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DS-12-23-3151
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: DS-12-23-3151 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit Status: Approved Issue Date: 12/19/2023 Expiration:06/17/2024 Parcel Number 899 NE 92ND ST, Miami Shores, FL 33138 1132060050020 Contacts SEBASTIAN GIRALDO Owner SOBE BUILDERS LLC Contractor 899 NE 92 ST, Miami Shores, FL 33138 ANTONIO DELIGIO SILVANAKISHIMOTO@OUTLOOK.COM 15017 SW 36 ST, DAVIE, 33331 Mobile:9545314430 Antonio@sobebuilders.com Home:8332477623 Description: REPLACING DS-06-22-1534 INSTALLATION OF Valuation: $ 16,000.00 Ins ection Requests: 305-762-4949 NEW CONCRETE DRIVEWAY AND ADDITION TO EXISTING Total Sq Feet: 1,400.00 Fees Amount Payments Date Paid Amt Paid 50% Renewal Fee $75.00 Total Fees $75.00 Total: $75.00 Cash 12/19/2023 $75.00 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. AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ;on traction and zpg. Futhennore, I authorize the above named contractor to do the work stated. j - \1J\- IZ�I�/2� Authorized Signature: Owner / Applicant / Contractor / Agent December 19, 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 FBC 20)0 BUILDING Master Permit No. PERMIT APPLICATION Sub+err f"o. DS.1-�-"2-3 "31-5 ®BUILDING ® ELECTRIC E3 ROOFING ® REVISION [3EXTENSION RENEWAL PLUMBING I3 MECHANICAL I] CHANGE OF I3 CANCELLATION I3 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 899 NEJ.. Q),yrp-er City: Miami Shores County' Miami Dade Zip:33138 Folio/Parcel#:11-3206-005- 0020 Is the Building Historically Designated: Yes NO X Occupancy Type: Load OWNER: Name (Fee Simple �rlrlrocc, onn nor oe�or City: Miami Shores Tenant/Lessee Name: Email Construction Type: Zone: BFE: FFE: SEBASTIAN OBANDO GIRALDO 99 NE OI S11-150`8114 3 + Z!r State: FLORIDA 2ip.33138 CONTRACTOR: Company Name: dew � -t— so" `" - 1� 1 Phone#: ��3 l 2-`,-7-- Address: l JCS } �> 3� cS I CLe� / F� LiP 1� S3 Email: Qualifier Name: YIta -, D e � (.r r- State Certification or Registration #: of Competency #: DESIGNER: Architect/Engineer: Phone#: q5y 531 Li 3-5 Address: City: State: _Zip: Value of Work for this Permit: $16,000 Square/Linear Footage of Work: 1,400 sq ft Type of Work: 8 Addition 0 Alteration 13New [3Repair/Replace ® Demolition Description of work: Installation of new concrete driveway and addition to existing. Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ DCA Fee $ Training/Education Fee $ CCF DBPR $ P&Z Review $ co/cc $ Notary Double Fee $. Bond $ _ TOTAL FEE NOW DUE $ _ (Revised04/05/2022) Bonding company's Name (if applicable) Bonding Company's Address City State tip 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 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. k\ Signature �` _ Signature �'----� '`—"OVO ER or AGENT CONTRACTOR The foregoing instr%Was cknowledged before me this The foregoing instrument was acknowledged beforZ� me this V�h day of 20 by day of / u V� 020 c�3 . by (has personally known ,took 7. ," +N who is personally known to me o who has produ as me or w o has produc as identification and who did take an oath. identification an o d take an oath. NOTARY PU C: NOTARY PUBLIC: Sign: Sign: Print: Print: pYIP��p 11N�n� Kishimoto pjbhcSt111001 Seal: :3?2076 Seal: ..v., Notary `!