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RF-04-23-850Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:06/05/2023 Parcel Number 636 NE 105TH ST, Miami Shores, FL 33138 1122320120150 Contacts Permit NO.: RF-04-23-850 Permit Type: Roof Work Classification: Repair Roof Permit Status: Approved Expiration: 12/05/ 2023 CESAR BON Owner ORONI INC Applicant 636 NE 105 ST, MIAMI SHORES, FL 33138 ORLANDO IGLESIAS kendra.borja@gmail.com 14040 NW 6 COURT, MIAMI, FL 33168 Business:3056850412 ORONIOFFICE@GMAIL.COM ALMENDAREZ ROOFING CORP Contractor ELY ALMENDAREZ 1743 NW 6 ST, Miami, FL 33125 Business: 3053018662 ALMENDAREZROOFING4@GMAIL.COM Mobile: 3053166687 Description: seal around 4 new skylights being installed Fees Amount Application Fee - Other $50.00 CCF $0.60 DRPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.30 Permit Fee (Manual) $80.00 Scanning Fee (Manual) $6.00 Technology Fee (Manual) 513.00 Total: $153.90 Building Department Copy Valuation: $ 200.00 Inspection Requests. 305-762-4949 Total Sq Feet: 0.00 a Payments Date Paid Amt Paid Total Fees $153.90 Credit Card 06/05/2023 $153.90 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 wristructionn andFuthermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date June 05, 2023 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 ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 636 NE 105 STREET ylk�Za23 FBC 2070 7 1 Master Permit No. RRC-09-22-2230 Sub Permit No. (2--0— ()-(— Z3 — ff sC� ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2231-012-0150 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: OWNER: Name (Fee Simple Titleholc ,,.,a --- - 636 NE 105 STREET City: MIAMI SHORES _ Construction Type: Flood Zone: BFE: FFE: CESAR & KENDRA BORJA oa...,ex.703-945-3172 State: FLORIDA Zip: 33138 Tenant/Lessee Name: Phone#: Email: kendra.bola@gmaii.com CONTRACTOR: Company Name: Almendarez Roofing Phone#: 305-685-0412 Address: 1743 NW 6 Street, Miami, FL 33125 Email: ORONIOFFICE@GMAIL. COM Qualifier Name: ELY ALMENDAREZ Phone#: 305-685-0412 State Certification or Registration #: CCC1332509 Certificate of Competency #: DESIGNER: Architect/Engineer: N/A Phone Address: City: State: _Zip: Value of Work for this Permit: $ ZC� • Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 15d Repair/Replace ❑ Demolition Description of Work: SEAL AROUND (4) NEW SKYLIGHTS BEING INSTALLED; LESS THAN 40 SF OF REPAIR Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ t (y0 CO/CC $ Scanning Fee $ (o • w DCA Fee $ �)_ . 00 DDBPR $ 2 • CC) Notary' Technology Fee $ 13 00 Training/Education Fee $ J L) Double Fee $, Structurai Reviews $ P8d Review $ Bond $ TOTAL FEE NOW DUE $ — 1 53 .6iO (Revised04/05/2022) Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lenders 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 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 nat be pproved and a reinspection fee will be charged. JSignature Signature 64 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of N 2fF/ , 20 Z7 • by ll'rtFA_>9A who is personally known to me or who has produced F 2 L- x�'J �r/� as identification and who did take an oath. NOTARYPUBUC_ "�,"FM MANUEL. ORDA, N01AIy PubliaState of Florida ri0nlmlasion N HH 42811 t ter M Commissio Sig n Expires Print: Seal The foregoing instrument was acknowledged before me this _day of Al `4 IL 20 L3 by i/ 4 1"0JV4 &C 7who is personally known to me or who has produced �/� /� as identification and who did take an oath. NOTARY PUBLIC: ,,p„„ ,AMANUEL ORDAZ so a, s Notary in # H of Florida commission HH 62811 do My Commission Expires Sign. - O September 15. 2024 Print. Seal: ##ttitY♦tY#YYttitRititiiRtiti#tttti#t/RttitiY titNittRtttttYRYt Y#tt#YttY###Yif RYYttiYYgtYYtttY##iittfktq Yt APPROVED BY�/ Plans Examiner Zoning Structural Review (Revised04/05/2022) Clerk i+ �yy .11 L..•.-.-i• �•. ...♦:�: 1..i'7 �2=�'r•� . ._ ... • _ . �.. .. .!:� .. ..: 1Et .i.} .i. 1. , _.;'_... '.�� _ 1'.. �: Cj�; - I,� .ri t �)f�.!S'. t-.)� `1; •,!� 'i i'.f'ro .JE .. .I.. .... ,. .� � �i��..,� ..'� � i.... ._._7 i �I�,t%�.._• .- it/.1i4'.i '.. _ .1 1 _ ;ojrt. . ? .�F ".�i+t � .�_ .�, f � %�:.... :.�+ ,. 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Griffin, Secretary d I nciapr EPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES ALMENDAREZ, ELY M ALMENDAREZ ROOFING CORP 1743 NW 6TH STREET MIAMI FL 33125 LICENSE NUMBER-- CCC1332509 EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloricial-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. Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7302SSS BUSINESS NAMEiLOCATION ALMENDAREZ ROOFING CORP 1743 NW 6TH ST MIAMI, FL 33125-4505 OWNER ALMENDAREZ ROOFING CORP C/O EDIN ALMENDAREZ Worker(s) 4 RECEIPT NO. RENEWAL 7692485 L 13 Ir EXPIRES SEPTEMBER 30, 2023 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS PAYIIR8IIT RECEIVED 196 SPECIALTY BUILDING BY TAX COLLECTOR CONTRACTOR 45.00 07/12/2022 CCC1332509 INT-22-358537 This Local Busiaess Tax Receipt only coaffmss payment of the Local Business Tax. The Receipt Is not a license, penvit, or a cesti6catlon of the holder's qualifications, to do holiness. Holder must comply vrith easy governmental agave paripmadtegaLatoty and apply no the . The RECEIPT NO. above most he displayed on all commercial vehicles - Miami -Dade Code Sec Ile-M. ® For more labrowion. visit ACORO� CERTIFICATE OF LIABILITY INSURANCE uArEpaummym 08/3012022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER71FICATE 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. fNIPORTANT: ff the certificate holder is an ADDITIONAL INSURED, the policy(res) must have ADDITIONAL INSURED provisions or be endorsed. ff SUBROGATION 13 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this ceartifcate does not confervights to the certificate holder In lieu of such endorsem s PRODUCER Quoteasy Insurance 12030 SW 129th CL Suite 107 Miami FL 33186 ccTONT Maritza Soliday PHONE 800 568-2209 F 305) 742-2786 Yany@quoteasy.com INSU s AFFORD" COVERAGE NAIC O INSURER A : OBSIDIAN SPECIALTY INSURANCE COMPANY INSURED Almendarez Roofing Corp 1743 Northwest 6 Street Miami FL 33125 INSURER B . INSURER C INSURER n: WSURER E INSURER I+ : 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 REOUIREM£NT. 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 ADD WMAMPOLICY S NUMBER POLICY EFF POLICY EXP LIMITS .MLX A COMMERCIAL GENERAL LIAWLI Y CLAIMS -MADE ❑ OCCUR SCB-GL-000006351 04118/2022 04/18/2023 EACH OCCURRENCE $ 1.000.000 DAMAGE TO RENTED' $ 50,000 MEO EXP oneperson) $ 5,000 PERsoN& s ADv pwRY t 1,000,000 GENII. AGGREGATE LIMIT APPLIES PER: X POLICY 1 JECT LOC OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTCHOB tE LLABRM ANY AUTO OWNED SCHEDULED AUTOS CWLY AUTOS H ONLY AUTOS ON-ONTIED ONLY COMMED SINGLE LIM a accident BOD LY INIJUP.Y rw pemw) S BOMY INJURY (Per eoddeM $ SGE TY OAMA scovem) a a UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE f DED I I R0WffIflNS t VVORIUDIS COMPpNggnD}t AND EMPLOYE RV LWNLITY Y f N ANY PROPRIETORPARTNEPJEXECU say=D OFFiCERR,h£1498ER EXCLUDED? (Mandatory In NH) (f yes, describe under DESCRIPTION OF OPERATIONS below N f A PER I I OTH- STATUTE ER EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ � OF OPERATIONS r LOCATIONS r VEHRXW IACORD 101, AddWar t Retn aka schedule, nm► be attached IF none space is requlreM Roofing contractor. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Miami Shores AUTHORS W411ESMATIVE 10050 NE 2 Avenue Yany Moreno Miami Shores FL 33138 9)1988 2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD aco o' CERTIFICATE OF LIABILITY INSURANCE DATE (MeaMON" 1211MO22 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 (NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy (les) must have ADDITIONAL INSURED provisions or be endorsed. If OU13ROGATION E WAIVED, subject to the tarms and conditions of the policy, certain policies may require an andorsemstnt. A statenwrt an thk carp does not confer rights to the cer6iicate holder In lieu of such endorsement(s) PRODUCER FrankCrum insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE: (800) 277-1620 X 4800 FAX: (727) 797-0704 E-MAIL ADDRESS: INSURERS(S) AFFORDING COVERAGE NAIC# INSURER A Frank Winston Crum Insurance Company 11600 INSURED FrankCrum t.FCtF Almendasez Rooling Corp 100 South Missouri Avenue Clearwater, FL 33756 INSURER B: INSURER C: INSURER D: NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1030522 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 POLW4W DESCRIBED HEREIN 0 SUBJECT TO ALL THE Tim, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. [NSR LTR TYPE OF W5trRA1lCE ADDL � SUER WVO POLICY IFtAtBER POLICY &W {t tlaQmm POLICTOW l C1YYYn Lam COMMERCIAL GENERAL LIABILITY EACH OCCURENCE 5 CLXMS MADE Q OCCUR DAMAGE TO RENTED PREMISES (Ea 5 MED EXP V" ono Perms) S PERSONAL 6 ADV INJURY $ GENT AGGREGATE S AGGREGATE LIMIT APPLIES PER PROJECT { jLOC r1^ u AGG S ]POLICY OTHER S AUTOMOBILE UASUM COMBINED SINGLE UNIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Par ao ddanr) S OWNED AUTOS SCHEDULED ONLY AUTOS PROPERTY DAMAGE (Par acddenq 3 HiREDAUTOS ON -OWNED ONLY AUTOS ONLY S UMBRELLA LIAB OCCUR OCCURENCE S EXCESS LN1B CLAIMS MADE AGGREGATE $ S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINX PER STATUE OTHER A Y PROPRIETORFARTNERIEXECUTiVE ❑ OFFICEMEMBEREXCLUDED? N/A WC202300000 01f0112023 01l01/2024 E.L.EACH ACCIDENT $t,000.ow E.L. DISEASE -EA EMPLOYEE S1.000.000 fMwFdd-ytnNM yes, describe under DESCRIPTION OF OPERATIONS bebw ICY LIMIT S 1.000=0 GESQWTION OF CPERATMS I LOCATIONS I VDIMLES (ACORD 101, AdMonat Remarks Schedule, may be atra fled 9 more space Is lequftsM Effective 051184XIM, coverage Is for 100% of the employees of FrankCnlm leased to Aknendarlez RooftM Corp (Client) for Whom the client Is repor" thus to FrankCrurr Coverage is not extended to statutory employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Miami Shores Village Bldg Dept. 10050 NE 2nd Ave �✓J MIAMI SHORES, FL 33138 01988-2016 ACORD CORPORATION. All rl" reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD