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DS-10-469Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 999 94 Street Miami Shores, FL 1132060350010 Block: Lot: AURELIO PEDRO MARTINEZ Owner Information Address Phone Cell AURELIO PEDRO MARTINEZ 999NE94ST MIAMI SHORES FL 33138 -2916 Contractor(s) Phone Cell Phone CABRERA PAVING & ENGINEERING, 1 (786)554 -8762 Approved: Yes Comments: MAY PAVE UP TO BUT NOT INTO ROAD. Date Approved: 3/23/2010 : Yes Date Denied: Type of Work: CIRCULAR DRIVEWAY Bond Retum : Additional Info: ASPHALT Classification: Residential Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $6.00 $1.60 $159.20 Pay Date Pay Type Invoice # DS -3-10 -37358 03/31/2010 Credit Card 03/22/2010 Credit Card Amt Paid Amt Due $ 109.20 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final 1 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. March 31, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date March 31, 2010 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. L2S/o " V‘f PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING % Owner's Name (Fee Simple Titleholder) %I/2 L/ J Lec-) ,4.4 2 1, 3Phone # -3 '‘.., „s- & 0 7 - a. 9 Z. )1( Owner's Address 9 9 5' ,,-,/ c.F 5V . x City / A i -S--,4 0? P State Z Zip 3 3 / Tenant/Lessee Name p� ,,,.�''� Phone # X Email A- -s -tL ir� �i 7a ,, o co 3 i( Job Address (where the work is being done) ,4t -A Ci 2s t1L w✓ A v 9 ? N. c . 9 `il G . City Miami Shores Village County Miami -Dade Zip 33 (7 $ FOLIO / PARCEL # /1--,32,06,- o35---00 0 Is Building Historically Designated YES NO V Flood Zone r fe e �.7r • r N veri D Contractor's Company ame idi�ft L) MJ t €Z, Phone # �i , �� � - 1�Y �i Contractor's Address ®q 8 93 s F �a� `° City Neene y j Qualifier Name /'mom/® t /.'M,a1 e Z.- Phone # 7g6 55'/- $' 76 z State Certificate or Registration No. Certificate of Competency No. g'07 00%® State /''C. es.2, T?e°l Zip 33/71 Contact Phone 7 c14, ts/ Architect/Engineer's Name (if applicable) E -mail 6 Z 1 Are, e A.aei° Phone # Value of Work For this Permit $ / 9/'. / 3 Square / Linear Footage Of Work: / 402, Type of Work: ❑Addition ['Alteration DNew Repair/Replace ❑ Demolition Asis,t /%Daesz % ® / 9 crs7 S cr� ice. t eir Describe Work: ******** * * * * * * * * * * ** * * * * * * * * * * ** * * * * * *, Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /�® °—`=' CCF $ LQQ CO /CC $ Notary $ Training/Education Fee $ . _..Q 40 Technology Fee $ Scanning $ (Q' Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 10°1;20 See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 uch posted notice, the inspection will not be approved and a reinspection fee will be charged. rSignature Owner or A ent The foregoin instrument was ac .� g , ledged before me this 11 day of ��(t 20JL ,by / i2-0 (,i Signature Contractor The foregoing instrument was acknowl ged before me this 17 day of M, LtL-W , 20 la , by ✓ t i co(Z.IJO t14iJ7((k?. who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissio Expires: APPROVED BY BECKY ZAB1ELINSKY •'= MY COMMISSION DD716509 EXPIRES September 20, 2011 (407) 396 -0153 Flodd8NotaryServlce.eom Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Sign: Print: My Co • el M•• 1%,0 /COMMISSION // DD716509 38-0s1s 53 ;PIRES September FlorldallotaNgB lcs. �o�Y *,Y * * * * * * * ** -3 3 //6 Zoning Clerk checked CTQB • Construdiora Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY E0700707 CABRERA PAVING & ENGINEERING INC D.B.A.: MARTI RICARDO Is certified under the provisions of Chapter 10 of layarn-Dada County QUAUFYING TRADE(S) 0007 PAVING ENGINEERING 4. oworpn d e/r&-GRit Mwc 4 E/06butERI/J6 4477/C-16-- Ri2A-Ro Z L9C643990C 1 'OM 0N3 ONIAVd V831:18V0 d90: LO 01. VOJetAl 03/18/2010 15:06 3052238158 YES INSURANCE PAGE 02/02 CERTIFICATE OF LIABILITY INSURANCE I DATE omtinarfrelf) 03/18/10 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T1415 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. ImPONTANT: Ham macaws Madera en ADDITIONAL INSURED, the peikyttes) must he endorsed. If SMOG/MON IS WAIVED, subitiia to the tonna and aandltIons of the pa*, certain piped may require an endorsement A staismant o Ma cenlffoake dove not confer rights to the certificate holder In Hsu Ouch onaomomant(st PRODUCER • &EWA= s_E#ME: Yes Insurance Agencies, Inc. PHONE Mr tee. Mk 9507 Bird Rd. t.I NIMMI, 9. 33155 Phone (305)225-5757 Fax (305)229-6158 INBUREO CABRERA PAVING & ENGINEERING.IND 9048 NW 93 St 53 Miami, FL 33178- (76EI) 5544762 • • • • - lAWURERIBI mergrams INTEFER Mc! •-• • --- . INSURER 1419/3 INSURA1,1gE9 CisNet _ . . INEEAER : INSUEER WSURERE: j INSURER F: ...... . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: [THIS is TO CERTIFY THAT TRE POLICES OF INSURANCE UST I:0 AELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR ii4E POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SUCH POLICES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — - A 1TFE OF INSURANCE POLICY EIMER GENERAL Limn", .5e%1 COMMERCIAL GENERAL UASILITY r i I'D mums-RABE OCCuR u 0 BENIN:10MM MUT AFPLIfe PER POLICY Te_51 LOC AUTOMOBILE mount 1 ANY AUTO [3 ALL OWNED AUTOS SOHEnuLao AuToa Li mese Auros El NON-OWNED AUTOS o IIIINRELJA IJAIS Uoccun El EWES° ODE r DEDUCTIELE WORKERS COMPENSATI*4— AND EMPLOYERS' LIARLITY ANY PROPRIETVIRIPARWIERIEXEC OFFICEIBMEMBER EXCLUDED/ ramtalorjuse, In Mit SCRPTION 3514113PERATIONS ppm 0185FLDC017128 LIMITS EACH OCCURRENCE 1,000400 -- IMEr alENTIM(ETP_IPPIWSP) . MELEr--.02TE fwe 16* 1,000,000 3 2,000.000 s COMBINED SINGLE LOWY Ma accident) • EMELT INJURY Tat rem) PERSONAL a nnom.Amv. .RNE_RAI/49gREGATE 17491?1/CTS COPIPIP? AGO BODILY INJURY (Rat =idol 5 PROPERTY DAMAGE Ter accident) •-•_-_-___ EACH OCCUR/1E1cm 5 ...— AGGREGATE 5 Nil er ILL EACH ACCIDENT E.L. DISEASE • EA EMPLO _ E.L. WEE ASK LW:1MT UMTVI misterriiii OP DPERAmpas I Eamon t maims Seteduk If mere mat. ft mulled) . . DRIVEWAYASPHALT OVERLAY AT 999 NE 94 STREET MIAMI SHORES, 9. 33138 CERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPT, 10050 NE 2 AVE MIAMI SHORES, FL 33138 .. • .. CANCELLATION ••- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, PC/TICE WILL BE DELIVERED IN ADDDRDANcE WITH THE POLICY 'Roman. •AtiiiiiiizienepeesstrA ACORD 25(2009109) OF The &v, 19 009 ACORD CO 'RATION. All rights reaerved. RD name and loge are registered marks of ACORD —Mar. 18. 2810- 12:16PM ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER ' Jimenez & Co. 1 8000 Coral Way Miami, FL, 33155 305 264 9900 No. 6 915 —_- P. 1 / 1..,.._._. DAT${•1MYYY} 1 3/18/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY MIND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAICI INSURED CABRERA PAVING & ENGINEERING INC 9048 NW 93 ST *3 MEDLEY , FL 33178 1 _ COVERAGES MINER ASCENDANT ITEDEEMERZTERS INSURER It INSURER C: INSIJRER OE INSURER E THE ANY MAY POLICIES. an lTR POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAYHAVEREEN REDUCEDEYPAJD LA M3. TYPE OP MURNE POLICY N ER Dt _ A R ,VYI DATEMNDDNY GENERAL LIABILITY COMMERCIALGEFIAL UABI RV EACH OCCURRENCE 6 IMMIAGft w NCNIx PROMO (Ea ooae ne) 8 i CLAWS/AWE III OCCUR .. P'» 8 PERSONALBADVLNJURY $ ORAL AGGREGATE $ GERL —1 AGGREG ATE UMTT APPLIES PER: ^ CY WA f I LOC PRODUCTS - COMP/OP AGO $ AUTOMOBILELIABUITY ANYAUTO ALL OWNEDAUTOS SCHEDULED AUTOS FAIRED AUTOS NONOWNEDAUTOS CONRIBmo ( }SB�GLE LBGf a DODEYWJURY ( perm} 8 BODILYIN.&URY (Per ) a PROPERTY DAMAGE (P� 6 GARAGE ANYAUTO AUTO ONLY•EAACCIDENT $ R . ppTTNH����THAN EA ACC $ — - AUTOONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE 5 OCCUR t CIABiMMADE AGGREGATE $ DEDUCTIBLE RETENTION $ a S $ A wDRXERS coMPEnISATroNam EMPLOYERS' LIABILITY A TI& ANT PROPRETOMPRTMERAMOM VE oFFIDSPATIMMSR etas Ky�, eeluA beu �ec S ECIALPROVI$IONSbelow WC61602 01/29/10 01/29/11 X 1 To YYLMTS 1 I°D R E.L. EACH ACCIDENT S 100,000 E.L DISEASE. EA EMPLOYE $ 100,000 5 500.000 EL. DISEASE - POUCYLem OTHER — ^ DESCRIPTION OFOPERATIONS1 LOCATIONS !VEMp.ES,EXCLUSK/NS ADDED BY ENDORSEMENT NSPECULLPROVISIONS ,.� AA CERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2 AVE MIAMI SHORES FL 33138 4CORD28(200•os) . TION OF THE AIIOVE DESCRIBED POLICIES OR CANCELLED BEFORE THE EJCP1RATI0N OP. THE tSSuwD INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TION OR LIMMUTY OF ANY KIND UPON THE INSURER ITS AGENTS OR ATIVES. ATM ACORD CORPORATION 1988 Town of Medley LOCAL BUSINESS TAX RECEIPT 201005146 2009 -2010 CABRERA PAVING & ENGINEERING I 9048 NW 93 ST., #3 MEDLEY FL 33166 SERGIO CABRERA 5230 SW 97 AVE NIANM FL 33165 Is hereby issued a Local Business Tax Receipt for Town of Medley, valid through September O of tax year fisted above for the occupation of OFFICE ONLY. The issuance of this Tax Receipt or acceptance by the applicant in no way confers any right to violate any taw, ordinance or regulation of this State, County, or any municipality. RESTRICTIONS; OFFICE USE ONLY. NO LIVING ON THE PREMISES. COPR302O rev. b This Local Business Tax Receipt mast be exhibited conspicuously at your place of business. TOWN CLERK OT A 8 D ,NOT PA', H4 SEE OTHER SIDE DO NOT FORWARD CABRERA PAVING & ENGINEERING-INC SERGIO CABRERA PRES 9048 NW 93 ST MEDLEY FL 33178 1„ Il„, ll,,,,III,,,ll,,l, „,ll,l„1„,ill 111,1,, Il,11,1i 3Ii MIAMI -DADE CO!!I TAX COLLECTOR. 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 RECEIPT NO. , 30-6573217 BUSINESS NAME t LOCATION CABRERA PAVING ENG 9040 NW 93 ST OWNER ':CABRERE A PAVING & ENGINEERING iUNICIPAL ACTOR'S < 20#8 < FIRST- TAX AEcOPT WE COUNTY - STATE OF FLOAIDA Pl PURSU 0-24 EXPII SI P f. 313, 2010 iP THIS IS NOT A BILL =D0 NOT PAY CC " NO: E0700707 AEOEII ' HOWER >MAY DO ' BUSINESS AS A OON I RACTOl INEERIRIG INC AS SPECIFIED HEREON SEE BACK OF RECEIPT FOR A LIST OF NON - PARTICIPATING TIES Receipt holder must register in the city where work is to be done. Aomaff Rc0 MIAMI-OADE CCunrcs TAX,; 0/28/2009 02240006001 000175.00 DO NOT FORWARD CABRERA PAVING & ENGINEERING INC SERGIO CABRERA PRES 9040 NW 93 ST MEDLEY FL 33178 1.11.11,. 111. X11 .11 %1,1„1.111...,16,1 tannin and Z rth Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. DS -3- 10-469 Expires:Not Issued Folio Number:1132060350010 Owner's Name: AURELIO PEDRO MARTINEZ Job Address: 999 94 Street Miami Shores, FL Owner's Phone: Total Square Feet: 1442 Total Job Valuation: $ 1,814.10 Contractor(s) CABRERA PAVING & ENGINEERING, INC Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/23/2010 : Yes Comments: MAY PAVE UP TO BUT NOT INTO ROAD. iiii°00 VeZ (IV (Z4 t•• ••‘, it ft J-18. 4' C.L.F. 19. 2e4 go, 4 131 r 111 /T. /0' /2.00 irt,„ C.4. N WALL 6 6.681 AbP. %21/ 5 5010#11w) /9.00' /A/ me. • f:/k '2 a . , *. ' • • ..• • . . pe,47): 7orik. .• , . . . . . •-•::,7,...t10.9°i•Plift,:r ROAD KiA,'N'qr,4-EumecaR. / y•s/ l.VE gin° 5 T ri--) • 65er (< et, tC, r c-D :---7 rn 0 ..■ CO 11 —T s 'LIANOE 9 Y riLJLk`. i itor p i - 11 Sh4rE • • 0 tn. ■IIIII Iii. .-, ' 1 7–E—rfni l DATE rn 11 ' .‘.% /2.00 irt,„ C.4. N WALL 6 6.681 AbP. %21/ 5 5010#11w) /9.00' /A/ me. • f:/k '2 a . , *. ' • • ..• • . . pe,47): 7orik. .• , . . . . . •-•::,7,...t10.9°i•Plift,:r ROAD KiA,'N'qr,4-EumecaR. / y•s/ l.VE gin° 5 T ri--) • 65er (< et, tC, r c-D