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REV-19-972! I to iq&wt-o h q gX,(0 Miami Shores Village �M\,\ Vw) I BuildingDe artment RECE; LED i�\,.`' p MAY 0 3� � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 2 1019 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Cp 04 FBC 20i-4 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. 12C.-os-ICl-QCeq ❑X BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL (aEv-- ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP C� �2 CONTRACTOR DRAWINGS JOB ADDRESS: 1191 NE 103RD ST City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-2232-031-0050 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): COBIA LLC Address: 8045 NW 155 ST City: MIAMI LAKES ne#: State: FL Zip Tenant/Lessee Name: Phone#: Email: 33016 CONTRACTOR: Company Name: TOP CHOICE RENOVATION Phone#: 786-399-0886 Address: 2301 SW 16TH AVE City: MIAMI State: FL Zip: 33145 Qualifier Name: SEBASTIAN TARALLO State Certification or Registration #: CGC 1519665 hone#: 786-399-0886 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2 7o Square/Linear Footage of Work: 32o s� Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Description of Work: REPLACE SHEETROCK IN KITCHEN AND BATHROOMS WALLS REPLACE ELCTRICAL PANEL *SAME LOCATION* INSTALL 2 EXHAUST FAN IN BATHROOMS,ADD 6 RECESSED LED LIGHTS IN KITCHEN,CANCEL EXISTING WATER PIPES IN GARAGE AREA ADD 6 RECESSED LED LIGHTS IN LIVING ROOM,INSTALL NEW 240V LINE FOR LAUNDRY,REPAIR SMALL CRACKS AND HOLES IN EXTERIOR STUCCO Specify color of color thru tile: Submittal Fee $_ Permit Fee $ �00 • OZ3 CCF $ CO/CC $ Scanning Fee $ G ( prnrn Radon fee $ 2 W DBPR $ 2 - d0 Notary $ Technology Fee $ Training/Education Fee $ G 6C'� Double Fee $ Structural Reviews $ Uzi Bond $ _ TOTAL FEE NOW DUE $ a (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 Zi 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. Signature R Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of i'��" 1 20 by who is p rsbnally known o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Signal Print: The foregoing instrument was acknowledged before me this 2 Vs day of 20 X q by TGtnl'(AI 10who is sonally kno n to me or who has produced as identification and who did take an oath. NOTARY P Sign:_ Print: Notary ruv1- - Seal: , 0AN Camila grred0ndo Seal: • MY Commission 22 262400 Expuas o9�281 a ************* ************* ***** *** ************************* APPROVED BY Plans Examiner l{% / Structural Review Off",(r _ Notary Public $fate of Florida • � Cemila Arredondo MY Commission GG 262408 q Expires 09/26/2022 Zoning Clerk (Revised02/24/2014) ACORE) CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) lla.� 04/03/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NT CT NAM MARTA ALONSO Florida Bankers Insurance FAX PHONE 305 266-6493 Alc No): 305 262-0679 6874 SW 8 St MDAIL marts flohdabankersinsurance.com INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33144 INSURERA: INTERSTATE FIRE & CASUALTY INSURANCE CO INSURED INSURER B : INSURERC: TOP CHOICE RENOVATION CORP INSURER D : 5750 COLLINS AVE APT, 15 H INSURER E : INSURERF: MIAMI BEACH, FL 33140 305 970-15 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MWDD XP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Q OCCUR N N MXC07014920 04/06/2019 04/06/2020 EACH OCCURRENCE $ 1,000,000.00 r $ 50,000.00 MED EXP (Any one arson $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 GENERAL AGGRFGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE IMIT a BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P A (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE _ $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yyes describe under DESCRIPTION OF OPERATIONS below NIA I WC STATU- OTH- E.L. EACH ACCIDENT $ E.L DISEASF - F.A EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) TOP CHOICE RENOVATION I CGC1519665 CERTIFICATE HOLDE MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD oR _ 9 JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 4/19/2019 PERSON: SEBASTIAN TARALLO FEIN: 465648743 BUSINESS NAME AND ADDRESS: TOP CHOICE RENOVATION CORP 2301 SW 16TH AVE MIAMI, FL 33145 SCOPE OF BUSINESS OR TRADE: Licensed General Contractor EXPIRATION DATE: 4/18/2021 EMAIL: SEBANOB44@HOTMAIL.COM IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Proudly Serving Iw . sx A the Florida Real ME LAND ME LAND - Estate Community L !� for Over 20 Years L° ek WWW.MELANDSERViCES.Com • • •••• •••••• •••••• •• • •••••• • •••• • •• ••••• -Z ......... N.E. 104th STREET :.. • • ' •. 50 RIGHT—OF—WAY BY PLAT):.:.: ::::......... ............:.... i > . �:......... ....... .' :.':::::20'f ASPHALT PAVEMENT ...:::' ::..::..... ........ r... •r. .....i:. .. a 15.0' PARKWAY A= 98� NO /D 110.00- (P) F. 1/2- ... F.1.P. 1/2 •99 NO /D ON C 3.5' A o O C N h ;.. ..... ...':::'.':::: 2 0.7' + ..:. l.33' 2.40 m ' n 49.05' 0 AC ONE STORY 3'X3' 6.05'oi v RESIDENCE Q� LOT 2 0 119 t 0.70' m BLOCK 2 �' ri CBS WALL a LOT 1 BLOCK 2 ! A,1 �! 0. Q- 4! ! �41 e 3 z.T' 'I'•a.• a -o .ti�0.45' v e=87'47,50r o' y. I R=25.00 <. 555.295'(P) '9.0 O F.I.P. 1/2' F.I.P. N SO OR/CHT—OF—WAY (BY PLAT F. NO 16 2 -A�, ' NO ID 21't ASPHALT PAVEMENT .... .. . — J..... N.E. 103rd STREET .:....: Accepted By: Property Address: Notes: NO NOTES 1191 N.E. 103 Street Miami Shores, FLORIDA 33138 tURVEYOR'BCERT�ICATION:INERBY THAT THIS BOUNDARY SURVEY 4 A TRUE AND M.E. Land Surve m Inc. y g, - aF VWTHTHEMINFA NTEC ED UNDER MY DIRECTION. THIS COMPLIES FORTH BY THE STATE OF FLORIDA WARD 10665 SW 190th Street PROFESSIONAL LAND I C h THROUGH 6FD'-M FLORIDANND- ADMNISTRATIVECOOI @ Tula. Suite 3110 - SIGNED o d FOR THE FIRM Miami, FL 33157 ME L EFRAIN LOP FLOR A Phone: (305) 740-3319 _ STATE OF FL 6112/ P.S.M. No. 6792 Fax: (305) 669-3190 - < NOT VAUDWITHOUTAND or IC SIGNATURE AND AUTHENTICATED LB#: 7989 ELECTRONIC SEAL ANDOORTHISMAP 18 VALID WRHOUTTHE SIiNATUREAND THE ORIGINAL Survey #:B-40152 Client File #: 18-046 Page 1 of 2 Not valid without all pages Surveyor's Legend PROPERTY LINE STRUCTURE END FOUND IRON PIPEB.R. BEARING REFERENCE TEL TELEPHONE FACILITIES / ® CONIC. BLOCK WALL PIN AS NOTED ON PUT � CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —X—X— CHAIN -LINK FENCE OR WIRE FENCE LBO LICENSE / - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX WOOD FENCE LSO LICENSE / - SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK —o---o— IRON FENCE CALL CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD ----- EASEMENT SET SET PIN TYP, TYPICAL A/C AIR CONDITIONER — - — CENTER LINE A CONTROL POINT I.R. IRON ROD S/W SIDEWALK MONUMENT I.P. IRON PIPE DWY DRIVEWAY ®CONCRETE WOOD DECK BENCHMARK HAD NAIL k DISK SCq, SCREEN CONCRETE ELEV ELEVATION PK NAIL PARKER-KALON NAIL GAR GARAGE P.T. POINT OF TANGENCY D.H. DRILL HOLE ENCL ENCLOSURE ® ASPHALT P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE BRICK / TILE P.R.M. PERMANENT REFERENCE MONUMENT ® FIRE HYDRANT F.F. Fj&'SAEO ILOOR WATER P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE • • •T.O.B. TOP Di! SANK • • • • •• • • • • P.R.C. POINT OF REVERSE CURVATURE O.H.L OVERHEAD LINES E,O.W. Eple(r' VTER • /lam- APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER • • • • E.O.P EDWOF PSVEMENT • • • • • • P.O.C. POINT OF COMMENCEMENT CATV CABLE TV RISER • • • • • • ) C.V.G. CONCRETE VALLEY G1,411 • • • COVERED AREA P.C.P. PERMANENT CONTROL POINT W.M. WATER METER • • • • • B.5.4 It1L*C SETBACK LINE �e TREE M FIELD MEASURED • • • • SURVEY TIE LINE • • • • • • P/E POOL EQUIPMENT S.T.L. �i POWER POLE P PLATTED MEASUREMENT • • • • • • • • • • • • • • • CONC. CONCRETE SLAB (1fNTER LING ® CATCH BASIN • • • • D DEED • • • • • • • • • • ESMT EASEMENT R/W RIGHT-OF-WAY • • C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE EASEMENT , • • • O.U.E. PUBLIC UTILITY EASEMENT • • • • • •••••• I.E./E.E. INGRESS / EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. 4B E LANDSCAPE PUFFER EASEMENT C•0%0 OMWENANCE ;ASEMENT• C.M.E. U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. UNITED ACCESS EASEMRNT • J.• E, ANCHOR EASEMENT • • • • • • Property Address: General Notes: 1.) The Legal Description used to perform this survey was supplied by others. 1191 N.E. 103 Street This survey does not determine or is not to imply ownership Miami Shores, FLORIDA 33138 2•) This survey only shows above ground improvements. Underground utilities, footings, or encroachments are not located on this survey map 3.) If there is a septic tank, well, or drain field on this survey, Flood Information' the location of such items was shown to us by others and the information was not verified. 4.) Examination of the abstract of title will have to be made to determine recorded instruments, if any, effect this prop Community Number: 120652 erty.The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the pl Panel Number: 12086CO306L at 5.) Wall ties are done to the face of the wall. Suffix: L 6.) Fence ownership is not determined. Date of Firm Index: 09/11/2009 7.) Bearings referenced to line noted B.R Flood Zone: X 8.) Dimensions shown are platted and measured unless otherwise shown. Base Flood Elevation: 9•) No identification found on property corners unless noted. 10.) Not valid unless sealed with the signing surveyors embossed seal. Date of Field Work: 04/10/2018 11.) Boundary survey means a drawing and/or graphic representation of the survey work performed in the field, coul Date of Completion: 04/11/2018 d be drawn at a shown scale and/or not to scale 12.) Elevations if shown are based upon NGVD 1929 unless otherwise noted 13.) This is a BOUNDARY SURVEY unless otherwise noted. 14.) This survey is exclusive for the use of the parties to whom it is certified. The certifications do not extend to any u nnamed parties. 15.) This survey shall not be used for construction/permitting purposes without written consent from the land surveyor who has signed and sealed this survey. Legal Description: Lot 1, of Block 2, of BISCAYNE RIVER HEIGHTS, according to the plat thereof, as recorded in Plat Book 43, Page 73, of the public records of Miami -Dade County, FLORIDA Printing Instructions: Certified To: While viewing the survey in any PDF Reader, select the File Cobia, LLC , A Florida limited liability company Drop -down and select "Print". Select a color printer, if available; Torrens Law Firm, LLC or at least one with 8.5" x 14" (legal) paper. Old Republic National Title Insurance Company Select ALL for Print Range, and the # of copies you would like to Lima One Capital, LLC print out. its successors and/or assigns as their interest may appear. Under the "Page Scaling" please make sure you have selected Please copy below for policy preparation purposes only: "None". Do not check the "Auto -rotate and Center" box. This policy does not insure against loss or damage by reason of the following Check the "Choose Paper size by PDF" checkbox, then click OK exceptions: Any rights, easements, interests, or claims which may exist by reason of, or reflected by, the following facts shown on the survey prepared by Efrain t0 print. Lopez dated 0411112018 bearing .lob # B-40152 : a. NO NOTES M.E. Land Surveying, Inc. � \ 10665 SW 190th Street, Suite 3110 Miami, FL 33157 E LAND ME LAN ME LAND Phone: (305) 740-3319 � Fax: (305) 669-3190 LB#: 7989 Survey #:B-40152 Client File #: 18-046 Page 2 of 2 Not valid without all pages