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RC-08-22-2046Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 @,a Permit NO.: RC-08-22-2046 Permit Type: Building (Residential) Work Clossification: Repair Permit Status: Approved Issue Date: 08/26/2022 1 Expiration:02/27/2023 Location Address Parcel Number 499 NE 102ND ST, Miami Shores, FL 33138 1132060170850 Contacts Glenn Daidone Owner Adalberto Cabrera Martell Applicant 499 NE 102 ST, Miami Shores, FL 33138 499 102nd St, Miami, FL 33138 Mobile: 3057882711 GVDAIDONE@GMAIL.COM Home: 3059047284 cadlemo@gmail.com D & D PLUMBING CORP Contractor DAVID DIAZ 1901 SW 36 CT, MIAMI, FL 33145 Business: 3059790516 Description: REPAIR DRY WALL Fees Amount Application Fee -Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.30 Permit Fee $50.00 Scanning Fee $6.00 Technology Fee $10.00 Total: $120.90 Inspection Requests: Valuation: $ 500.00 305-762-4949 Total Sq Feet: 0.00 Payments Date Paid Amt Paid Total Fees $120.90 Credit Card 03/26/2022 $70.90 Credit Card 08/12/2022 $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, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws and zoning. Futhermore, I authorize the above named contractor to do the work stated. 11G17k A1)72 Owner ! Applicant / Contractor / Agent Date August 26, 2022 Page 2 of 2 Miami Shores Village Building Department AUG 12 2022 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 202-6 BUILDING Master Permit No. P.-og-2-2-20g5- PERMIT APPLICATION sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP G� CONTRACTOR DRAWINGS JOB ADDRESS: I N IL W J J City: Miami Shores County: Miami Dade Zip: Occupancy Type: Load: OWNER: Name (Fee Simple Address: A'a A)C- City: iAm I slay` C Tenant/Lessee Name: Email: eQzA/(Mbl�G CONTRACTOR: Company Name: Addre; Email: the Building Historically Designated: Yes NO Construction Type: _Flood �Zone: / � �11 l State: BFE: FFE: M: R)S--10 f — )2 f q _Zip: 3313 ff: rt: 3fl5 �75-�� Qualifier Name: V I `� \JV"T` C_� / c Phone#: State Certification or Registration #: C1nn JC� I cM�iZ 3 1 Certificate of Competency#: DESIGNER: Architect/Engineer: Phone#: Address: 'd City: State: _Zip: 17 Value of Work for this Permit: $ -quare/Linear Footage of Work: Type of Work: ❑ Addition 2 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: y Submittal Fee $ - " ' O0 Permit Fee $ CCF $ b O CO/CC $ Scanning Fee $ 6. fA DCA Fee $ Z•Cb DBPR Notary $ Technology Fee $ Il A . 00 Training/Education Fee $ ' 30 Double Fee $ _ Structural Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ �a • cl (Revised04/05/2022) 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 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 a delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In th abs such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ' Signature It OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this /(�� 17 day of >/� 5 u � . 20 Z2— by AaaA Pr - G Maa`kA-1 who is personally known to me or who has produced 15:i— Cnc. as identification and who did take an oath. NOTARY PUBLIC: Print: � `�4�PY V*I, Seal: ftenne Yao Comm.:HH222410 'y Expires: Jan.31,2026 W".,..W. , Notary Public• State of Florida APPROVED BY The foregoing instrument was acknowledged before me this [x•��041 day of 20 2 by *�N� otirL_ who is personally known to me or who has produced identification and who did take an oath NOTARY PUBLIC: tt:�., A:IOa:dCaECavahDAAv '?0 ¢•'; !Notary %::IC • State of P.orida ; / Comr1100r a -y u6160 .ati. My Comm. ?x;irn Ctt 16, 2025 Sign: aordfc thr04 h sitter . YatamAssn. Print: /I,/ / Seal: A R � 3 Lt- Plans Examiner as Zoning (Revised04/05/2022) Structural Review Clerk Miami Shores Village Building Department Ron DeSantis, Governor Melanie S. Griffin, Secretary a STATE OF FLORIDA dbpr DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE BUILDING CONTRACTOR HEREIN IS CERTIFIED UNDERTHE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES DIAZ, DAVID D & D PLUMBING CORP. 1901 SW 36 COURT MIAMI FL 33145 LICENSE NUMBER: CBC1262239 EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloridal-icense.com 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. 0=42 Tax Local BusinessReceipt _lsuntSte of Florida iWliami-DTMdiSNO ABILY-DONOTPAY 5268586 ,,MESS KpjWuacAnwi D & D PLUMBING CORP 1901 SW 36TH CT MIAMI FL 33145 owm D & D PLUM81NG CORP Q0 DAMD DIAL QUAUFIWMlDW LE11 Reca"Im. EXPIRES RENEWAL- SEPTEMBER 30,2023 7529967 Must be crisplayed at place of business Pursuant to County Code Chapter 8A - Art- 9 & 10 SKIM OF qUS( MESS PAY"'NT RECENEO 196 SUB -GENERAL BLDG CONTRACTOR B�1T12022 CBC1262239 INT 22 366134 Worker(s) 1 cordinits p��entof the local Business Tax. the lterw anp gavernmerdal This Unca1 BasinessTaoc Receipt Daly, aliiicat�oas,to do husitses� lialdermudthe bgsiness�mP� pelm{t, ora ceRification of the�h'o� and salon NdOriss which apply or The regulatory The RECEIPT No. above must be dmplayed on all commercial vehicles -Miami-Dade Code Sec 8a For more information.visit ^• WAa a aavWS2UQ= AC<> D0 CERTIFICATE OF LIABILITY INSURANCE 08/1�ina� 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollay(les) 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 endorseme s . PRODUCER CONTACT Lucia Estrella ACCURATE GROUP. LLC PHONN MM.E 305 226-8727 FaxNok 305) 226-8767 8300 West Fiagler, Suite 114 ADDRESS, a=rate.cerfiftqptes@gniall.com INSUR S AFFORDING COVERAGE NAIC 0 INSURER A: Ategrity S eda Insurance Company 16427 Miami FL 33144 INSURED D & D Plumbing Corp INSURER a : NorGuard Insurance Company 31470 INSURER C - INSURER D, 1901 SW 36 Court INSURER E . ff INSURER F : Miami FL 33145 CeVERAr.Es 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. LT R TYPE OF INSURANCE wam SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR Y Y 01-C-PK-P20052354-0 0411 SQ022 i 04/1 SQ023 EACH OCCURRENCE $ 1,000,000 PREMISES S 100,000 MED EXP (Any are $ 5,000 PERSONAL & ADV INJURY S 1,000.000 GEM AGGREGATE LIMIT APPLIES PER X POLICY JECTPRO- LOC OTHER GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG S 2.000,000 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ! C f I COMBINED SINGLE LIMIT S BODILY INJURY (Per person) $ BODILY INJURY (Per aaci lerd) S PROPERTY DAMAGE S 3 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION S $ B WORKERS COMPENSATION AND EMPLOYERS! LIABILITY ANY PROPMETOR�AR� Y / N OFFICER/AdEI,tBER EXCLUDED? (Mandatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below N / A i DDWC340644 0111 W022 01 /19QO23 XRTUTE ETH I-L EACH ACCIDENT $ 100,000 E.L DISEASE - EA EMPLOYEE S 100.000 E.L DISEASE - POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if mom apace is mquired) CBC 1262239 Miami Shores Building Department 10050 NE 2nd Avenue Miami Shores. Fl. 331138 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 � wzr 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (201Gf03) The ACORD name and logo are registered marks of ACORD