° . <; `h v,�o Maz: octd, a�s9S --pins. October 13, 2026 E �pues Notary Public - State of Florida' +za zoz• ww •�������1���1���1•�1�������������•a��1��f1�����11�If1�������� • f�f�fl�f���♦•��I���a1•♦�a�a���a• APPROVED BY Plans Examiner c.tructural Review Zoning Clerk r•ev&- racM/U ;/X07 )) Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 899 NE 92ND ST Miami Shores, FL 33138 Permit NO.: DS-06-22-1534 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit Status: Approved Issue Date: 09/07/2022 Expiration: 03/07/2023 Parcel Number 1132060050020 Contacts SEBASTIAN GIRALDO Owner SOBE BUILDERS LLC Contractor 899 ANTONIO DELIGIO SILVANAKISHIMOTO@OUTLOOK.COM 15017 SW 36 ST, DAVIE, 33331 Mobile:9545314430 Antonio@sobebuilders.com Home: 8332477623 Description: INSTALLATION OF NEW CONCRETE DRIVEWAY AND ADDITION TO EXISTING Fees Amount Application Fee - Other $50.00 CCF $9.60 Concrete/asphalt/pavers, slabs, dways, $100.00 ,,walks DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $4.80 Planning and Zoning Review Fee $70.00 Scanning Fee $12.00 Technology Fee $15.00 Total: $265.65 Building Department Copy Inspection Requests. Valuation: $ 16,000.00 305-762-4949 Total Sq Feet: 1,400.00 Payments Date Paid Amt Paid Total Fees $265.65 Check# 2557 06/16/2022 $50.00 Check# 2537 09/07/2022 $215.65 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 ork stated. / 511 � rn v-k KK A- ►vvLAo Z_Z Authorized Signature: Owner /` Applicant / Contractor / Agent Date September 07, 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:1305) 762-4949 BUILDING PERMIT APPLICATION MBUILDING ❑ ELECTRIC ❑ ROOFING 141�;C L: `rVEE0 BY":-�I YI I- FBC1n�20 Master Permit No.JDS I/ -_71 �I 771}I Sub Permit No. ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 899 NE 92 Street rfhr Miami Shores County Miami Dade 268- Folio/Parceltt 11-3206-005-0020 Is the Building Historically Designated: Yes__ NO X Occupancy Type: Load: Construction Type: _Flood Zone: BFE: FFE: -- OWNER: Name (Fee Simple Titleholder): SEBASTIAN OBANDO GIRALDO phone#; Address•899 NE 92 Street city: Miami Shores State: FL Lp; 33138' Tenant/Lessee Name: Phone#: Email• CONTRACTOR: Company Name: 6 0he �OW U-Qrl. Phone#:'3S zi-q (0Z3 Address; Qualifier Name: .r\V\-V V 1 t t V Phone. State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Aedwss: City: State: `Zip: Value of Work for this Permit, $16,000 Square/LInear Footage of Work 1,400 Sq ft TypeofWork: ❑ Addition M Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work Installation of new concrete driveway and addition to existing. Specify color of color thru tile: AN; Submittal Fee $ 5T - C)C' Permit Fee $ 'f'C� CCF CO/cc $ Scanning Fee $ 12" � Radon Fee $ L- -CO DBPR $ z ZS Notary $ Technology Fee$. 1S'(7J Training/EducationFee$ "100 Double Fee$ Structural Reviews $. Pz Z —to . n: Bond $ TOTAL FEE NOW DUE$ �(S•�.� (Rft4WW2/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if 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. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, i3JRNACES, 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 recordednotice of commencement must be posted at the job site for the first inspection which urs seven (7) days after the building permit �lssued. In the absence of such posted notice, the inspection will not be approverand a rv6i/pecll fee xsY be charged. 1 I I,l or AGENT Theforggoing instrument was acknowledged before me this ��^-" ��3'"a( day of J !!" e . 20 17Z by J.' a4d71V A9 rr who personalty known to meCrwho has produced as identification and who did take an oath. NOTARY PUBLlr � _ Print: ".'a BRYAN AMAYA Seal: o"" `O'er i 1%¢s Notary Public -State of Florid �Commission # GG 984424 =, My Commission Expires IF Mxv 04. 2024 7 APPROVED BY (Redsedo2/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this ry dayoff �7u%e 20 2Z by n7`o�rro lr�e' ✓t7 who is pedrsonally known to me o has produced 4 as IdeMl cation and wha did take an oath. NOTARY Si r< Print: Seal: Plans Examiner Structural Review BRYAN AMAYA Notary Public -State of Florid Commission # GG 994424 My Commission Ex,i,.� so Zoning Clerk 3 _rTa:.bbA a.i G. ..+ ... 'r. ;•t1 '� -. .. -x. .:.'IV . y.•f ,il ' 1!•r(M ` G -. ,•:: t�':. 1 .h; 1'. :. -mil :-i> - _ .. -L: ?t„++ .-. [.. o ITT . ...IYi.a x _ • :Nr e:Y , Af'. r •.JY' .. ..n"' Ja7x ., .. .. ii+ 60. _ sAJ t" ',r�v 7 .:r'.•,.,r:.. • . - Y.�lVI :r'eia41.::A3ad.._. i . SL'sfi,. fit: G 4...','..-"_:. u� A'Y:.; •-!' YL'�l`� �•�,.. }�+... .�, -f �"'; LIMf3't=2: ;. ,r ;� .ViY'-U.>y u:iC3. . ":.'•._;;"CiY^?:+1 . , x:':,•,a` dJtit J`;Y : Zit4t �.. c�1;,_ *!�!. �r.7' •'.��v' e'LY � .S:r�'•>�i"i� yt,,,...' its .,�_ : �, P': � : 't`e'a D!t•.' C _ ":�:r, . ': ; ,,l .w �3r. C'rl i Ax:n S..4 ..kW Y. . �.. r. :•-d'. 7` ... •4 ,>- . - .. .. . Yf1i C'.: > r. ..'1�3• '.:.. -]I? l4^,��x'ti'R ., t'. .. ..�y SC '_ v .. ., ,. _. Rr.. .. -. it y1'.. .. � t y tll 9La• .. a:B 'do :`• hs .ZU': P'. `},� R.0 �' , - - A. ?rnitl v.: e:_ ...:9{r.•yi • ,. z, ::t .w^� _., '.r.•�;:. .i atz }: is rv_.: - �'7 ,:r �,�� .., i, :i• yr '.+' ie i . �'• :.1-t '.('L 11J.:-: r �p w; U or A6LOT 0 a_.. jW asv _A- F.T.R. 1/. (No t0. a—> I. - P ov wAI SKETCH OF BOUNDARY SURVEY N.E. 93rd STREET __ _ , ' • - 1 Al A. ALT PTW NIT 3455' !DIAL Po%HT-Of-N Y " F.NALL 1JSY yq A/C WAeUAL �' V 6Fa °rF � aca�Nr a/I/]l��a475 9`�'7° �. uo I _..�- SIT mow LOCATION MAP 1 cove Nayya.r"= lAyl 1/1 OF LOF2 g('d(1 : ohm STORY ISW CBS N < M REST OMW gt ^^..^ F.F.EIET•�IB.YS' c c. C C. PAWRS ORIWWAY 2l1 I LEGAL DESCRIPTION: LOT Lot 1 and the Ewt 112 of Lot 2, In Block I, o/ GOLDEN CA IE PARK eaae, ADOBON,accordmg to the Plat thereof as recorded M Plot Book 6 at Page 130 of the Public Regards of Miami -Dade County, Florldo, I F000: 11-3205-005-0020 PROPERTYADDRES& CERTIFIED TO: 899 NE 92nd S/REET• SERASBAN OBANDO ORALDO MIAMI SHORES FL 33138 MICHA£L ORBZ• PA OLD REPUBLIC NA IIONAL BILE INSURANCE COMPANY TLORIDA HOME 7RUSI MORTGAGE INC IA1A/0/A SURVEYORS NOTES: 1) Me &am eylkned Prepaty ms v ,od and easorlexi based no Me oboe Lao Oesxrpfioa: Piomood by Diem 2) Ae bea*ep Dad aEdTos sham hero are reavded a i meowed r/..0m,etn shoo. Jl Mo bFd, seom nag .ore gat mdmatee ra aueamrs a .4 /t a y may not be .Norm m Nis .tin 4) Fordat:ans rd/ roothes Not may aces 6eraad me bamday Thee or the Pacd hemp dauraed ore ref sham (N11A'RL%TXINO). 5) f .Haas ao based as Me Nothnd C kec F§rtid oabmr I= e) Fmre Ike ore to be the .1. the or Me reran 1) W bas as to 1. a1 the met 9) Mvmm* abbot to ep4dr or Me NNE. 9) IMde'ammd Omer a,a avi dq%Wed laTeaL 10) Zza q eaM SeMatl:s me eat evUsd bye eory V 1 noo' t _ io suavEYOlzs cERTIF1cnrE: F.LP. 1/2 1 haMy fcal6y Nat Nb savoy orb Me m 0m= tedmbal elydads (Ab 1.0.) a-�—«�— —>- Fig k �mlew"Ma code. �doat b�erxeL�lm 12UY�F=Cle aWLWir MtE b -e.—r we Lad r ect to the twiof my eo.Iw4e and bdm. NOT VALID WifEss %N MD ELmssm yeTN 511RtTmR•e sFx Dow of mod wont ID-95-m l — � — 139J• ENAI[. - _ Addraex13801 SW 10t8 Taace SL&)- hC�-, z #l�llf�ed Nldml. R 33184 ern ei pue seln.t t(lupdopue elels Phow (305) 345-9053 Prot mNanal Sur c Elea •Idea 6wplm9 �2u/a+6 elea Idea 6uluo7 3 a 6uip1l 9 eIIIA s9iOL4s lwejn X Z me /RNIN Lop rc N. PSM 5ye2 M } G STATE OFORI J F ! %AL SURVF1�0.�aoi o 'm U IN LOPEZ and Mapper g 5792 SHEET 1 of Florida. s z O J W w R, aJ d Q O OF1 I I I � I I NeunarNrx Cb WT � raor 199' PARNWAY SKETCH OF BOUNDARY SURVEY N.E. 93rd STREET- — 14' A.SPNA.SPNALi PAWMFNT - wl 34,50' MA! RIGHT-0i-nAY ° F.NA ONESgar CBS oL / RESMISId0E daaf son v F.F ".-t915' CONC. CONC. PAYERS ;w DRIVEWAY O�h n (N. l rx i� 1 9 N� 40 O� t n DESCRIPTION: .I. SITE LOCATION MAP .TT.. to 1 and the East I/2 of Lot 2, it Block 1, of GOLDEN GA IE PARK =4- RGW ;affording to the Plot Heim/ as recorded in Plat Book 6 0l �./ O _ C•: Po 1J0 of the Public Records of Miwni-Dods County, flaida I-J206-005-0020 ADDRESS: CERTIFIEDTO: NE 921d S/REET, SEBASRAN OBANOO CIRA(DO $Gg e I1 V U Wl�l/ L J > SNORES, R JJIJB MICHAEL ORAZ,, P.A. OLD REPUBLIC NA RONAL RILE INSURANCE COMPANY fLORIOA HOME (RUST MGRfGAGE INC IiAIA/O/A SURVEYOR'S NOTES: E N D apPelpaaN 1) R. abore agifioad ftq fy ea. aemled and deurAed °'�^ timed on N. abom 1.0 DemPflm: Pm.H.d by al t Loiov1 e.a '° Z) A9 bmap and dstmtts .Norm ham m. regarded and m.,mf M. nthan rhom. J) M. Irds .hom ham eve nol .b.hvated for eamnrh .r lemrm. a.ar .4 if any may net be eh.m r M rallm roam 4) Fardetkns ond/a fw&p Mal may wme b a,.nd IAe bavMary Ihr .I fhe Paa4 hreh d.mhad ore not .h.m (UNARa'MM/AD) 5) a. an tlm C,rdebe Ibtkd Polum 19Z9. F. tk 1. Am e) Fence 1b me fo h ante We o/ fhe /mm to m eee.I.r. at 1) MN 0r or e m or Me a..eftr trt f 9) M ro nyhha due a9A a d ubCf 9) IMWgm.d afA'9n are naf dgsirfed hermv tbd 10) Zrh9 oM Selbads Or, rot Mlles by 9ds eery X II) BenoSnmd:: A 400 &mf - 14.75'" 109 Uj O N lwDay 1N L Op n � ¢ RP SURVVEYOR'SEYORS CERTIFICATE F .... Fj l D•f/'•, •• I hxeay cMey U.t IbY rmy mrla Me mNMum tTO vfinl[tl NmEarda �Qt t fvN 6>> Iha Flvfao FpYupeuam.f Surwpre aM YapW�� N CM1oplr 5Y17 .k C 4 f * ilorldo Statutes. NM b No. PS1 4/82 �- Flarld. Aa FMroUwUro W 0 Lr of f mytgw , m4 W[a 2 NOT VNIO UNt135 SJIfD AND EEBOSSm WTH 91NVEy S STALE OF Gale d f W cork 10-0S ml a.` •• p(D tD� z Jf • R /O'Yd[S11RVE'fp0.��o p y Addrtm:13801 SW 10Ih TNrare o Miami. hI 33184 EFRAIN LOPEZ Phone (305) 345-909.3 Professlonal Su yor and MopPar 9 6792 SNEETI State of Flortd0. d a 0 OF Mlssbn: To prc63d, pwote 8 gxmethe heath of all people in Floridathra* integrated state, munty&oorr urdyefiats Silvana Kishimoto 899 NE 92 Street Miami, FL 33138 HEALTH Vision: To be the HedMiestSfatain the Won May 31, 2022 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1832876 Centrax Permit Number: 13-SM-2605471 899 NE 92 Street Miami, FL 33138 Dear Applicant, Ron naenntln Governor J8980 A LmdW%11R PhD State Surgeon General This will acknowledge receipt of a floor plan and site plan on 05/05/2022 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. No objection for New Driveway installation ONLY as per your site plan. 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. Sincerely. I 1� JOSE R. VALDIVIESO ENGINEER SPECIALIST II Department of Health in Dade County nMi. s.r.nto rr..tu I ..w..AWNWI .Whew in Dade County • • , Florida TWITTER:HealthyFLA PHONE: (305)6233500 FACEBOOK: FLDepartmentof-lealth YOUTUBE: fldoh Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:09/07/2022 Location Address Parcel Number 899 NE 92ND ST, Miami Shores, FL 33138 1132060050020 Contacts SEBASTIAN GIRALDO Owner 899 SI LVANAK ISH I MOTO @OUTL00 K.CO M ANTONIO DELIGIO 15017 SW 36 ST, DAVIE, 33331 Mobile: 9545314430 Home: 8332477623 Permit NO.: PW-06-22-1535 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Expiration: 03/07/2023 Antonio@sobebuilders.com Description: CONSTRUCTION OF NEW DRIVEWAY Valuation: $ 4,000.00 Inspection Requests: 305-762-4949 Total Sq Feet: 1,400.00 Fees Amount Education Surcharge $1.20 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $10.00 Total: $114.20 Payments Date Paid Amt Paid Total Fees $114.20 Check # 2537 09/07/2022 $114.20 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 1 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 I rk will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to dowork stated. �,i1Un.n� �i1��1 �trn.c7Tb Authorized Signature: Owner / Applicant / Contractor / Agent Date September 07, 2022 Page 2 of 2 02; Miami Shores Village Wli' CZJVEjE) Public Works Department (305)795-2210 - Public works forms are available from the building department, 10050 NE 2n^ Ave., Miami Shores, FL 33138 BY: PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Permit#: N' tf %� — Name of Applicant (if utility see below): Seloas- 1 �� V bao'd Owner off the following described property: �^ - � Legal Description: Lot Block Subdivision C-7o I (( .1-cin Cult Fmcr A-" '{ Folio #; I I - •3 2 -Ccz Address: RGl G NC- a12 Sr �Ct— UTILITY NAME: Qualifier/Authorized Agent: Address: Citv: Telephone: State Certification or Registration #: CONTRACTOR NAME: Qualifier/Authorized � Email: State: ZIP: Certificate of Competency # City: V State: L_ ZIP: Telephone:g33-21{�-r1Kj*23mail: �0yXIy <7� iA,l)� pC.CorYl State Certification or Registration #: Certificate of Competency #: Requests permission to install (describe wof1:, attach separate page if necessary) in the adjoining right of way: (C)0S; i21 'OA Or1 O t Ii%-CW —k 'IP.( �L� aAA— Type of Work: ❑ Paving ❑ Utility ❑ Landscape ❑ Antenna DESIGNER: Architect/Engineer: Address: Citv: Telephone: Registration #: ❑ Sidewalk ❑ Electric ❑ Irrigation Er Other. D �X V �� _ State: Email: ZIP: Value of Work for this Permit: (7 0 Square/Lineal Footage of Work: ***** Fees ***** Permit Fee $ 100.00 1 0.1N Notary $ Training/Education $ 0.20 Technology Fee $ 9r8& Scanning $ Bond $ (if required) Total Fee Now Due $ uU 7� Bonding Company's Name (if applicable): Bonding Company's Address: City: State: ZIP: Application fs 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 the job site for the first inspection which occurs seven (7) days after the public works permit is issued. In the absence of such posted potice, the inspection will not be approved and a reinspection will be charged. Signature ppli a t or uthorized Agent The foregoing instrum n as acknowledged before methis-� dayof 202?-,by S Cs—, o, bO mc. -. who is personally known to me or who has oroduced GL Je s f—'z_ as identification. NOTARY PUBLK Sign: L/ �— Print: SEAL: b��Prl -t: �NIIII APPROVED BY: Signature The fore o.ng instrur me this day of An on%v 7 Yr as acknowl dged before /l a 20ZZ� by i who has produce as tArFfQer,5M Miami Shores Village Public Works Department (305)79S-2210 Public works forms are available from the building department, 100S0 NE 2nd Ave., Miami Shores, FL 33138 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (hereby referred to as the owner) S P b(A �St Q CFN: 20220467925 BOOK 33232 PAGE 1800 DATE:06/10/2022 08:29:38 AM HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Of the following described property: C-talaJ.y" Legal Description: Lot Block Subdivision Folio #; Address: � q q q Pat O—k Requests permission to install (descnb work, attach separate page if necessary) in the adjoining right of way: C n rv:� tLLA r_+1 r) n D > - f�-�'1_v%j 4A Y_-1 "w aAA- IN CONSIDERATION of the approval of this permit by the village, the owner agrees4s 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 or,Kfitoorized Agent State of cu County of The foregoing instrument was acknowledged before me this day of u vu. , 20 Z Z , by c-y\ c-.o who is personally known to me or who has produced V7i, :k::>,r � v -e,-:s L L as identification. NOTARY PUBLIC: Sign: �..�-� Print: 1 -e-Y\ V\-L '� 4AZ;�- SEAL: ,. V Y+vtenne Yao Comm.:HH 222410 = k Expires: Jan. 31 2026 ` . �� Notary Pubric - 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 Florida STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES DELIGIO, ANTONIO SOBE BUILDERS LLC 15017 SOUTHWEST 36TH STREET DAVIE -A-p*. FL 33331 �z LICENSE NUMBER: CGC1525696 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. BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100. Ft. Lauderdale, FL 33301-1895 — 954-357-4829 VALID OCTOBER 1, 2023 THROUGH SEPTEMBER 30, 2024 DBA:. Receipt 1 Business Name:SOBE BUILDERS LLC pt#: 80-287131 Business Tkp e:GENERAL CONTRACTOR (CERT GENERAL CONTPACTOR) Owner Name: ANTONIO DELIGIO Business Opened:10 /2 6/2.017 Business Location: 15 017 SW 36 ST State/CountylCertJF�eg;ClvC ".525 6 9 6 DAV I E Business Phone: Exemption Code: Rooms Seats Employees 2 For Vending Business Number of Machines: Tax Amount Transfer Fee NSF Fee Penalty 27.00 0.00 0.00 0.00 Receipt Fee 27.00. Packing/Processing/Canning Employees 0.00 Machines Professionals vending Type: Prior Years Collection_ Cost Total Paid 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX" RECEIPT This tax is levied for the privilege of doing Business within Bro. ward County and is non -regulatory in nature. You must meet all Counand/o ty r Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt: must be transferred when the business is sold, business name has -changed or you have moved the business location. This receipt does not indicate that the business Is legal or than it is in. compliance with State. cr local laws and regulaii+ans, Mailing Address: SOBE BUILDERS LLC 15017 SW 36 ST DAVI'E, FL 33331 2023 - 2024 Receigt #WWW-22--00264413 Paid 08/09/202�3` 27.00 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 �- 954-357-4829 VALID `OCTOBER 1. 2023 THROUGH SEPTEMBER 30, 26,24 DBA: SORE BUILDERS LLC Receipt #: 18.0-287131 Business Name: Business. TYP e, GENERAL CONTRACTOR (CERT G>�)`?ERAL CONTRACTOR) Owner Dame: r�NTONIo DELrGro 8t>Isiness:Opened:l0/26I�p17 Business Location: 15017 SW 36 ST Business: opened: DAjiIE Exemption Code:: Business Phone: Rooms Seats Employees Machines Professionals 2 Prior Years CalleCtion'Cost Total Paid 0.00 O 00 27.00 neceigt *WWW-22-00264413 Paid 08/09/2023 27.00 AcoRL> CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/05/2018 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 CONTACT Kenneth Mantuo, Jr. Business Express Insurance Agency PHONE A� No): A DRIESS: admin@bizexinsurance.com 3900 Hollywood Blvd, Suite PHE INSURERS AFFORDING COVERAGE NAIC # Hollywood, FL INSURER A: Evanston Insurance Company 33021 INSURED SOBE BUILDERS, LLC 1 INSURER B 5017 SW 36TH ST INSURER C : INSURER D : DAVIE, FL 33331 INSURER E : (833) 247-7623 INSURER F : COVERAGES CERTIFICATE NUMBER: 001 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. IR LTR LT TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICYE MMDP /D/YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 3AA306859 11/05/2023 11/05/2024 EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY1:1 JEC 71 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ 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 I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' Y / N LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 0521-14249 05/02/23 05/02/24 PER STATUTE ER"- E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached P more space is required) See policy for terms, conditions, and exclusions. This Certificate is for the work performed under permit # This Certificate for license # 1525696 State Certified CGC CERTIFICATE HOLDER CANCELLATION Village of Miami Shores 10050 NE 2nd Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Kenneth Mantuo JR ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD