CC-11-18-3389, 9050 NE 8 Ave\2%
\V
BUILDING
PERMIT APPLICATION
fffBUILDING ❑ ELECTRIC
Miami Shores Village RECEIVED
Building Department NOV 07 2018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 (�
Tel: (305) 795-2204 Fax: (305) 756-8972 CR-h
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201-4
Master Permit No. — �,,)' 38q
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION EJRENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
11 CONTRACTOR DRAWINGS
JOBADDRESS: 1c%� NE '° A-4e.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1 1 3 -LC) tT a 1 1 o C. "2-=0 Is the Building Historically Designated: Yes NO ✓
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): G+1� A L4— G Phone#:CT`S1 -31Lf — 3J ?-9
Address: 12-3 01 N E A v+e- .
City: N 5 ry � M i C' v�� _ State: • — Zip: 3 3 i tc 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: JH N .� x �+r��.v RZ-1 a� �T �'n ��`� Phone#: (�►� s S `3 —) 7 E% �I
Address: S% %Fi NW 55 ll `t,r r .
City: TC'V-AC'y C' <= State: Zip: 3 3 -3'2- i
Qualifier Name: ,Showy 'C ch ace Phone#: (`1-s`{ )sx? — I %'Q
State Certification or Registration #: G C_C- i-r 1 $ 3 1+ Certificate of Competency #:
DESIGNER: Architect/Engineer:
Add
City:
Value of Work for this Permit: �-,e i' Square/Linear Footage of Work: _
Type of Work: ❑ Addition ❑ Alteration ❑ New jj Repair/Replace
Description of Work: IZ 0tp kC',' iG:+c(, n c cb 'QTs . S� �M
Specify color of color thru the:
ate: Zip:
S . - -.
❑ Demolition
KAJC-77&--f
Submittal Fee $ -21ZJ�3- Permit Fee $ `-`�� CCF $ V CO/CC $
Scanning Fee $ `:--1 . C,-:) Radon Fee $ DBPR $ I O Notary $
Technology Fee $ 2- 4 ` Training/Education Fee $ ('0 `f Double Fee $ �60 CAD
Structural Reviews $ Bond $
TOTAL FEE NOW DUE
(Revised 02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
WE
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
i
Signature Signature
OW or AGENT CONTRACTOR
0 W� or
The foregoing instrument was acknowledged before me this The f regoing instrument was acknowledged before me this
Z0 day of CC J(r ( t iv 20 , by 20 day of ac`i o - 4 20 �, by
�h� o �� t� G � i who is WIrsonally k�n to � mclfaA who is personally known to
me or who has produced as me or who has produced i-z- as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: c n-
Print: 0vgf ' efd
Seal:
1
N
APPROVED BY
(Revised02/24/2014)
Jorge Meto
NotaryPoblic State of=lOrida
comr*'ission tGG 95563
Ey; ires 4'19/2021
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
P
.• Commission A GG 175311
Expires January 15, 2022
M"O"oe-
BaWedT1"&49KN*iy$ervM
*************************************************************
f f/I 1
Plans Examiner
Structural Review
Zoning
Clerk
11/7/2018 Property Search Application - Miami -Dade County
6-,uf%FFICE OF TH
PROPER'�.'
Summary Report
Property Information
Folio:
11-3206-011-0020
Property Address:
9050 NE 8 AVE
Miami Shores, FL 33138-3283
Owner
GHG SDB001 LLC
Mailing Address
12301 NE 6 AVE
NORTH MIAMI, FL 33161 USA
PA Primary Zone
3000 MULTI -FAMILY - GENERAL
Primary Land Use
0303 MULTIFAMILY 10 UNITS PLUS:
MULTIFAMILY 3 OR MORE UNITS
Beds / Baths / Half
16 / 16 / 0
Floors
1
Living Units
16
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
9,797 Sq.Ft
Lot Size
Year Built
31,697 Sq.Ft
1957
Assessment Information
Year
2018
2017
2016
Land Value
$1,109,395
$887,516
$887,516
Building Value
$19,605
$10,000
$96,982
XF Value
$0
$0
$0
Market Value
$1,129,000
$897,516
$984,498
Assessed Value
$987,265
$897,514
$815,922
Benefits Information
Benefit
Type
2018
2017
2016
Non -Homestead Cap
lAssessment Reduction
$141,735
$2
$168,576
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
ASBURY PARK PB 4-110
LOT 3
LOT SIZE 109.300 X 290
OR 21197-1186 0403 1
Generated On : 11/7/2018
Taxable Value Information
County
20181
201T 2016
Exemption Value
$0
$0
$0
Taxable Value
$987,265
$897,514
$815,922
School Board
Exemption Value
$0
$0
$0
Taxable Value
$1,129,000
$897,516
$984,498
City
Exemption Value
$0
$0
$0
Taxable Value
$987,265
$897,514
$815,922
Regional
Exemption Value
$0
$0
$0
Taxable Value
$987,2651
$897,5141
$815,922
Sales Information
OR
Previous
Price
Book-
Qualification Description
Sale
Page
04/05/2018 $6,300,000
30933-
Qual on DOS, multi -parcel sale
2871
04/01/2003 $700,000
21197-
Sales which are qualified
1186
04/01/2000 $500,000
19081
Sales which are qualified
2594
01/01/1995 $0
16665-
Sales which are disqualified as a result of
3
2235 lexamination
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
11/7/2018
Detail by Entity Name
N
Org
D partrr ertt aF Stag / iliviair n of Cnrzxaratia 5 / Search Rc c c?€zis / C}etaii Bv Mc mer t Number /
Florida Limited Liability Company
GHG-SDB001 LLC
Filing Information
Document Number L18000029646
FEI/EIN Number NONE
Date Filed 02/01/2018
State FL
Status ACTIVE
Princinal Address
12301 NE 6 AVENUE
NORTH MIAMI, FL 33161 UN
Mailing Address
12301 NE 6 AVENUE
NORTH MIAMI, FL 33161 UN
Registered Agent Name & Address
GHG AM LLC
12301 NE 6 AVENUE
NORTH MIAMI, FL 33161
Authorized Persons Detail
Name & Address
Title MGR
GLOBAL HORIZONS GROUP LLLP
12301 NE 6 AVENUE
NORTH MIAMI, FL 33161 UN
Annual Reports
No Annual Reports Filed
III =-IMMIM ..-
Q't71/ Ofi8 F12 da Um ted uab€city View image in FDF format
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai I?inqui rytype=EntityName&directionType= Initial&searchNam eOrder=GH GSD B001 %20L .. 1/2
11/7/2018 Detail by Entity Name
http://se
aernv-i-/e�.org
�'/e. .
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Partnership
GLOBAL HORIZONS GROUP LLLP
Filina Information
Document Number
A14000000604
FEI/EIN Number
80-0413793
Date Filed
11/03/2014
Effective Date
11/15/2014
State
FL
Status
ACTIVE
Last Event
CONVERSION
Event Date Filed
11/03/2014
Event Effective Date
11/15/2014
Principal Address
12301 NE 6TH AVE
N MIAMI, FL 33161
Mailing Address
12301 NE 6TH AVE
N MIAMI, FL 33161
Registered Aaent Name & Address
YITZHAKI, SHAI
12301 NE 6TH AVE
N MIAMI, FL 33161
General Partner Detail
Name & Address
YITZHAKI, SHAI
12301 NE 6TH AVE
N MIAMI, FL 33161
GOLDBERG,GUY
12301 NE 6TH AVE
N MIAMI, FL 33161
Annual Re arts
Report Year Filed Date
2016 04/20/2016
irch.sunbiz.org/Inqui ry/CorporationSearch/SearchResultDetai I?inquirytype=EntityN ame&directionType= Initial&searchNameOrder=GLOBALHOR IZON.
1/2
JHN REMODELING & MAINTENANCE SERVICES, INC.
February 11, 2019
State of Florida C _ g - 3 % C'j
County of Broward
Before me this day personally appeared -T Vvc •-z,v Q C, kQ Ic---
who, being duly sworn, deposes and says:
That he will be the only person working on the project located at:
Sworn to (or affirmed) and subscribed before me this I day of �ch�tla y , 20
Personally know
Or produced I.D.
Type of I.D. produced
sue Jorge Nieto
Nctary'Oublic - State of Florida
Commission#GG95563
Ex; Tres 4!18/2021
/ ., and-d through Cynnnotery
Print, type or stamp Name of Notary
Notice to Owner — Workers' Com
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation 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:
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 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
41 �
The foregoing was acknowledge before me this k�3day of ' 100, G . 20 ii
By �M � i �M����� who is personally k n to to me or has produced
as identification.
Notary:LYNN MAY VELIT
:� °�•; Notary Public - State of Florida
SEAL: : •= Commission M GG 051183
�;,, 'ST•` My Comm. Expkes Nov 28, 2020
Bonded through National Notary Assn.
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9050 NE 8TH AVE, Miami Shores, FL 33138 1132060110020
Contacts
GHG SD6001 LLC Owner JHN REMODELING & MAINTENANCE Contractor
GHG SD13001 LLC GHG SDB001 LLC SERVICES INC
12301 NE 6 AVE, NORTH MIAMI, FL 33161 JHONY ALEXANDER OCHOA
5708 NW 81 TER, TAMARAC, FL 33321
Business: 9545581704
Inspection Requests:
Description: REPLACE KITCHEN CABINETS FOR UNITS 1-16 Valuation: $ 32,000.00
r'05-762-4049' 1
Total Scl Feet: 50.00 ,...,
t
Fees
Amount
CCF
$19.20
Cert. of Compl. for Single Fam and Duplx
$50.00
(Manual)
Commercial Application Fee
$200.00
DBPR Fee
$14.40
DCA Fee
$9.60
Education Surcharge
$6.40
Permit Fee
$760.00
Scanning Fee
$9.00
Technology Fee
$24.00
Work Without Permit 1st Offense
$100.00
Work Without Permit 1st Offense
$960.00
Total
$2,152.60
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$2,152.60
Credit Card
11/07/2018 $200.00
Credit Card
02/12/2019 $1,952.60
Amount Due:
$0.00
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 foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized
ature: Owner
/ Applicant / Contractor / Agent
Date
February 12, 2019 Page 2 of 2