED BY APPLICABLE LOCAL AND STATE PERMITS FOR
THE COLLECTION/TRANSMISSION SYSTEM IMPROVEMENT(S) HEREIN REQUIRED.
Furthermore, be advised that this approval does not constitute departmental approval for the proposed project and is subject to the
terms and conditions set forth in the Consent Decree. Additional reviews and approvals may be required from other sections having
jurisdiction over specific aspects of this project. Also, be advised that the gallons per day (GPD) flow determination indicated herein are
for sewer allocation purposes only (in compliance with the Consent Decree requirements) and may not be representative of GPD flows
used in calculating connection fees by the utility providing the service.
By copy of this certification to the Building Department having jurisdiction over this proposed project, said department building official is
hereby ordered to condition any building permit(s) issued pursuant to this certification to the above mentioned conditions.
Be advised that this Conditional Sanitary Sewer Certification of Adequate Capacity (this letter) will expire within 90 days of the issue date
if the applicant does not obtain a building process number from the corresponding building official. However, if the building process
number has already been obtained, this letter will expire within 180 days of the expiration date of the process number. Finally, if a
Building Permit was secured for this project, this letter will expire within 150 days of the expiration date of the Building Permit.
Should you have any questions regarding this matter, please contact the Miami -Dade Permitting and Inspecting Center (MDPIC) (786)
315-2800 or RER Office of Plan Review Services, Downtown Office (305) 372-6789.
Sincerely,
Lee N. Hefty
Director of Environmental Resources Management
Page 1 of 3
Is
For/By:
Cristian Guerrero, P.E., Chief of Environmental Plan Review.
Department of Regulatory and Economic Resources.
Page 2 of 3
y
Sanitary Sewer Certification of Adequate Capacity Project Summary:
Owner's Name: LEOCAVA LLC
Owner's Address: PO BOX 381703
MIAMI„ FL 33238
EEOS Allocation Number: 2018 -ALLOCATION -01243
Project: 9534 NE 2 AVE COMMERCIAL BUILDING CONNECTING TO SEWER/M2018010227
Proposed Use: 13,699 SF MEDICAL OFFICE/1,700 SF FULL SERVICE RESTAURANT/1,580 SF RETAIL/750 SF
BEAUTY SALON AND 750 SF OFFICE.
Pump Station: 99-1346A
Projected NAPOT: 1.98
Proposed Projected NAPOT: 1.98
Folio Lot/Block Address Flow
SewerSewerFRecert
Sewer iExp. Date
Bldg Proc # (GPD)
Status
Cert Date
Date
,•, 19534
NE 2 AVE
®®®_=
Totil: 4,824 GPD
Page 3 of 3
IME
Miami -Dade County
Department of Regulatory & Economic Resources
Division of Environmental Resources Management DERM
Sewer Capacity Certification Letter Application
dermplanreview@miamidade.gov
West Office (PIC) 786-315-2800 Downtown Office (OTV) 305-372-6899
Instructions: You must fill out this application to obtain a sewer certification allocation letter which is a required step in obtaining your building permit.
Step 1: Completely fill out sections 1a, 1b, and 1c, and complete the affidavit on the reverse side of this application including the notarized
signature of the property owner or the authorized representative. Please note: Assignment of the authorized representative must be in the form of
a notarized authorization letter from the property owner.
Step 2: Have your utility (if not part of the MDWASD utility service area) certify the pump station information for your project in Section 2.
Step 3: Once your application has been certified by your utility, bring the completed application to one of the DERM Plan Review offices for
processing
RESIDENTIAL (SINGLE FAMILY & DUPLEX) FEE up to 5 building sites: $90.00 plus $10 per additional building site.
COMMERCIAL FEE: $120 for the first site plus $10 for each additional building site. All fees subject to a 7.5% surcharge.
Please make checks payable to: Miami -Dade County
APPLICATIONS WILL NOT BE ACCEPTED IF THE NECESSARY INFORMATION AND SIGNATURES ARE NOT PROVIDED.
Section 1a
Contact Name: To OV k Phone: 3os 30c> o'L Email: r e
Applicant Information
Name (title): Jv "A\C" t ` , Oy
Company name: 11.04adG. l'LC-
Address: PD " 8% n -P3 Sp
City: MliA&A State:�-� zip: 3323
Phone: 305- 56 -/Pt -3 Y/o
Email: J6YI c,,, 0— (UAiC0Mi�'tni es .caw.
Section 1 b
r- Property Owner Information
Name (title): ( 000 MetAoy8b h* r
Companyname: LUC&ok LLC
Address: ?C> 3 t r-�-b 3
City: 1 Qrn l: State: F Zip: Z 3
Phone: 130 S — 3 ttin — 9/�L
Email: 7aDP(a amennre s. [ewe
Project/BusiinessName: i0'w\, syie'r.%_s l.lrC-
Address: 953 I AlF 2''t"/City: ftoi; . ADnt S Zip: 33/3$
# of units: Type of units: r6n0lutrCia Folio: ( k - 320(0 - 013 - 2 6130
Lot & Block # (s): 4V 3 / 2 D Subdivision: I'll G`mt Shotes se, Nw%
Be sure to include a Lot & Block # for each unit to be developed. You may attach an additional list if necessary. If Lot & Block are unavailable, submit a track number,
survey, site plan or sketch that includes all property boundaries. For undeveloped land, you may submit a master folio number for the entire property.
Section 1c
Project Details
Proposed Flow: , lL1Ul� , GPD Previous Flow: GPD Estimated Completion Date: Z0� It
Process #: City: S�1e' s Sewer Extension #;
Previous Use: \
Proposed Use/Project Description (including SQ FT): $�
Section 2
Utility Providing Service:
Pump Station Receiving Flow:
To be completed by utility company only
Date:
Located at:
Sewer abutting the Property (YES/ NO) ( FORCEMAIN /GRAVITY)
Lateral Connection ( NEW / EXISTING ) Point of Connection:
Ut;lity Official Name:
Signature:
Phone #:
SEWER SERVICE CONNECTION AFFIDAVIT
AI/weJhe u dersignedbging first duly sworn, depose and say that I/we have applied for a sewer service connection for (project description)
7 in accordance with the provisions of Appendix A of the Consent Decree (CASE No.
1:12 -CV -24400 -FAM) between the United States of America and Miami -Dade County. I/we understand and attest that we are ready,
willing and able to initiate construction as required below:
1. Apply for a building permit with the appropriate building official(s) within ninety (90) days from the date of issuance of written
approval of the newly authorized sewer service connection. If I/we fail to apply for a building permit as specified above, pursuant
to the provisions of Appendix A of the Consent Decree (CASE No. 1:12 -CV -24400 -FAM) between the United States of America
i and Miami -Dade County the newly authorized sewer service connection shall automatically be null and void on no further force
and effect.
2. Obtain the approved building permit within one hundred and eighty (180) days of having filed the application of a building permit
pursuant to the current Florida Building Code or as it may be amended from time to time. If I/we fail to obtain the approved
building permit as specified above, and fail to obtain an extension of time from the appropriate building official(s) the newly
authorized sewer system connection and building permit approval shall automatically be null and void and of no further force
and effect and
3. Commence construction of the project within one hundred eight (180) days of issuance of the building permit pursuant to the
current Florida Building Code or as it may be amended from time to time. If I/we fail to commence such construction as specified
above, the building permit and the newly authorized sewer system connection shall automatically be null and void and be of no
further force and effect.
Once work has commenced and the permit is revoked or becomes null and void, the newly authorized sewer service connection shall
automatically be null and void and be of no further force and effect. If the building permit expires the newly authorized sewer service
connection shall expire within 150 days of the expiration date of the building permit.
Similarly, I/we understand and attest that we are ready, willing and able to obtain a Certificate of Use or Municipal Occupational License
for any changes in a facility's use that results in an increase of wastewater flows within ninety (90) days from the date of issuance of
written approval of the newly authorized sewer service connection. If I/we fail to obtain a Certificate of Use or Municipal Occupational
License as specified above, the newly authorized sewer service connection automatically shall be null and void of no further force and
effect.
Furthermore, I/we hereby acknowledge and recognize that the newly authorized sewer service connection does not constitute the
approval of a building permit application, Certificate of Use or Municipal Occupational License by the Department, but rather only a
certification that adequate capacity exists in the sanitary sewer collection, transmission, and treatment system for the proposed project in
accordance with the provisions of Appendix A of the Consent Decree (CASE No. 1:12 -CV -24400 -FAM) between the United States of
America and Miami -Dade County. [/we are hereby duly informed that the building permit application, building construction plans,
Certificate of Use application, Municipal Occupational License application and/or any supporting or required documentation may require
the review and approval of the Division of Environmental Resources Management in accordance with the requirements of Chapter 24 of
the Miami -Dade County Code, as may be amended from time to time.
Aonlicant
Name in Print and Title
UA,C, a, UC C_
Com any Name
Si ature
State of Florida County of Miami -Dade
Sworn to and subscribed before me this day of
1+ 20 _a _by 11 kil.AN rv,l(f
Personally known or _ Prof
ed I entification
A 11
Notary Public01v9d (SEAL)
Property Owner
TIDv KW4,
Name in Pri t and Title
L L
Compan N 70)
Signatur
State of Florida County of Miami -Dade
Sworn tg a d subscrV ed before me this
201(by
Personally known or Produ ec
Notary Public
day of
Identification
Rev. Oct. 2017
ANDREW VOGEL �'" ANDREW VOGEL
�+�My COMMISSION # FF919683 My COMMISSION # FF919683
EXPIRES: November 25, 2019 EXPIRES: November 25, 2019
1 � i
Sewer Capacity Certification Letter Application
9534 NE 2"d Ave Miami Shores, FL 33138
Folio: 11-3206-013-2630
Units and sq ft:
9526 NE 2"d Ave unit 101 - Medical office (2,800 sq ft)
9526 NE 2"d Ave unit 102 - Medical office (1,000 sq ft)
9526 NE 2"d Ave unit 103 - Medical office (3,200 sq ft)
9526 NE 2"d Ave unit 104 - Vacant (1,000 sq ft)
9526 NE 2"d Ave unit 201 - Medical office (1,200 sq ft)
9526 NE 2"d Ave unit 202 - Office space (1,200 sq ft)
9534 NE 2"d Ave - Medical office (1,200 sq ft)
9640 NE 2"d Ave - Restaurant (1,500 sq ft)
166 NE 96Th St - Art studio (450 sq ft)
168 NE 96'h St - Office space (450 sq ft)
170 NE 96" St - Nail salon (450 sq ft)
174 NE 96`" St - Law office (1,200 sq ft)
Water and Sewer
PO Box 330316 • 3071 SW 38 Avenue
MIAMI-�A�E Miami, Florida 33233-0316
® T 305-665-7471
miamidade-gov VERIFICATION FORM
THIS FOF�M IS NOT VALID WITHOUT A PAID INVOICE AND EXPIRES ONE YEAR FROM THE DATE ON FORM
ATLAS PAGE: F-8 INV#: 48739 FORM #: 201870949 DATE: 4/27/2018
NAME OF OWNER: ILEOCAVA LLC #M2018010227
PROPERTY ADDRESS: 9534 NE 2 AVENUE
PROPOSED USAGE / SEWER CONNECTION 11699 SF MEDICAL, 2000 SF MEDICAL, 830 SF RETAIL, 1700 SF
NO. OF UNITS: RESTAURANT, 750 SF RETAIL, 750 SF OFFICE, 750 SF BEAUTY, 750 SF OFFICE '
REPLACES: PREVIOUS MIXED USE WATER ONLY CCB#2651744200 PTXA 19,229 SF
USAGE/ NO. OF UNITS:
PROPERTY LEGAL: 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1 TO 3 INC BLK 20
FOLIO NUMBER: 11-3206-013-2630 GALLONS PER DAY INCREASE:4,860
PROPOSED FLOW: 4,860 PREVIOUS SQUARE FOOTAGE: 19,229 ❑ NEW CONSTRUCTION
PREVIOUS FLOW: 01 PROPOSED SQUARE FOOTAGE: 19,229 ❑ INTERIOR RENOVATION
ADOPTED FLOW: 0] ❑ CRITICAL HABITAT V SEWER ONLY
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT WILL HAVE A(N) _12_ INCH
WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT
PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES
BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # 21790) SUBJECT TO PROHIBITIONS
OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR
WITHDRAWAL.
Latarsha Cleare - New Business
BY: ku4L dool
Representative
SIGNATURE OF REPRESENTATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS:
SCC'S $27,216.00 VF FEE $75.00 TOTAL DUE $27,291.00
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _12_ INCH
GRAVITY SEWER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE
THE SUBJECT PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER
SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID #21790).
SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS
OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST
BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WILL BE: FOUR
THOUSAND EIGHT HUNDRED SIXTY [4860] GALLONS PER DAY INCREASE.
BY: 9(4" � & dA
SIGNATURE OF REPRESENTATIVE
NEW BUSINESS COMMENTS: !SEWER ALLOCATION LETTER DATED:
Latarsha Cleare - New Business
Representative
AUTHORIZED BY
THIS VERIFICATION LETTER CERTIFIES THE AVAILABILITY OF A WATER AND/OR SEWER MAIN ONLY, AND IT DOES NOT
GUARANTEE THE EXISTENCE OF A WATER SERVICE LINE OR OF A SEWER LATERAL WITH SUFFICIENT DEPTH TO SERVE THE
PROPERTY. FOR ADDITIONAL INFORMATION CALL 786-268-5249/5295. SHOULD IT BECOME NECESSARY TO INSTALL A SERVICE
LINE AND/OR A SEWER LATERAL WASD REQUIRES THAT THE DEVELOPER RETAINS SERVICES FROM DESIGNERS AND
CONTRACTORS WITH SKILL SETS FOR DESIGNING, BUILDING AND CONNECTING TO PUBLIC WATER AND SEWER SYSTEMS.
CONTACT NAME: JONATHAN AVILLI Printed On: 4/27/2018 NB: Latarsha Cleare
CONTACT PHONE: (954) 665-1928 9:34:27 AMI I PR:
AUTHORIZED BY: • � 121 I
Water and Sewer
PO Box 330316 • 3071 SW 38 Avenue
MIAMI'MA�E Miami, Florida 33233-0316
T 305-665-7471
miamidade. ov VERIFICATION FORM
THIS FOM IS NOT VALID WITHOUT A PAID INVOICE AND EXPIRES ONE YEAR FROM THE DATE ON FORM
ATLAS PAGE: F-8 INV#: 48739 FORM #: 201870949 DATE: 4/27/2018
NAME OF OWNER: ;LEOCAVA LLC #M2018010227
PROPERTY ADDRESS: 9534 NE 2 AVENUE
PROPOSED USAGE / SEWER CONNECTION 11699 SF MEDICAL, 2000 SF MEDICAL, 830 SF RETAIL, 1700 SF
NO. OF UNITS: RESTAURANT, 750 SF RETAIL, 750 SF OFFICE, 750 SF BEAUTY, 750 SF OFFICE
REPLACES: PREVIOUS MIXED USE WATER ONLY CCB#2651744200 PTXA 19,229 SF
USAGE / NO. OF UNITS:
PROPERTY LEGAL: 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1 TO 3 INC BLK 20
FOLIO NUMBER: 11-3206-013-2630 GALLONS PER DAY INCREASE: 4,860
PROPOSED FLOW: 4,860 PREVIOUS SQUARE FOOTAGE: 19,229; ❑ NEW CONSTRUCTION
PREVIOUS FLOW: 0 PROPOSED SQUARE FOOTAGE: 19,229- ❑ INTERIOR RENOVATION
ADOPTED FLOW: 0 ❑ CRITICAL HABITAT V1 SEWER ONLY
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT WILL HAVE A(N) _12_ INCH
WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT
PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES
BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # 21790) SUBJECT TO PROHIBITIONS
OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR
WITHDRAWAL.
Latarsha Cleare - New Business
BY: Representative
SIGNATURE OF REPRESENTATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS: SCC'S $27,216.00 VF FEE $75.00 TOTAL DUE $27,291.00
THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _12_ INCH
GRAVITY SEWER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE
THE SUBJECT PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER
SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID #21790).
SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS
OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST
BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WILL BE: FOUR
THOUSAND EIGHT HUNDRED SIXTY [4860] GALLONS PER DAY INCREASE.
Latarsha Cleare - New Business
BY:
--�q - -- - - - --- - - ---- -Representative -----
SIGNATURE OF REPRESENTATIVE AUTHORIZED BY
NEW BUSINESS COMMENTS: SEWER ALLOCATION LETTER DATED:
THIS VERIFICATION LETTER CERTIFIES THE AVAILABILITY OF A WATER AND/OR SEWER MAIN ONLY, AND IT DOES NOT
GUARANTEE THE EXISTENCE OF A WATER SERVICE LINE OR OF A SEWER LATERAL WITH SUFFICIENT DEPTH TO SERVE THE
PROPERTY. FOR ADDITIONAL INFORMATION CALL 786-268-5249/5295. SHOULD IT BECOME NECESSARY TO INSTALL A SERVICE
LINE AND/OR A SEWER LATERAL WASD REQUIRES THAT THE DEVELOPER RETAINS SERVICES FROM DESIGNERS AND
CONTRACTORS WITH SKILL SETS FOR DESIGNING, BUILDING AND CONNECTING TO PUBLIC WATER AND SEWER SYSTEMS.
CONTACT NAME: JONATHAN AVILLI Printed On: 4/27/2018 NB: Latarsha Cleare
CONTACT PHONE: (954) 665-1928 9:34:27 AM PR:
AUTHORIZED BY: (� 1211 N