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DS-16-2258 zx -tA a Y Miami Shores Village 10050 N.E.2nd Avenue = � A�itIt#A " Miami Shores,FL 33138-0000 " 'F Phone: (305)795-2204 ` *40 1 � Expiration: 02/1412017 Project Address Parcel Number Applicant 9405-33 PARK Drive 1132060141270 Miami Shores, FL Block: Lot: MIAMI SHORES PRESBYTERIAP Owner Information Address Phone Cell MIAMI SHORES PRESBYTERIAN 601 NE 96 ST (305)751-5917 - -- MIAMI 38 FL 33138-2741 Contractor(s) Phone Cell Phone Valuation: $ 0.00 HOME OWNER ..................... _. Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:DRIVEWAY PERMIT TO REPLACE Additional Info: Review Building Bond Return: Classification:Residential Review Building Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due DBPR Fee $2.00 DCA Fee Invoice# DS-8-16-60949 $2.00 08/18/2016 Credit Card $107.00 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Total: $107.00 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 constr d zoning. Futhermore, uthorize the above-named contractor to do the work stated. N ::�� -i--- August 18,2016 A gnature:0 ner / Applicant / Contractor / Agent Date Building Department Copy August 18,2016 1 Miami Shores Village All&j 0 2016 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 2014 BUILDING Master Permit No.DS-4-12-605 PERMIT APPLICATION Sub Permit No. i 16 — �2 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION QRENEWAL F-IPLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9405-33 Park Drive City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:1132060141270 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: X BFE: FFE: OWNER:Name(Fee Simple Titleholder):Miami Shores Presbyterian Church Phone#:305-754-9541 Address:602 NE 96 Street City. Miami Shores State: FL Zip: 331387 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: Address: City: -State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$950 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition Description of Work: Sidewalk Repair Specify color of color thru tile: Submittal Fee$ Permit Fee$ 100 CCF$ CO/CC$ Scanning Fee$ J Radon Fee$ 2 DBPR$ _Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 1 �y TOTAL FEE NOW DUE$ (Revised02/24/2014) 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. 1 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �� Signature WN or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 071 St day of J C[ N,1 20 /L , by day of ,20 by /gym 7i mk, who is personally known to ,who is personally known to me or who has produced j?lBl.S'-1f as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: (VOTARY PUBLIC: Sign: Sign- Print: Print: „,•, ,,.. JENNIE Seal: ' = MYCOWSSONNFF845218 Seal: EXPIRES:Demnber 2k=9 ._ Bmwthalla"l UM min ek tic ek Mt Ile eR tlt Neffi ak ek ak a!<ek Qeffi9t efe�S&yeNt eft at eb eit ek akSc�eY Mt ek ak ek alcop 7k eY ettft Nele 9t eft tH e99tkW►eRaisaket#eM eN#tYa dt tk+feiMt ek ye ale tlt>dt6afe ytafe a[a aR 9tap tF aY eR ep4ek eM eM e(t eft tYitlt eb tp ye ete egM»e eft ek aR ekeg APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i CITY OF FORT LAUDERDALE BUSINESS TAX YEAR 2011- 2012 Fl.l BUSINESS TAX Divis10N P/I2GC$d � 700 NW 19 AVENUE, FORT LAUDERDALE, FLORIDA 33311 (954)828-5195 Business ID:9042905 Business Name RELIABLE CONSTRUCTION GROUP Business Address:1101 SW 18 CT Tax Category: GENERAL CONTRACTOR Tax#716178 Fee: RELIABLE CONSTRUCTION GROUP CAMILO MEJIA 1101 SW 18 CT FORT LAUDERDALE, FL 33315 ***DETACH AND POST THIS RECEIPT IN A CONSPICUOUS PLACE*** .........................................................................X..........................................................................................5c.................................................................................... Business ID: 9042905 Tax Number: 716178 Business Name: RELIABLE CONSTRUCTION GROUP Business Address : 1101 SW 18 CT Business Owner: CAMILO J MEDIA ✓ This Receipt issued for the period commencing October 1't and ending September 301" of the years shown above. ✓ If you have moved your business, please complete below and bring it into our office. ✓ A transfer of business location is subject to zoning approval. Please bring this receipt in to our office to obtain the necessary approval. ✓ If you have sold your business, please sign below and mail it to our office, or provide it to the Purchaser to bring into our office along with a Bill of Sale. ✓ A Transfer fee applies of 10% of the annual business tax fee, not less than $3.00, no more than $25.00. Purchaser Name: Print Name Signature Seller Name: Print Name Signature Please be advised that this issuance of a Business Tax Receipt establishes that the business you intend to conduct is a use permitted by the City Zoning Code for the location at which you intend to operate. The issuance of a Business Tax Receipt in no way certifies that the property located at this address is in compliance with other provisions of the City Code of Ordinances. BUILDING DEPARTMENT BUSINESS TAX DIVISION 700 NW 19 AVENUE, FORT LAUDERDALE, FLORIDA 33311 TEL (954)828-5195 FAX (954)828-6929 WWW.FORTLAUDERDALE.GOV Rev.2 .a NEW 7/11 I (� MAI St1C)RfS PRfSbTTfRlfln C11URCt1 David S. Kinchen Operations Manager 602 NE 96th Street Miami Shores,Florida 33138-2742 305.754.9541 Tel 1 305.758.9597 Fax dkinchen@mspc.net STATE OF FLORIDA Pm DEPARTMENT OF BUSINES AND PROFESSIONAL REGULATION (850) 487-1395 CONSTRUCTION INDUSTR LICENSING BOARD T1940 ALLAHASSEEMONROE STREET32399- 0783 MEDIA, CAMILO J RELIABLE CONSTRUCTION G O1101 SW 18TH CO UP FORT LAUDERDALEURT FL 33315-1923 STATE OF FLORIDA AC# V-1211,6 t 3 Congratulations! With this license you become one cf the nearly one million DEPARTMENT OF B'USISESS AND Floridians licensed by the Department of Business ar d Professional Regulation. PROFESSI-gtq�l,F.EWLA'T:r-ON Our professionals and businesses range from archite s to yacht brokers,fromf� boxers to barbeque restaurants,and they keep Flori a's economy strong. CG01150832 - 1.00-119803 Every day we work to improve the way we do busine sin order to serve you better. dTOR For information about our services,please log onto ww.myfloridalicense.com. FIT ,� There you can find more information about our divisi ns and the regulations that ,. IIP impact you,subscribe to department newsletters and learn more about the _ Department's initiatives. �* Our mission at the Department is: License Efficiently Regulate Fairly. er ,,, J' . . constantly strive to serve you better so that you can erve your customers. It, Cf3RT2VI9b �8or t,6 vravisiom of .ch.4as rs Thank you for doing business in Florida, and congra ulations on your new license) XxViration data= AiTG 31, 201,2 L10092002216 I I DETACH HERE R 1A� AC# # Vim') 5e .tjR Ifi € QST � �, XgNT OB--3US NESS CONST-.-, TION I �ELZ Ek02216 rTM., r ,wz RU b _ F} `9Z DAJE INl eiz�t ' 1 4 8 9 F rxdx ;a f Chap t e r' �e: itC 31, 2012 ftpi� pgg = �p I'RUGTION GROUP $71V;- COURT, FL "13315-192; tam. OP ID:MA ACORL7` DATE(MM/DD/YYYY) �,,,,.... CERTIFICATE OF LIABILITY INSURANCE 04/11/12 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(les)must 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). CONTACT PRODUCER 305-223-2533 NAME: (Sure Insurance Brokers 2700 SW 137 AVE 305-220-0765 A No Ext:NE PJC No): Miami,FL 33175 E-MAIL Teresa R.Cannons, Agent ADDRESS: PRODUCER RELIA-1 CUSTOMER,,,: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Reliable Concrete Corp-dba INSURER A:Evanston Ins.Co. Reliable Construction Group INSURER B:Florida Citrus,Business(FUB) Camilo18 Ct. 1101 SW 18INSURER C:Travelers Property Casualty Co Ft Lauderdale,FL 33315 INSURER D:American Zurich Insurance Co. 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 ADDL SUOR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMMD/YYYY) (MMIDLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CL090202697 05/13/11 05/13/12 PREMISES Ea occurrence $ 100,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 1,000 A X Blanket Add9 Ins FORM#ME00901(01-09) PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OPAGG $ 1,000,000 X POLICY jECT PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,00 ANY AUTO BA5A337096 08/24/11 08/24/12 (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ C X SCHEDULEDAUTOS PROPERTY DAMAGE C X HIRED AUTOS (Per accident) $ C X NON-OWNED AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TRY LIMITSER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 10639768 04/01/12 04/01/13 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Equipment Floater EC70839611 01/26/12 01/26/13 Equiment 68,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,M more space is required) CONCRETE CERTIFICATE HOLDER CANCELLATION VILLAMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Fax:306-766-8972 10050 NE 2 Ave. AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 �� / 9070rm"._ ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD MAI SPptsbyUlfin OUP0 ,0 David Kinchen, Operations Manager Miami Shores Presbyterian Church 602 NE 96th Street Miami Shores, Florida 33138 April 6, 2012 Mr. Norman Bruhn Building Director 10050 NE Second Avenue Miami Shores Florida RE: Remove& Replace Damaged Sidewalk Dear Mr. Bruhn: Please be advised that Miami Shores Presbyterian Church has engaged Reliable Construction Group to undertake the above reference work on behalf of the church. If you have any questions whatsoever, please contact me directly. As always, it's a pleasure working with you. Best regards, David Kinchen Operations Manager 602 NORTHEAST 96TH STREET • MiAMi SkOREs, NOW& 33138 • TEIEPNONE: 305.754.9541 • FAx: 305.758.9597 E-MAil: MSpc@bEIIsoUTN.NET •WEb SITE: WWW.MSPC.NET m� ar i RELIABLE CONSTRUCTION GROUP Certified General&Paving Contractors CGC1508327 JOB PROPOSAL 03(21=12 Bruce Brown 402 NE 95th Street Miami Shores FL SIDEWALKS REPLACEMENT ® Outside sidewalks: e Replacement of nine(9)damaged sidewalic sections all around east side of min church building. • Removal and disposal of existing sliewaks. e 3,000 psi concrete admbdure. e Plain concrete with broom finish. • All materials,labor and woriananship included. A'q3 e No permit fees included within this proposal. ® ProiecfCost.•Sy..300.0-0 e Inside ckvaround sidewalks: • Replacement of four(4)damaged sideuralk sections Inside playground area. ® Manual removal and disposal of existing sidewalks. ' e 3,000 psi concrete adrnbdure(utiltZing pump concrete and pump machine). -' - d e Plain concrete with broom finish. ® All materials,labor and workmanship included. e No permit fees included within this proposal. ® ft ,Cost•.S950.00 1101 SW i8 court PHONE (786)3264041 Fort Laudwdale FAX (954)828.1362 ism E-MAIL CAMILORELIABLEOYAHOO.COM 9405 Park Dr, Miami, FL 33138-2743 Page 1 of 2 Pint yA:E4coo!. 9405 Park Dr. Miami. FL 33138-2743 tWl A #` a 4p 1 Adk 3 � t a 1 NE 94th St t ui� http://maps.yahoo.com/print?business=&location=9405%20Park%2ODr%2C%2OMiami%2... 4/6/2012 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 9 Fax; (305)756-8972 2/17/2016 Current Owner 602 NE 96 ST MIAMI, FL 33138-2742 Permit: DS-4-12-605 Address: 9405-33 PARK Drive Miami Shores FL Date Expired: 4/14/2013 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the.work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, (� -LIlb L�o Ismael Naranjo (CBO) Building Director