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DS-10-22-2586
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-10-22-2586 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit Status: Approved Issue Date: 12/29/2022 1 Expiration:06/29/2023 Location Address Parcel Number 125 NE 107TH ST, Miami Shores, FL 33161 1121360070270 Contacts WALTER SANMARTIN Owner WALTER SANMARTIN Applicant 125 NE 1075T, MIAMI SHORES, FL 33138 125 NE 107 ST, MIAMI SHORES, FL 33138 Mobile: 7862391221 sanmartin.walter@gmail.com Mobile: 7862391221 sanmartin.walter@gmail.Com ARES CONSTRUCTION CORP Contractor JOSE ARES Business: 7864269537 aresconstruction@yahoo.com Description: ASPHALT DRIVEWAY ■.� Valuation: $ 3,900.00 TotalSq Feet: 1,100.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 Concrete/asphalt/pavers, slabs, dways, $100.00 swalks DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $1.20 Planning and Zoning Review Fee $70.00 Technology Fee $15.00 Total: $242.85 Payments Date Paid Amt Paid Total Fees $242.85 Credit Card 10/25/2022 $50.00 Credit Card 12/29/2022 $192.85 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction d zoningC. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date December 29, 2022 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 20W —� B► BUILDING Master Permit No.bS-l0-a-2-Gf(0 PERMIT APPLICATION Sub Permit No. ®BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: I75 )JC 07-k�,.. jI-- City: Miami Shores County Miami Dade zip, -33I.6 Folio/Parcel#: I I - L1 U -o0 7-b'L7O, Js the Building Historically Designated: Yes_ NO1_ Occupancy Type: Owaer Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):_ W&Vt-Cr- V- Phone#: 7BG-Z3 ci f2Zl Address:I2$ NE (015 `— City: mr-, n° 5ko t-q6 State: FL • Zip: -53 16 i• Tenant/Lessee Name: Phone#• Email: 5okArno1-'F.h. Wc4kc{ -rn n.,ncs:•\-CXM CONTRACTOR: Company Name: Name: Address: .5W 9 Email: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: G of Competency #: N ( 0 Address: . f City: State: _Zip: Value of Work for this Permit: $ 3.906 Square/Linear Footage of Work: l . kao Sa Type of Work: ❑ Addition ❑((^" Alteration ® New ❑ Repair/Replace ❑ Demolition Description of Work: .,qS a.�1", 4�• vQr w.r' Specify color of color thru Submittal Fee Scanning Fee $ CCF $ CO/CC $ DBPR$ Notary; Technology Fee $ Training/Education Fee $ Structural Reviews $ P&Z Review $ Permit Fee $ DCA Fee $ Double Fee $ Bond $. TOTAL FEE NOW DUE $ (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City S 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 Jurlsdiction. 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 low 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 W S �Iiy-�N-r Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 2: * day of t� biff- , 20 2 2 , by r` .t ho is personally known to me or who has produced as identification and who di take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: p CINDYFORTUNELULLY MY COMM SIGN X H124950 The f re oin instrument w%�Ja-.ccknowied ed before"JrM/this /�/�� (//d�ay Qf 1.cit 91 g 20 `�� by VL 4 , who is personally known to me or who has produced aLb-g o-n C4 _ as identification and who did take an oath. NOTARY Print: Seal: APPROVEDBY 14 1110ILL Plans Examiner Structural Review (Revised04/05/2022) CINDYFORTUNELULLY MY COMMISSION # HH24950 HXPUM: July 28, 2024 MWNM#yt##i#i#i### Lf 23 v V Zoning _ Clerk Property Search Application - Miami -Dade County Page 1 of 1 PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-007-0270 Property Address: 125 NE 107 ST Miami Shores, FL 33161-7031 -Owner WALTER L SANMARTIN SR Mailing Address 125 NE 107 ST MIAMI SHORES, FL 33161 USA PA Primary Zone J 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds I Baths / Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,468 Sq.Ft Living Area 1,124 Sq.Ft Adjusted Area 1,285 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1942 Assessment Information Year 2022 2021 2020 Land Value Building Value $322,596 $265,122 $230,638 $118,734 $89,436 $89,436 i;F Value $2,012 $2,039 $2,066 arket Value -s sessed Value $443,3421 $392,2561 $356,597 $322,140 $356,5971 $322,140 Benefits Information Benefit Type 2022 2021 2020 Non -Homestead Cap Assessment Reduction $51,086 Homestead Exemption $25,000 Second Homestead Exemption $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES EXT NO 3 42-33 r 11 BLK 209 r SIZE 75.000 X 123 12541-1015 0585 5 Generated On : 10/25/2022 Taxable Value Information 2022 2021 2020 County Exemption Value $0 $0 $50,000 Taxable Value 1 $392,2561 $356,5971 $272.140 School Board Exemption Value $0 $0 $25,000 Taxable Value $443,342 $356,597 $297,140 City Exemption Value $0 $0 $50,000 Taxable Value1 $392,256 $356,597 $272,140 Regional Exemption Value $0 $0 $50,000 Taxable Value $392,256 $356,597 $272.140 Sales Information Previous O Book - Price Qualification Description Prev Page Corrective, tax or QCD; min 10/30/2020 $100 32246-2866 consideration 12/14/2018 $332,000 31343.2315 Qual by exam of deed Corrective, tax or QCD; min 06/22/2013 $100 28771-4380 consideration 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:/Aw.miamidade.govrnfo/disclaimer.asp 'Frsion. I)ttps://www.mianudade.gov/Apps/PA/propertysearch/ 10/25/2022 D GRAPHIC SCALE 39 IN FM I inch . W M jjo,k «1 tµ ma-- row= _-ToAy f pholf _ 1 —A- A-- p Iw-I r . It z Z I I I LOT G I i nT q fdUV 0 0 'tU LOT 7 BLOCK 209 BLOCK 209 I FEWKIRM REVIEW " I — �iAAPPROVED DATE I11ZL 0 0 7.5' ALLEY o w 7.5' ALLEY 75.09 0.3T F.LP I(2" N LINK 3 F.LI NO CAP 56' F`_VCE ao� L LOT 10 ro V BLOCK 209 W A N LOT i 1 9AP N BLOCK20 J BRICK / r CONG. ONE STORY C.B.S. # 125 12.52', 10.03' _ _ -c d / __.. I ..41 �� c 14 wo00 JI'I 1 COLUMN F.I.P 112' NO CAP - - 1-1 - - CO wuK 75. 2 J t•z IL>, R6' 107th 4-,J:>. 75,TOTAL RIGHT- - A A5PHALT ?AV -VENT N W a i SHORES VILLAGE BLIC WORKS REVIEW DVIFDO�� DATE t T LOT 12 I D BLOCK 209 Im C I �T v NO112' 375.00 NO GAP . � oLOCK C.OZNER NO OBJECTION Florida Health Miami -Dade County O.S.T.D.S. & Well Program Application No.: Date: 3 SignatZW-12022 BOUNDARN.EIMPROVEMENTSURVEY 125 N.E. 107th STREET .- '�., +. DV SERVICESoµwzo2 DANY SURVEYING WC. 150f]S W.65T TERRACE.uW.11. FLORIpA llf 9l PN]0}bU25]9. Ei.WLaanieMeOae�umsl.rom /� /� L 2 � 22-039 �.O�ra V 1 1 I Mi v 0 7 2022 COPY I Miami Shores Village BuIIdlDatee Zoning Dept. Date GRAPHIC SCALE Building Dept. o s >o Subject to compliance with all Federal, State and County rules and regulations. Permit# 1>5 _ In -2_-2 - 7 Se4, (IN FEW I I PW-tf-2-2-leiCt-j 1 Iach � 30 fL LOT G LOT 5 LOT 7 BLOCK 209 I BLOCK 209 BLOCK 209 I 7.5' ALLEY V o_ — in i- V! o w 7.5' ALLEY 75.00' Q_ - F.I.P 112" 0.37, 4' CHAIN UNK �g L F.I.P 1/L" NO GAP 86' FENCE 3 °> ems. NO CAP ,> v� F { I Y) 4 LOT I I 6' PVC PENCE N BLOCK 209 t \g LOT 10 ro I BR CK Rttc r N BLOCK 209 a conic. I Z N UTI i LOT 12 C ,;. 5nEo Ljl w BLOCK 209 n I 0.14' _RR ^: 32.33 07 m 0.06' _- ONE STORY C.B.S. n Z C 1 12.52',° I 10.03' I1.4I' 14. 4' i_ ';3' woMN OD MN + F.LP 112° ,3`� o r NOCAPP 375.00' BLOCK NO CAP 0o CORNER - - - - I J CO wAz, 75. •° ' N.E.107th STREET 75- TOTAL RIGNT-OF-WAY A5Pt1ALT FAV`_MENT NO OBJECTION Florida Health Miami -Dade County O.S.T.D.S. & Well Program Application No.: Date: 3 SignatJJ66 12022 / q BOUNDARY AND IMPROVEMENT SURVEY DV DANY SURVEYING SERVICES INC. 'o-w-]oa°° �a pm 125 N.E. 107th STREET xv. 1lOO S.W.63NTEEro L: MWd. FLOPIOA ]]+0] PM ' - '. ]py]pIF]]]p, E-IANL:4aIleMVFv®OgmNcom N Mission: To protect prarote 8 irrp v6ethe heeM of all people in Floridattroujt integrated sta, munly&oormurdyd lot& OWNER 125 NE 107 Street Miami, FL 33161 HEALTH Vision: To be the Healthiest Statein the Nation RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number. AP1907863 Centrax Permit Number: 13-SC-2699473 125 NE 107 Street Miami, FL 33161 Lot:11 Block:209 Subdivision: Dear Applicant, Ron Daeantl. Governor Jwph & Ladsp%MD, PhD State Surgeon General This will acknowledge receipt of a floor plan and site plan on 10/26/2022 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. Reviewed by Vida Talab on November 7, 2022. No objection for installation of 1 new driveway ONLY as per your site plan. The septic system exists outside the scope of work, up and to the right of where the new driveway will be, approximately 55ft. NO BEDROOM ADDITION. NO FLOW INCREASE. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sin .U(UL rw IbdpaTEafftfirt60tjlBetNti rgt5psieidiel liy ne.w. D.ott..ee ortl.wh � in Dade County• •,Florida TWITTER:HeahhyFLA PHONE: (305)623-3500 FACEBOOKFLDepartmentofHealth VOUTUBE: gdoh Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 12/29/2022 Location Address Parcel Number 125 NE 107TH ST, Miami Shores, FL 33161 1121360070270 Contacts • ..f7�7 �C��'l'tiQi f b�'�'.� Y YI Permit Type: Public Works Work Classification: Public Works Permit Stotus: Approved Expiration: 06/29/2023 WALTER SANMARTIN Owner WALTER SANMARTIN Applicant 125 NE 107 ST, MIAMI SHORES, FL 33138 125 NE 107 ST, MIAMI SHORES, FL 33138 Mobile: 7862391221 sanmartin.walter@gmail.com Mobile: 7862391221 sanmartin.walter@gmail.com Contractor JOSE ARES Business: 7864269537 aresconstruction@yahoo.com Description: ASPHALT DRIVEWAY Fees Amount Education Surcharge $0.90 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $10.00 Total: $113.90 Valuation S 3.000.00 Total Sq Feet: 1,100.00 Inspection Requests: 305-762-4949 Payments Date Paid Amt Paid Total Fees $113.90 Credit Card 12/29/2022 $113.90 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 regulating constructi n and z ning. Futhermore, I authorize the above named contractor to do the work stated. MA1z--L0.-z2 Authorized Signature: Owner / Applicant / Contractor / Agent Date December 29, 2022 Page 2 of 2 Miami Shores Village Public Works Department NU V 0 q 2022 (305)795-2210 Public works forms are available from the building department 10050 NE 2nd Ave., Miami Shores, FL 3&v;_ PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Permit#: FW' 11'22- 2i-_y1 Name of Applicant (if utility see below): Wo.\ 504% rt tf- Owner off the following described property: Legal Description: Lot Block Subdivision Folic, #; 11 —'I—t 3Of --oa?-OL`rO. Address: YbS e 1.07 t•\— �,V• rve,- -2", -R-L. 33(G (• UTILITY NAME: Qualifier/Authorized Agent: Address: City: Telephone: Email: State Certification or Registration #: CONTRACTOR NAME: _ Qualifier/Authorized Agent: Address: �7^11 1 r u City: M.r'j7747 Telephone: E ail: State Certification or Registration #: Certificate of Competency #: Certificate o; Competency # Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: F#s p1�A-E T)': ; a, ewe . Type of Work: ❑ Paving ❑ Utility 4 Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: Telephone: Registration #: State: Email: ZIP: Value of Work for this Permit: $ 00 Square/Lineal Footage of Work: I -100 : r< ***** Fees ***** Permit Fee $ 100.00 CID IO.cn Notary $ Training/Education $ 0.48 Technology Fee $8.90 Scanning $ 3 •� Bond $ (if required) Total Fee Now Due $1 I '72 .!J Bonding Company's Name (if applicable): Bonding Company's Address: City: State: ZIP: Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in this jurisdiction. I understand that separate permits must be secured for APPLICANT'S AFFIDAVIT: I certify that all the foregoing information Is accurate and that all work will be done in compliance with applicable laws regulating construction and specifically construction in the right-of-way. "WARNING TO APPLICANT: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value exceeding $2,500, 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 the attachment. Also, a certified copy of the recorded notice of commencement must be posted at thejob site for the first inspection which occurs seven (7) days after the public workspermit is Issued. In the absence of such posted notice, the inspection will not be approved and a repection will be charged. Signature ks5mx� Applicant or Authorized Agent The foreg��o,,i''nQQ��instrumentwas acknowledged before me this G� day of er 202'L, by V )cl I Ff� .`� Qll who is personally known tog or'y'ho has roduced �t'Sc�aPt'S h� as iden ification. NOTARY Sign: Print: SEAL: MY COMMISSION k R624950 EXPIR&4: July 28, 2024 APPROVED BY: 2017-04-15 Signature Agent The me has produced as identification. NOTARY U Sign: Print: SEAL: I $ 'VMY COMMISSION S BH24950 EXPIRES: July 28, 20Z4 ttii•■Sit■•Yt••+FWki+Wt4 (-2 Public Works Director, or Designee Miami Shores Village Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY I!lIII illll iilll Iliil Illil Bill dill liii Illl +�--1= N ?V)-,?R0819517 OR BK 33a,Q �_9 366E (1F•9s) WCORDED _. , 16i202- 10: . ;L;:; HARVEY RUVIN, •"LERY, OF COURT MINIT-DARE COUNTY: FLORIDA Whereas, (hereby referred to as the owner) Of the following described property: Legal Description: Lot _U Block )04 Subdivision Folio #; i 2 61r6 -007 - 0-470 Address: 12S U C 107-4, X • v,� • 4 • -P(� 33 S ( Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: 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 Miami -Dade County to make repairs or maintain said items within the public right of way including restoration of the 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 herby agree to indemnify and hold Miami Shores Village or Miami -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 14 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 obligation has been cancelled by an affidavit filed in the Public Records of Miami -Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). Signature �t�yk� c� Owner or Authorized Agent State of rt u ✓i it z County of f✓�io w _X!, ad > The foregoing instrument was acknowledged before me this 25 day of QC40 b{-� 20� by W 6Lk_ e, Szn rMo-fr n who is personally known to me or who has produced as identification. NOTARY PUBLIC: \ 1� Sign: l ) "�-^- ,_ 1 Print: V t J t -r"Y), `'.Le- 4 aA SEAL: Vivienne Yao Comm.:HH222410 s6- Expires: Jan. 31, 2026 Notary Public• State of Florida Documents are recorded at the Clerk of the Courts, MIAMI-DADE COUNTY RECORDER, COURTHOURSE EAST, 22 N.W. First Street, 1st Floor, Miami, FL 33128. 2017-04-11 Ron DeSantis, Governor Melanie S. Griffin, Secretary � STATE OF FLORIDA db"pr DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS 9, FLORIDA STATUTES ARES, JOSE ARES CONSTRUCTION CORP. LICENSE NUMBER: CGC1504806 EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloridaLicense.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. Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 5379011 LLBT) as""`�aaauaunux REGEIPTNO EXPIRES ARES CONSTRUCTION CORPORATION CGC15MOOEWAL SEPTEMBER 30, 2023 DOING BUS IN DADE CO 5616710 MIAMI FL 33000 Must be displayed at place of business Pursuant to County Code Chapter BA -Art 9 & 10 OMt1ER SEC TYPE OF BUS INEss ARES CON51RUCTION CORPORATION 196 GENERAL BUILDING CONTRACTOR vAYSIFe1aLUMV r/0JOSEIARIES PRESIDENT CGC1504806 BoTAX(ALEEcma $75.00 07/22/2022 Workers) I CHECK21-22-052905 This local Buse nos$ Tax Receipt only confirms payment of the local Business T a x The Receipt Ia not a license, Per nit or a cadificallon of die holdsr s qua lificadona, to do bust mea Holder in het comply wit h any gmemm"Mal or nongovernmental regulatory laws and ugmremenu which apply to the business The RECEIPT N0 above most bo displayed on all commercial vehicles - Miami -Dade Code Sac ga-276. Fa r mo is information, visit ww,,i MISM dpggY/rdlBJliElyr ^� " CERTIFICATE: OF41ABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM OkTION ONL CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEILY AMEND BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT C:ONSTITUT REPRESENTATIVE OR PRODUCER, AND THE CERTIFiCAI'E HOLDS I AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED . IMPORTANT: If the certificate holder Is an ADDITIONAL. INSURED, the pollcy(i the terms and conditions of the policy, certain policies may rsqulmo an endorea certificate holder In lieu of such endorsement(s). s) must be endorsed. If SUBROGATION 18 WAIVED, subject to ment. A statement on this certificate does not confer rights to the PRODUCER South Pacific Professional Ins. 500 K W. 49th Street-DRESS:sppinsurance@hotmali.com Hialeah, FL 33012 Phone (30 825.3535 Fax (305)825-5694 A T H E . (305)826-3535 506 NO: (305)825-5694 INSu s AFr-0RatNo cDveRAGE Nac a INSURER A: Mesa Underwriters S pecia Insurance Co. INSURED ARES CONSTRUCTION CORP. 15 NW 204 Street Unit 3c MIAMI GARDENS FL 33169- INSURER B : INSURER C : INSURER D: INSURER EINSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOVVN MAY HA BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD US POLICY NUMBS M O' E POLICY P LIMITS A © COMMERCIAL GENERAL LIA Lrry ❑ CLAMS -MADE ® OCCUR GEML AGGREGATE LIMIT APPLIES PER ❑ POLICY ❑ PRO- JECT ❑ LOC ❑ OTHER N MP02311833-OW 08/30/2022 08/30/2023 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED $ 100,000.00 MED EXP (My one $ 5.000.00 PERSONALS ADV INJURY S 1,000,000.00 GENERAL AGGREGATE S 2,000,000.00 PRODUCTS - COMP/OP AGG S 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ALL ❑ AUTOS OWNED ❑ AUTOSCHEDULED ❑ HIRED AUTOS ElNON-OWNED AUTOS4 El ❑ Ml3INED SINGLE LIMIT a BODILY INJURY (Per parson) S BODILY INJURY (Par accident S P� ANIA E $ S — ❑ UMBRELLA LAB ❑ OCCUR ❑ EXCESS LAB ❑ CLAMS -MADE EACH OCCURRENCE S AGGREGATE $ 11 DE D RETENTIONS $ WORKERS COMPENSATION AN0 fiWKCR1ERl4"Ct4ffiUTY Y/ N ANY PROPRIETORIPARTNERIEXECVrNFO OFFICERIMEMBER EXCLUDED? i_J (Mandatory In NH) B yes, describe under DESCRIPTION OF OPERATIONS below N J A PER OTH- E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addttlonal Rom CGC 1504806 uka schedule, If more space to required) CERTIFICATE HOLDER CANCELLATION Miami Shares Village 10050 NE 2nd Avenue Miami Shores,FL 33138 SHOULD ANY OF THE ABOVE DES POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF 0 ICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUC P VISIONS. PRESENfATroE ow ACORD 25 (2014/01) QF The A�Rrname and CORPORATION. All rights reserved. logo are registered marks of ACORD ACORU® CERTIFICATE OF LIABILITY INSURANCE `� DATE`MMID01"YY"' 1 /6/2023 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((es) 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 endorsements . PRODUCER SUNZ Insurance Solutions, LLC. ID: (Cornerstone) c/o Cornerstone Capital Group, Inc. 1 S. Main StreetL Medford, NJ 08055 O° TEacr Jess! Crumb PHONE 870�76-2871 FAX ADDRESS:cols nests@cornerstone o.com INSURERS AFFORDING COVERAGE NAIC # tNSURERA: SUNZ Insurance Company 34762 INSURED Cornerstone Capital Group, Inc. 1 S. Main Street INSURER B : INSURER C INSURER D : Medford NJ 08055 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 72366947 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY frM POLICY EXP LIMITS COMNEFtCIALGENERALLIABILI Y CLAIMS -MADE OCCUR EACH OCCURRENCE $ TO RENTEDF P EMIDAMASES Ea occurrence) $ GEN'L MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY1:1 PRE LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accide $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$$ A WORKERSCOMPENSAT1ON AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER(EXECUTIVE [:] OFFI CERIMEMBER EXCLUDED? (Mandatory In NH) H yyes describe under DESCRIPTION OF OPERATIONS below N 1 A WC044-00001-023 WC044-00001-022 1/1/2023 1/1/2022 1/1/2024 1/1/2023 PER TIrr �B E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage provided for all leased employees but not subcontractors of: Ares Construction Carp Client Efiective:317/2017 CFRT1F1nATF kf)LnFR CANCELLATION 1150 Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue Miami Shores, FL 33138. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE fl Rick Leonard @ 1988 2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/031 The ACORD name and logo are registered marks of ACORD 72366947 1 Cornerstone Capital Group PEO 044 MASTER CERT l Jessi Crumb 1 1/6/2023 10:3304 AM (SST) I Page 1 of 1 ACORN® CERTIFICATE OF LIABILITY INSURANCE `� DATE (MMIDDIYYYY) 1 10/18/2022 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 SUNZ Insurance Solutions, LLC. ID: (Cornerstone) c/o Cornerstone Capital Group, Inc. 10 Willow Road, Building 3, Suite 151 Maple Shade, NJ 08052 CONTACT NAME: Jessi Crumb PHONEo. 870-376-2871 FAX No E-MAIL ADDRESS: coi.re uests cornerstone eo.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: SUNZ Insurance Company 34762 INSURED Cornerstone Capital Grou , Inc. 10 Willow Road, Building INSURER B : INSURER C INSURER D : Suite 151 INSURER E : Maple Shade NJ 08052 INSURER F : COVERAGES CERTIFICATE NUMBER: 70865441 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. [NSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMMMOPOLICEFF MOMIDD EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE To RM9TEff- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECTRO- LOC OTHER: GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below N f A WC044-00001-022 1/1/2022 1/1/2023 ,/ STATUTE ERH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage provided for all leased employees but not subcontractors of: Ares Construction Corp Client Effective: 3/7/2017 CERTIFICATE HOLDER CANCELLATION 1150 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue Miami Shores, FL 33138. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - Rick Leonard ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 70865441 1 Cornerstone Capital Group PEO 044 MASTER CERT I Jessi Crumb 1 10/18/2022 3:32:40 PM (EDT) I Page 1 of 1