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PW-20-101Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 02/06/2020 Location Address Parcel Number 9500 NE 6TH AVE, Miami Shores, FL 33138 1132060140770 Contacts Permit NO.: PW-01-20-101 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Expiration: 08/04/2020 ANGEL DIAZ Owner STOBS BROS. CONSTRUCTION, CO Contractor 9500 MATHEW STOBS Business: 3057511692 Description: REPLACE DAMAGED SIDEWALK AS PER MIAMI LValuation: $ 1,000.00 Inspection Requests: SHORES COMPLIANCE CITATION FAILURE TO MAINTAIN 305-762-4949 SIDEWALKS LOT-011696-2019 et: 75.00 Fees Amount Education Surcharge $0.20 Public Works Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $111.70 Building Department Copy Payments Date Paid Amt Paid Total Fees $111.70 Credit Card 02/06/2020 $111.70 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. Owner / Applicant / Contractor / Agent Date February 06, 2020 Page 2 of 2 -7 vn (kQ" I I BUILDING Miami Shores Village ENTERED JaN Bozo Building Department B 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201--t j Master Permit No.B[ " 01 — W 1 0 1 PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING Sub Permit No. ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL MPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [—]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9500 NE 6 Ave City Miami Shores County: Miami Dade Zia: Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Angel Diaz Phone#:786-412-7310 ,,,,A--9500 NE 6 Ave City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: TCJ "✓S �r�s©�5�'� Phone#: Address: 5-970 A) 15 City: f�"/ir�,/� s/- State: _ zip: 33/ 3 0 Qualifier Name: �i % �/ S �v� l' �i�J�✓S Phone#: %os- State Certification or Registration #: C �J o2 D �, 6 0 Certificate of Competency #: DESIGNER: Architect/Engineer: A) Phone#: Address: City: State: Zip: Value of Work for this Permit: $ $ 1,000.00 Square/Linear Footage of Work: 75SQF Sidewalk Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: Replace Damaged Sidewalk as per Miami Shores Code Compliance Citation Failure to Maintain Sidewalks Lot-011696-2019 Specify color of color thru the: Submittal Fee Scanning Fee $ Technology Fee $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $• Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ I I (• yb 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 approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this /yam day of 20 20 by 1 )p 61 , who is personally known to for who has produced _� A as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: 'y'F iiiii �t♦f;• APPROVED BY Signature CONTRACTOR The foregoing instrument was acknowledged before me this { Itl/Tk day off I ' , 20 2y , by who is personally known to me or who has produced AZ /fk-- -as identification and who did take an oath. fill*)I;LVA111]tig Sign:rZ44"0 nn I1 �• Print: �S�rYlaf ft Vittel- VLb2�! S MILDREDYGOMEZ Seal: �r Isamar A. Villamizar S Notary Public - 5tate of Florida NOTARY PUBLIC Commission # GG 124261 r —STATE OF FLORIDA 0 My Comm. Expires Aug 24, 2021 ,� Comrtgt GG927W5 Nor ded through National Nolarymsn. �• Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CFN 21 D2i RID08 5,326 OR BK 31806 P9 2747 (IF9s) RECORDED 02/05/2020 10:19:.3A HARVEY RUVINT fl.ERK. OF COURT MIAMI-DADE COUNTY, FLORIDA COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) A�,\ A e7 1 �kj ,� � A-z hereinafter referred to as the owner of the following described property (address): %706 mac' G I)a6F Legal Description: Lot � Block � Subdivision Folio # Requests permission to install (describe work): Within the public: right of way of (address) 3.3�38 fy IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above -mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). Signature Owner or A nt State of Florida County of Miami Dade The forcg i g instrument was acknowledged before me this .9 day of i , 20.?V , by who is personally known to me or who has produced D mod-- identification. NOTARY PUT IC: D��ys Garrido Sign: Print: ' �,N�/ SEAL: �`' �: "#�"�'221549 ,U -EXPIRES: 108y 23, 2022 �'Bonded Thru Aaron Notary Ron DeSantis, Governor Halsey Beshears, Secretary dbpr a + STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY. LICENSING BOARD THE GENERAL CONTRACTOR HEREIN -IS CERTIFIED UNDER THE y PROVISIONS OF CHAPTER 489, FLORIDA--STATUTES STOBS, CHRISTO.PHER MATTHEW STOBS BROS. CONSTRUCTION, CO. 580 NE 92ND STREET MIAMI SHORES FL 33138 __LICENSE NUMBER: C 528260 EXPIRATION DATE: AUGUST 31, 2020 Always verify licenses online at My FloridaLicense.com Yo mpas Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. UWArl Local Business Tax 137eceipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 265546 131 BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES STOBS BROS CONSTRUCTION CO RENEWAL SEPTEMBER 30, 2020 580 NE•92ND ST 265546 Must be displayed at place of business N11AM1.5 ORES FL 33138 Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER SEC. TYPE OF.BUSINESS PAYMENT RECEIVED STOBS BROS CONSTRUCTION CO 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR CGC01_1055. $90.00 07/15/201.9 Worker(s) 25 CHECK21-19-056752 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. Tlie RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Cade Sec 8a-276. For more information, visit www.miamidade.goy/taxcollector ­--li STOBBRO-02 NANC ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)3/19/2019 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 have ADDITIONAL INSURED provisions or 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 NAAM ACT Acrisure, LLC d/b/a InSource HONE Eat _ (305) 670-6111 AIc (A/C,, No):(305) 670-9699 9500 South Dadeland Boulevard 4th Floor bm I ssemail@insource-inc.com Miami, FL 33156-2867 ItJ URER(SLAFFORDING COVERAGE _ NAIC X INSURED Stobs Bros. Construction Co. I INSURER c : L 580 N.E. 92 Street I INSURER D : _ Miami Shores, FL 33138 INSURER E_;__ nnvrewnrc n001rl ClPnTC wallaae Co. RC1/ICIn IJ WIIMRFD• 20508 20443 35289 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. INSR TYPE OF INSURANCE ADDINSOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR 14013762175 04/01/2019 04/01/2020 EACH OCCURRENCE DAMAGE TO RENTED PREMISES Me_otsurreno) MED EXP (Any_on"erson) PERSONAL & ADV INJURY GENERAL AGGREGATE $ 1,000,000 100,000 $ $ 15,000 $ 1,000,000 G_EN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECT u LOC OTHER: $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ B �AU70MOBILE LIABILITY ANY AUTO OWNED SCHECULED AUTOS ONLY AUTOS X AUTOS ONLY X AUTOS ONLY 14015527434 04/01/2019 04/01/2020 COMBINED SINGLE LIMIT jEa;ppd_gnq_ BODILY INJURY jPer person BO�DILY INJURY_(P_er accident BODILY PPeOr acEclRdent�AMAGE 1,000,000 $ $ $ $ C �XUMBRELLALIAB X OCCUR EXCESS LIT _ 7 CU%IMS-MADE DED X RETENTION $ 10,000 14015527479 04/01/2019 04/01/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE 5,000,000 $ $ A :WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICEOPRIIMBER EXCLUDED? XECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ;1073762447 04/01/2019 04/01/2020 PER T OTH ELEACH EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1'000'000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Contractor PCDTICIt'ATC Uf%I r%CD rANrFI I ATIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shore's Building & Zoning Dept. —Y 9 9 P • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E.2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE A,`/�i� ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 5582 N.W. 7th STREET SUITE 202 SURVEYNo. 11-0000674-1 MIAMI, FLORIDA33164 Noun puru-nJors t���qc• TELE�,yONE: (305) 264-2660 .e) 16 FAX. • (305) 264-0229 LAND SURVEYORS SHEET No. 2 of 2 DRAWN BY: AL. BOUNDARY SURVEY SCALE = 1" = 20' F 1• f 1 f l . :70.00'. ' �Lbr! 2 ; �' �Ya7 Lor- 1 T0TAL'R/W r J �B'Li:rIU I BLOCK - 54 I 9' ASPHALT w451LEY• ZP.) ,''s' `.= .- F.LP PVMT. -r ; yt .B) 79.12 - F.LP 0. U EO REMAINDER OF LOT - 23 BLOCK -54 N O O. 0 as h H G s 3 A) 0.05'ENCR. z o = 0.25'CL o � a � m o. Q O Q. U O 0) FIE o os W W17 W U C � Q L J co Q m 0.25'CL F N h y cO ASPHALT I� PVMT. 28.19' 12.40' 38.55' 6' W.F. . v . o N t. O cn:5: 11.40' 2.50' -LOT=.23 95' BLOCK -'54 C.S. - - - to ONE STORY b STEPS 7. RES. # 9500 LOT-24 C.P 0G' BLOCK - 54 4.65' 0 5 2Q20 cs a I fo N ire o� N 26.05' 0 0) O R 3' CONC. WALK 25.01' 5' CONC. SINK 79:38 ; .N. NO .... 66*4 : •• • •.• • •• Lu v J �y cc t. D �i a > ,i � a a 1 uj L0 I LL1 �z a G -� C '7 71, F-+ m O I 35.00' I B.C. r RLP 11T . O w ■ TYPE 'A' JOINT TYP 'Q[ . '4 R/W LINE NEW SIDEWALIc ' EXISTING TYPE 'B* JOINT SIDEWALK P C 1 TYPE 'A JOINT PLAN IR � TYPE 'A' TYPE '8' (OPEN TYPE JOINTS) (SAWED JOIki51 SIDEWALK jnmTS TABLE OF SIDEWALK THICKNESS--'T' . LOCATION T RESIDENTIAL AREAS 4 AT DRIVEWAYS AND OTHER AREAS 6" SiiNi[aS[Ci181'f C &4c,"loss 11-I�? C6"c '9iDewALn _ 5 SAC Rs 1 i e ti spec li[f FIEF MAt 111E C1SCR; 110N Of 111E ENGINI.ER y_ 5,.0•.MIN — — B rT, f PER FT .S4pPE R/w 1 ' --= LINE PREMOLDED EXPANSION JOINT MAIERIAL TYPE V (EXPANSION JOINTS► TABLE OF SIDEWALK JOINTS . ;LOCATION .. .,� •PAC AMD•p•T.OF CURVES. T A JUNCTION OF EXISTING AND _ NEW SIDEWALKS. .•. ';'9' • O C'llt0l TO CENTER • • N SFO• MIALj(S: • • • • M wHERE•SIiE WALK ABUTS • �CONCR►E CURBS DRIVEWAYS, AND SIMILAR S IRUC TUBE S .... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . .