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PW-12-23-3028Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 161 NE 107TH ST, Miami Shores, FL 33161 Contacts Permit NO.: PW-12-23-3028 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Issue Date:04/10/2025 Expiration: 10/10/2025 Parcel Number 1121360070300 PABLO FERNANDO SOUTO DANIELAA Owner LEADING EDGE CONTRACTOR! ITURBURU INC 161 NE 107 ST, MIAMI SHORES, FL 33161-7031 ROBERTO COMES 8205 w 18 ave, hialeah, 33014 Business: 7864062488 Description: AFT REPAIR HOLES AND CRACKED ASPHALT Valuation: $ 4,800.00 CODE-6-23-244 Total Sq Feet: 240.00 Fees Amount Education Surcharge BD 322-130 $1.50 Public Works Permit Fee PW329-500 $100.00 Scanning Fee BD 322-110 $9.00 Technology Fee BD 322-120 $10.00 Work without Permit Fee $100.00 Work Without Permit Fee - Plus $100 $100.00 Total: $320.50 Contractor ROBERT@LEADINGEDGE.US Ins ection Requests: Visit our website www.msvFl.gov and Click on Permits - Payments Date Paid Amt Paid Total Fees $320.50 Credit Card 04/10/2025 $320.50 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 conruction anzoning. Futhermore, I authorize theove naffed contractor to do Pe work stated. l Authorized Signature: Owner / Applicant / Contractprl / Agent Date April 10, 2025 Page 2 of 2 yw!v �� Miami Shores Village °"mod P-ECEIVED Public Works Department DEC 0 6 2023 (305)795-2210 Public works forms are available from the building department, 10050 NE 2n1 Ave., Miami Shores1133138 PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Name of Applicant (if utility see below): iP&8UJ J 0 VTR Owner off the following described property: Legal Description: Lot Block Subdivision Folio #;4A2A' 60 Address: Ail NE 404t4 'r - 6AIl;M( 500?x�s UTILITY NAME: Qualifier/Authorized Agent: Address: City: Telephone: State Certification or Registration #: I CONTRACTOR NAME: Qualifier/Auth ized, Addres : O City: State Certification or Email: Email: Permit#: �'W"12-'23'-3021& State: ZIP: Certificate of Competency # It C6jor MGS State: ZIP: _y a Cv O 7 101Certificate of Corripetencv #: Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: - 4i 2 t GkA26 A5-PA'l —r COS--2 3-2.y_y Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna 5, Other: (ZGPPA�(L DESIGNER: Architect/Engineer: Address: Citv: Telephone: Registration #: _ State: Email: ZIP: Value of Work for this Permit: $ q19Z. -� Square/Lineal Footage of Work: 2 o ***** Fees ***** Permit Fee $ 100.00 Notary $ Training/Education $ �,f0 Technology Fee $ 6 Scanning $ Bond $ (if required) Total Fee Now Due $ 1-2 A V 6 Lc. -lam 4- 29 k 60 - 60 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 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 notice, the inspection will not be approved an Lreinspection will be charged. Signatur Applicant or Authorized Agent The foregoing instrument was acknowledged before me this�dayof_�ofnpn,IrZ¢r20� ,by PG,b1no who is personaj!y known to me or who has produce L, as identification NOTARY PUBLIC: Sign: Print: V t Vy\.C- T4-,-o SEAL: \aouunp� Vivienne Yao sy 4 ..P„B` = Comm.:HH222410 o: oe =?: Expires:Jan. 31,2026 Signature Company/Utility Agent The foregoing instrument was acknowledged before me this �5 day of 1!PE�t'.�+t ►12" 20 23 , by 1LO b--,R ` 00W1,QS who is personally known to me or who has produced as identification NOTARYPUBUC Sign: 2VIV, Print: �10-� P t P—vy�f SEAL: JANPIERREPEREZ MY COf,RvnSSION # HH242397 EVIREB; March 20, 2026 ���i/IIIu10\\, ##### ####### ## ########################### t APPROVED B ' Public Wor s Director, or Designee L 2017-04-15 t1l5i �C IVE ) DEC 0 6 2023 QCU AGA rn 4,o 2P5 334�� TOPO �''R11�P�rIG NUR�VE�Y SCALE; T'=20' 75.00' o FND.I.P.3/4' m 21.35' 23.25' FND.I.P.3/4" NO Jry o • 9 8B+ 19.50' �c� < 10.50' y ^ NO ID ys, ,p. 9p p9 �1IAMI SHjoq \/ILI-A S RF-VIEW PUBLIC WOR DATE �ppROVED LOT 13 BLOCK 209 �F2 -ram FAc-r eeZ(0IT 70 WA'( - AN) (Lrr-CoJE2 D46LT 01 �N �/ 6'Wood- NO CtW� A&)C Gate CITY 0 Pavers eo 4 14.45' 1' Pavers � °�° A/C ^p K6.00'l1x5 21.00' n c 17 ONE STORY CBS o 12 RESIDENCE # 161 „m w Gar-10.60' F.F.E: 12.OT mo 0 34.70' a� 0.25' c W. L6 18.65' — U� fV CJ N N ti5 lh 6N 001� 6. mu.t.r.al4 pay 5' Conc.Walk COPY 0 24' Parkway N r m 23.00' 75.00'(R) Driveway ( 25.50' L 17' Asgha.. 75.00' Total RM N.E. 107th STREET I 0 r LOT 15 BLOCK 209 PVC Shed T Woad Gate Ifll(I illl(I�(II!(i11III(I �l81lfl(I IIII(f�l 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 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (hereby referred to as the owner) Of the following described property: Legal Description: Lot Block Subdivision CFN 2e t2; RIC1363� trig OR P.K 33992 P9 1451 QP9s) FtEC'ORDEO 12/04/2023 09:54:32 UAN FERNANDEZ-BAROUIN CLERK OF THE COURT d COMPTROLLER NIAHI-L'ADE COUNTY? FL 1, COUNTY OF MIAMI•DADE that this is a true copy of the of SAD 20 Seal. It and County Courts Folio q; OZA 3600 70 3oo Address: 164 NG_ hoWl-q m rryut 5I`)--AZ95 ?tQ 33464 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). Signattuz�� Owner or Authorized Agent State of P- Countyof WkCLan k ad T_. The foregoing instrument was acknowledged before me this LA day of -101+� . 20 E:3 by Aa 61 r;:, �-SO L),+b who is personally known to me or who has produced as identification. NOTARY PUBLIC: Sign: U� Print:y L�1-e''���- '1, SEAL: \��\01011pV/ , `= VNienne Yao Comm.:HH222410 Expires: Jan.31, 2026 Notary Poblic-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 STATE OF FLORIDA Melanie S. Griffin, Secretary DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES COMES, ROBERTO LEADING EDGE CONTRACTOR SERVIC,E5 11' 8205 W 18TH AVE HIALEAH FL 33014"" , EXPIRATION DATE: AUGUST 31, 2026 Always verify licenses online at MyFloridaLicense.com ISSUED: 10/17/2024 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. Flodda . p� r Local Business Tax Receipt Miami -Dade County Office of The TaxCollector -THIS IS NOT A BILL - DO NOT PAY 7198722 BUSINESS NAME/LOCATION LEADING EDGE CONTRACTOR SERVICES INC 8205 W 18TH AVE MIAMI, FL 33014 OWNER LEADING EDGE CONTRACTOR SERVICES INC r./n RnRFRTf1 rnMF.R01 IAI IFIFR Worker(s) 1 RECEIPT NO. RENEWAL 7481180 EXPIRES SEPTEMBER 30, 2025 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 GENERAL BUILDING CONTRACTOR CGC1524055 PAYMENT RECEIVED BY TAX COLLECTOR 156.25 04/08/2025 PTBTE-25-264355 This Local Business Tax Receipt only confirms payment of the Local BusineTax. The Receipt is not a license, LBT permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba-276. For more information, visit mdctaxcollector.gov AC40RD® CERTIFICATE OF LIABILITY INSURANCE DATE(/YY 04/0 /DD4/2025 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 (305) 387-7677 (305) 512-9889 Global Insurance Agency, Inc. 6175 NW 153rd Street, Suite 100 Miami Lakes, FL 33014 CONTACT NAME: Julio G. Menendez PHONE 305 387-7677 Fa c No): 305 512-9889 ADDRESS: INSURERS AFFORDING COVERAGE NAIC ft INSURER A : Nautilus Insurance Company INSURED Leading Edge Contractor Services, Inc 8205 W 18th Avenue Hialeah, FL 33014 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : 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 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 ADDL SUER POLICY NUMBER ISM/Dp EFF MOMIDD EXP LIMITS ✓ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR `/ VPWIN-Q 04/04/2025 04/04/2026 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L ✓ AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ 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 F7RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CGC1524055 CERTIFICATE HOLDER CANCELLATION Miami Shores Building Dept 10050 NE 2 Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores, FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ACORV CERTIFICATE OF LIABILITY INSURANCE - �V. YYYlf) DATE(IU/2025 4/2202 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 GIGA Solutions, Inc. 101 Plaza Real South Ste 201 CONTACT NAME: PHONE FAX • 888-581-0807 A/c No): ADDRIESS: certs i asolves.com INSURERS AFFORDING COVERAGE NAIC # Boca Raton FL 33432 INSURER A: Normandy Insurance Company Inc 13012 INSURED FLORRES-01 Florida Resource Management LLC Florida Resource Management 11 LLC INSURER B : INSURER C 343 Interstate Blvd. INSURER D : INSURER E : Sarasota FL 32420 INSURER F : PnUC0An=Q f_FRTIFIf:ATF N11MRFR* 1QRQ1Rdddd 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. ILTR TYPE OF INSURANCE JHM SWVD UER POLICY NUMBER MM/DD/ OLICY EFF IPOLICY0EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL& ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Ya NHFL0116482025 3/1/2025 3/1/2026 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A E.L. DISEASE POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage only applies to active employee(s) of Florida Resource Management & Subsidiaries that are leased to the following Leading Edge Contractor Services Inc Coverage only applies to injuries incurred by Florida Resource Management & Subsidiaries active employee(s), while working in FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client company or any other entity. A list of the active employee(s) leased to the Client company can be obtained by faxing a request to (941) 343-6118 or by calling (941) 343-6160. r%co'rlclr%ATG sans ncra CANCFLLATIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Building Dept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 United States eow& AV4& O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD