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CC-10-23-2545Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9120 NE 8TH AVE iG, Miami Shores, FL 33138 Contacts Permit NO.: CC-10-23-2545 Permit Type: Building (Commercial) Work Classification: Repair Permit Status: Approved Issue Date: 11/20/2023 Expiration: 05/20/2024 Parcel Number 1132060440230 ALEJANDRA LIBONATTI Owner 10401 NE 6 AVE, MIAMI SHORES, FL 331382048 Mobile: 7862004774 alejandra.libonatti@gmail.com ROFER CONSTRUCTION INC Contractor FERNANDO GALUE 8850 BYRON AVE, SURFSIDE, FL 33154 Business: 3059849368 PABLOBARFI@ROFERCONSTRUCTION.0 OM —� cti Description: REPLACE DRYWALL IN A CLOSET TO REPAIR WATER Valuation: $ 1,000.00 Inspeon Requests: 305-762-4949 DAMAGE. PAINT WALL AND CEILING. REFINISH WOOD FLOOR OF CLOSET Total Sq Feet: 0.00 Fees Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.30 Permit Fee $300.00 Scanning Fee (Manual) $9.00 Technology Fee $10.00 Total: $123.90 Payments Date Paid Amt Paid Total Fees $123.90 Cash 11/20/2023 $123.90 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner �9/ 410-t Applicant! C ntractor / Agent 'i- 2 z Date November 20, 2023 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION U(BUILDING I3 ELECTRIC 0 ROOFING OCT 17 2023 FBC 2Q2.V Master Permit No. Cc-, (C) — ,?) Sub Permit ® REVISION ® EXTENSION ®RENEWAL PLUMBING I3 MECHANICAL ❑ CHANGE OF 0 CANCELLATION I3 SHOP CONTRACTOR // DRAWINGS JOB ADDRESS: I N� S B�r/m 4� 16 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: //— 3lVCc-Doy-03VO Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address t/ J — oS 95- City: State: Zip: Tenant/Lessee Name: 11 { ! Phone#: Email: C^ 1 ���1�OCa. - I t b�(/b�,(,20.���7) E !!tvi lei:0 •-7G7 wL Q /' CONTRACTOR: Company Name: Y o 1 ,L IIDJ N t '" W C7 //0(� Phone#: Address: V v I S� Email: —$� ceo "1 /� t'p n Qualifier Name: Ql O Vp Phone#:3os g1O I ?36D State Certification or Registration #: G C 1 5\ ao 1 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: _Zip: Value of Work for this Permit: $ODO • 0c) Square/Linear�F{ootage of Work: Type of Work: Addition Alteration ® New IIYJI Repair/Replace ®Demol ition Description ofWork: �ep(aee- /kYwc /cL C.loSpi�T`7/'9 I GI i•nr f�Ww/l , ti,.,A G'.el,�Qe,-I-,Ylil fi G✓ood ��L�� n'r' ClosP.T. :/� Specify color of color thru tile: Submittal Fee Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ 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 Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State ME 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. ^ Signature i[ ✓ ------------------- R or AGENT The regoing instrument was Tacknowledged before me this day of �L l 20 23 , by L 1 �N�i3personally known to me or who has produced � 1 rd`�� lvIeulL as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: March s, 2024 Signatu The foregoing instrument was ack owledged before me this d y of 20 ��, by eQ 0 who is Lrsonally known t me or who has produced as identification and who did take an oath. NOTARY Sign:_ Print: Seal: RODOLFO EDGAR SOSA try Publk - State of Florida IAnmission # HH 078715 APPROVED BY l� 3 Plans Examiner Zoning Structural Review Clerk (Revised04/05/2022) 511ORT.s Pt,v:% EAsr CONDOMINIUM - AsSOcIATION October 16, 2023 Miami Shores Village - Building Department `- 10050 NE 2"d Avenue Miami Shores, FL 33138 Dear Sir / Madam: OCT 17 2023 This letter will serve as your confirmation that the contractor "Rofer - Construction Inc" has been hired by Alejandra Libonatti, the owner of Apt. 1G, at 9120 NE 8 Avenue, Miami Shores, FL 33138, and is authorized by the Board of Directors of the Shores Plaza East Condominium Association for the removal and replacement of water damaged drywall in the entire hall closet. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, Carlos Talavera Vice President Shores Plaza East Condominium cc: file GDrive/Units/1G 0)ff n ff OCT 17 2023 1+M S] roRrs PLV-A EAST C0Nr)0,'ATN11JN1 Repair Remodel Request* Owners and/or Occupant(s) Name(s)••! Unit #: 16 Date(s) Of Requested Actions: ,2 3 Type of action/work to be considered: (please be detailed and attach additional documentation if necessary): c.c)CM Cam. Ir.n_ G- I fit/! lam+ atiu✓ �e-�v�sGi G</��✓ ;�/ter o�' C�Os� Permit(s) Required: Yes No If "Yes", a legal copy of any such permit must be submitted to the Association upon once approved prior to any action/work beginning. Name -Address -Telephone Chosen Contractor and/or Vendor: �Fe P- G,n,�`fQuc`(l �v SPBCAUemplates Originals Blanks\Policies\Repair Remodel Request doc 06/12/04 rev. 07/18 Page 2 of 2 Current Florida License Number and Insurance Information of Selected Contractor and/or Vendor: C G r� 1 ® 0 l Sv,, F( oar, ECP% -6L 0000 2D7-z, , Pre Inspection By: Post Inspection By: c- Date: Date:_/_/_ ' Written notification of acceptance or denial will be issued to applicant(s) via USPS CERTIFIED RETURN RECEIPT 'upon completion of work any work that affects common areas, must be brought back to starting condition by the owner/contractor including structural,cosmetic,painting or landscaping SPECA\Templates Originals Blanks\Policies\Repair Remodel Request.doc 06/12/04 rev. 07/18 Page 2 of 2 ,-. CITY J 11 9 In FPnn - T 7 "o, By ticW AJ '"/ / li At via/ AW ���� .,�� !S ^b � ,�"^ ❑� Ron DeSantis, Governor STATE OF FLORIDA Melanie S. Griffin, Secretary DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 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 7233237 RECEIPT NO. RENEWAL BUSINESS NAME/LOCATION 7518878 ROFER CONSTRUCTION INC 9300 BAY HARBOR TER APT 6D BAY HARBOR ISLANDS, FL �•, 33154-2368 EXPIRES SEPTEMBER 30, 2024 Must be displayed at place of business Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED ROFER CONSTRUCTION INC 196 SPECIALTY BUILDING BY TAX COLLECTOR C/O FERNANDO GALUE QUALIFIER CONTRACTOR 45.00 09/12/2023 Worker(s) 1 CCC1327961 INT-23-453238 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is net a license, 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 he displayed on all commercial vehicles- Miami -Dade Code Sec Ba-276. Mso For more information, visit wwwmiamidade oy/taxcollector ACOR 7 0 CC> CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/16/2023 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 pollcy(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 Sunflowers Insurance Group Inc. CONTACT Assistant insurance NAME: PHONE , 305-553-4949 FAX,No : 305-553-4958 ADDRIESS: sunflowersins@live.com 11401 SW 40 ST # 311 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Obsidian Specialty Insurance Company Miami FL 33165 INSURED INSURER B : Progressive Commercial INSURER C : Frank Winston Crum Company ROFER CONSTRUCTION INC INSURER D : 8850 Byron Ave INSURER E : INSURER F : Miami FL 33154 nnvFPAnFA 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. ILTR TYPE OF INSURANCE AD SUBR POLICY NUMBER MM/DDY EFF POLICY LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Blanket Additional Insured X X SCB-GL-000020737 12/02/2022 12/02/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES Ea occurrence $ 1,000,000 x MED EXP Any oneperson) $ 5,000 X Blanket Waiver of Subrogation PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ONLY y AUTOS SCHEDULED AUTOSOWNED AUTOS ^ HIRED X AUTOS ONLY X AUTOS ONLY x X Collision X 970220782 05/30/2023 05/30/2024 COMBINED SINGLE LIMIT Ea accidenti $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Perr accident)DAMAGE $ PIP $ 10,000 UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If as, describe under DESCRIPTION OF OPERATIONS below N / A X WC202300000 01 /01 /2023 01 /01 /2024 STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Ia required) License # CGC151009 f_FRTIFIrATF Hni nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village hall Building & Zoning ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE zd&wa. 0• ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD