Loading...
RF-19-765Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address t Issue Date:05/17/2019 Parcel Number 8700 BISCAYNE BLVD, Miami Shores, FL 33138 1132060201030 Contacts Permit lvo.: RF-04-19-765 Permit Type: Roof Work Classification-: Gars Permit Status: Approved Expiration: 11/ 13/2019 Miami Shr Sery Station LLC Owner A-1 USA GUTTER CORP Contractor 9701 NW 89 AVE, Medley, FL 331781435 ALBUERNE EDUARDO Business: 3053192114 Description: REPLACE GUTTERS Valuation: $ 4,500.00 Inspection Requests: 305-76`2-0949 TotalSq Feet: 250.00 Fees Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Roofing Fee Scanning Fee Technology Fee Total Amount $50.00 $3.00 $3.75 $2.50 $1.00 $200.00 $9.00 $6.25 $275.50 Payments Date Paid Amt Paid Total Fees $275.50 Credit Card 05/17/2019 $275.50 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, 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 regulatftcAnstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Applicant / Contractor / Agent Date May 17, 2019 Page 2 of 2 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 8700 Biscayne Blvd o'9 � FB�C2017 Master Permit No. J r - OLf " Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 60Z O/a 30 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Miami Shores Service Station LLC Phone#:305-884-0008 ext 231 Address:9701 NW 89TH Ave �A940 —�fifRA"A. city: Medely state: Florida Zip: 33178 Tenant/Lessee Name: Phone#: F„,a;,. maintenance@urbietaoil.com CONTRACTOR: Company Name: •� � : � Phone#: 3' ) Address: City: i'`+( •�+ !' �_J% i State: J P1 Zip: 5 i Qualifier Name: r r� J l l «1 !- . E x. * '� 1 �' l % Phone#: State Certification or Registration #: Certificate of Competency #: /✓ 5- 00 DESIGNER: Architect/Engineer: ne#: Address: City: State: Zip: Value of Work for this Permit: $ / . ` Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition J. Description of Work: , : ''_�' r '-j v Specify color of color thru tile: Submittal Fee $ j Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 2 �9) w (Revised02/24/2014) A 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 bNapproved and a reinspection fee will be charged. Signature Signature �WNER or AGENT NTRACTOR The foregoing instrument was acknowledged before me this 21 day of March 202019 by Ignacio M. Urbieta wn wn to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Signk Print: as The forgoing instrument was acknowledged before me this 4day of rl 20 by L)e 4t V a IJ(.f al i'av wh Is pers no ally known r me or who has produced as identification and who did take an oath. NOT Sign Print Seal: ^ Estefania Ramirez Seal: " +� • _. 1+� My Commission GG 199994 '?ads Expires 03125/2022 0�++ •c� Notary Public State of Florida _ Estefania Ramirez My Commission GG 199994 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 2019 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# L05000056387 Entity Name: MIAMI SHORES SERVICE STATION LLC Current Principal Place of Business: 9701 NW 89TH AVENUE MEDLEY, FL 33178 Current Mailing Address: 9701 NW 89TH AVENUE MEDLEY, FL 33178 FEI Number: NOT APPLICABLE Name and Address of Current Registered Agent: URBIETA, IGNACIO M 9701 NW 89TH AVENUE MEDLEY, FL 33178 US FILED Jan 09, 2019 Secretary of State 5719999952CC 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: IGNACIO M URBIETA 01/09/2019 Electronic Signature of Registered Agent Date Authorized Person(s) Detail Title MANAGER Name URBIETA, IGNACIO JR. Address 9701 NW 89TH AVENUE City -State -Zip: MEDLEY FL 33178 Title MANAGER Name URBIETA, GUILLERMO Address 9701 NW 89TH AVENUE City -State -Zip: MEDLEY FL 33178 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: IGNACIO M. URBIETA GENERAL COUNSEL 01/09/2019 Electronic Signature of Signing Authorized Person(s) Detail Date Property Information Folio: 11-3206-020-1030 Property Address: 8700 BISCAYNE BLVD Miami Shores, FL 33138-3342 Owner MIAMI SHR SERV STATION LLC Mailing Address 9701 NW 89 AVENUE MEDLEY, FL 33178-1435 PA Primary Zone 6200 COMMERCIAL - ARTERIAL Primary Land Use 2626 SERVICE STATION: SERVICE STATION - AUTOMOTIVE Beds / Baths / Half 0/0/0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,996 Sq.Ft Lot Size 19,500 Sq.Ft Year Built 1967 Assessment Information Year 2018 2017 2016 Land Value $858,000 $858,000 $760,500 Building Value $108,900 $108,900 $50,000 XF Value $13,695 $13,695 $0 Market Value $980,595 $980,595 $810,500 Assessed Value $657,966 $598,151 $543,774 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Assessment $322,629 $382,444 $266,726 Cap Reduction Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description EL PORTAL SEC 4 PB 12-56 LOTS 24 TO 29 INC LESS NE 6 AVE BLK 23 LOT SIZE 19500 SQUARE FEET COC 23930-2566 09 2005 6 Generated On : 4/4/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $0 $0 Taxable Value 1 $657,966 $598,151 $543,774 School Board Exemption Value $0 $0 $0 Taxable Value $980,595 $980,595 $810,500 City Exemption Value $0 $0 $0 Taxable Value $657,966 $598,151 $543,774 Regional Exemption Value $0 $0 $0 Taxable Value $657,966 $598,151 $543,774 Sales Information Previous Sale Price OR Book -Page Qualification Description 09/01/2005 $1,870,000 23930-2566 Other disqualified 11/01/1996 $240,000 17510-2172 Other disqualified 06/01/1985 $277,778 12609-1676 Sales which are qualified 06/01/1985 1 $250,000 12609-1676 1 Sales which are qualified 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: https://www8.miamidade.gov/Apps/PA/propertysearch/ 4/4/2019 Ap 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 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 CONTENT Signature: r rWT Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this hday of r) \ 120 I q . ByT�nc(, U rb � eAQ who is ersona kno n to me or has produced as identification. N SEAL: Public State of Florida , T My Commission GG 199994 coo �diP Expires 03/25/2022 + A-1 USA Gutter, Corp Date:04/08/2019 Sate of Florida County of Miami Dade Before me this day personally appeared Eduardo Albuerne who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 8700 Biscayne Blvd, Miami Shores, FL Cont actor Signature Sworn to and subscribed before me this 08 day of April 2019 by Eduardo Albuerne Subscribed and sworn befog this Personally know -�_ in�a d for �' �O�"y %W OR Produced Identification °f ' ^ cour'cy' Type of Indentification Produced � 1l/Ir v iNOTARY PUKk Ny►C1on erpa" 0 Print, Type or Stamp Name of Notary JORGE 8ANTANA My COMMOSKM R FF9578W Ex Ws May 02, 2= Awl USA GUTTERS9 CORP. 2740 E 10 th Ave. a Hialeah, FI 33013cl Te1:305-319-2114 Yzj PROPOSAL SUBMITTED TO: ame $ Address: ----_.._.. O l� 13 ;.s (2a ► $1 e rty, fate , no 1 DD Fela-1 so 1;�e 'q0 fee. 1 50 Feet Time Date: Z r LIC# 09BS00673 VuV A'G. ORK TO BE PERFORMED �.' ..�... too:** 0000 • is". tate :600e .... . ...... .... ..... ,. .. 0000 000000 __</ g t)-t-l-eYs ft /v ' v wmam yU pi4zye �dve►� �v"f# e✓S R�vn1 �Y%vy D, 0Yv9 a je— I 11 n�j i r'JUA 6 ca��v ��r l�� X dW n �Dllf c pc 'l IYN e 3,, ,-air IZ it JDDwr.5PDV ,t l S Co)dw► r s, . Cc, -t E � � o 3 Id 1)h)n Y\ -e 5 .'e F} �' -1) Iq; A� ,ol . z51Svf�er5 zs y%'' _Pv L` D OV Z 5iolf Gb Xv ✓_I fern At �3XIIrI DU'+ .Zpt�ee. Sine 'easC O CREAM NORM O BROWN BRONZE OGRAY L. GRAY DO- GRAY EGGSHELLOALMOND GREEN O RED GOLD ❑ BLACK OTHER O CREAM NORM D BROWN BRONZE D GRAY L. GRAY D D. GRAY EGGSHELL D ALMOND GREEN D RED GOLD D BLACK 3X4 D 4xs CONDUCTOR HEAD OTHER TOTAL FOOTAGE ff�66y-S /-EU 6PE'r TOTAL DOWNSPOUT �' SALES REP &- ae-dy /i�/ ern �ARANTEE ON LABOR f 0 Y UARANTEE ON MATERIAL EXCEPT: 02M resuftV hom accident, misuse, abuse, n or from other than normal and ordinary use of the product. TOTAL S /—/ So L v D ❑ CASH Jff ALUMINUM 13 DEPOSITS 2 01)1) / D ❑ CHECK ❑ CGALVANIZED OPPERBALANCE: db 0 CREDIT CARD 0 STAINLESS STEEL Crew Chief./ _ Installer: 01 /4 171 /2 0 3/4 0 Completed TERMS OF PAYMENT Payment k"due upon oompfetton. Contracts which stela a draw art off date and payment rates" Me am Rn only exosplions and must bo Npned by repre"nte0ve6 of both Pehlke. FINANCE CHARGE: finance dwps In amount of Ow leaser of 1.5% par month (1E% par &nnum), or the ewxMwm altarad by low, will be added to all kWbINS prat are 30 days past due asof Ow 10th of this fotlowbv month. We we not responsible for domapa to rod ilia, O*m;ks or fascle boards. APPROVAL: aftragons a a"Honai work shall be parfomwd unless apn*ed:to by A- USA GUTTE , CORP. beforehand, In vrrtft Via we not ruponslble for AUTHORIZED SIGNATURE: DATE: - ( CLIENT SIGNATURE SPECIAL NOTE: Intl USA GUTTERS, CORP. 2740 E 10 th Ave. • Hialeah, FI 33013 Tel:305-319-2114 Date: t Time: V'. ,. tl �Fc LI o soo PROPOSAL SUBMtTMD TO; -'/,p� F- j WORK TO BE P F AT; Name 9 job r rO Address: state one Address: Goes City, state •••• ••••;• ,•• .... ...... <'v jo r SZ/ r2 r 9 t x f > i< . • �!�-i : "di MEAM /� i j 8 `l x ' .. • X O ' Q LVORY ; ..= 5.01O VN B'RONZE LIGRAY / ✓ l- v �P. r 2(J 0 L. GRAY CID. GRAY Q EGGSHELL ©ALMON1 Q GREEN O RED t e� O GOLD 0 BLACK i n 0 WRITE O CREAM 1 ® I'VOR`( 0 MI OWN _ Q BRONZE QGRAY d 7 1 �; . a'. 'r„ =� ' L GRAPY 12 D R ���r� q f� n S gores Vf fade EGGSHELL GALh',wt°< GREED J fr, PROVE=D BY GOLD 013LA"X r "Jpr,' DEP; — C:ON0, LOC;OR F ; F rD I , HEAD 1 0. OTHER 'cC T TO COMPLIAN(F wr �,_. _ TOTAL FOOTAGE L TOTAL DOWNSPOUT l� C� SALES REP 7777vAT,ns, 5 YEAR GUARANTEE ON LABOR 120 YEAR GUARANTEE ON MATERIAL EXCEPT: Damage rutting from accident, misuse, abuse, neglect, or from other than normal and ordinary use of the product. TOTAL $ 5-6 v — ❑ CASH C3 ALUMINUM DEPOSIT$ ❑ CHECK 0 COPPER BALANCE $ 416R o ❑ CREDIT CARD 13 STAI LE S STEEL Crew Chief: Installer: 131 /4 ©1 /2 C3 3/4 0 Completed TERMS OF PAYMENT: Psyment in fu8 due upon completion. Contracts which state s drew cut off dada and peymant release date are tta ordy exceptions and must be signed by repressMathles of both parties. FINANCE CHARGE: fkanoa dWWW to smoUnt of the leaser of 1.5% per month (18% per annum), or the maxk►wm allowed by law, will be added to all im/cloes blot we 30 drys past due sec! the 10th of the following month. the are not responsible for denape to root lies, or fascie boards. APPROVAL- No aftersdons or additional vmA shah be performed unless agreed to by A-1 USA GU RS, CORP. beforehand, in wr*ng, We are not responsible for damage to roof ties. shingles or AUTHORIZED SIGNATURE: DATE: CLIENT SIGNATURE ______-____._... SPECIAL NOTE: Awl USA GUTTERS, CORP. 2740 E 10 th Ave. • Hialeah, FI 33013 Tel:305-319-2114 PROPOSAL. SUBMITTED TO: Name U _ 5a.5 Address: � � oU 8 ; 3ca, n�, ��✓ City, fatejq / Phone iaWti� h0 Time: Date:- ��� — LIC# 09BS00673 WORK TO BE PERFORMED AT: Address: city, State ... . �v �t✓� �Oi/t✓✓ �1t14�eYS �'/� t�tlW�,iri✓W1� Q�(��� QJ •.. OtVOFiY 0.1311R0M. .. NE" ► N��ulKin✓1+1 �c5) Datun3'x y.... .....//D BROW * (3 GRAB( L GgAY; • o. GR�'• t 1-0 %e ei QQ A vl cl�e P x / l I A 1vin) n&j • • • • p EGGs41ELLt]ALWW jj ' GREEN O RED ' . . . G01�13 • ••'(]BLACK O OT�E� .... C ,Z 6 1�,WHITE O CREAM Zpl O NORY O BROWN O BRONZE O GRAY 0 L GRAY O D. GRAY 75 O EGGSHELL 0ALMOND O GREEN 0 RED O GOLD 0 BLACK 03X4 04X5 O CONDUCTOR HEAD 0 OTHER TOTAL FOOTAGE �gU61 l`'P&I TOTAL DOWNSPOUT -7v r `y - SALES REP C.dLVK--Vfl rV/LAV J S YEAR GUARANTEE ON LA13OR / 20 YEAR GUARANTEE ON MATERIAL EXCE ° Itiny from ac zidGnt, misuse. abuse, neglect, or from other than normal and ordinary use of the product. TOTAL S,41 vy ❑ CASH ID ALUMINUM ❑ COPPER DEPOSIT S ❑ CHECK ❑ GALVANIZED BALANCE SD ❑ CREDIT CARD ❑ STAINLESS STEEL Crew Chief: Installer: 01 /4 ❑ 1 /2 ❑ 3/4 ❑ Completed TERMS OF PAYMEM': Psyrrsnt in M . Contracts which stet a draw cut off date tend Wfln K nslsase data are the only exappons and r" be signed by --rossfootivae d both Parties. FINANCE � � CHARGE: *Wce at the fesf ft Weser of .5% perrrwffii Wean not nsspon � � danapa to MW 040. Mfaseta boarft ktvbkss tl are 30 days P sddabnai stall Did unNrss apnad to by A•1 A GU RS, CORP bMonhard, In rrrmn1j• We are not responsible APPROVAL: No alearatloms for damage ro roof dl.a. attinpMs or � / AUTF1pRiZED SIGNATURE: DATE: CLIENT SIGNATURE SPECIAL