PW-18-1543 ,
Permit NO. PW-6-18-1543
`y 21% Miami Shores Village Permit Type:Public Works
t°o 10050 N.E.2nd Avenue NE ' work ciassirrcation:Public Works
Miami Shores,FL 33138-0000
- -ate Permit Status:APPROVED
Phone: (305)795-2204
FLORIDA`
Issue Date-6I8/2018 Expiration: 09/06/2018
Project Address Parcel Number Applicant
1050 NE 107 Street 1122320280520 I
GABRIEL MARTIN KUSKUNOV
Miami Shores, FL 33161-7374 Block: Lot:
Owner Information Address Phone Cell
GABRIEL MARTIN KUSKUNOV 1050 NE 107 Street
MIAMI SHORES FL 33161-7374
1050 NE 107 Street
MIAMI SHORES FL 33161-7374
Contractor(s) Phone Cell Phone $,2,000.00
Valuation:
AFFORDABLE IRRIGATION, INC 305-681-6322 Total Sq Feet: 0
Scanning: 1 Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
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Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.00 Invoice# PW-6-18-67815
DBPR Fee $0.00
DCA Fee $0.00 06/08/2018 Check#:21590 $54.00 $50.00
Education Surcharge $0.20 06/06/2018 Check#:21557 $50.00 $0.00
Permit Fee $100.00
Scanning Fee $3.00
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Technology Fee $0.80
Total: $104.00
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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 a ning. Futher ore,I authorize the above-named contractor to do the work stated.
,f,��P ,�of�f June 08, 2018
thorize ig ture:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 08, 2018 1
RECEIVED
Miami Shores Village JUN,06 1018r
Public Works Department CO
(305)795-2210
Public works forms are available from the building department,10050 NE 2nd Ave.,Miami Shores,FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type:Work in the Right-of-Way on Miami Shores Village or Miami-Dade Property
Permit#:
I
Name of Applicant(if utility see below): �, � 2;G� li�Jit ?�.� iG L!�'X:f-q7f ol,
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio#; //.. z Z .3 2 o,.2
Address: �• F �O 2 SV.e 7
UTILITY NAME:
Qualifier/Authorized Agent:
1 Address: 4Z 047
City: State: ZIP:
Telephone: Email:
State Certification or Registration#: Certificate of Competency#
CONTRACTOR NAME:
Qualifier/Authorized Agent: A X Co o-94 S
Address: / Q e 'e/ 14/ l.3. S?.eA'_-7
City:• IX r/,4 44 State:_F e- ZIP: 3 3i 6e
Telephone: of - 22 Email:.��,o�yggatlg;rz&' ��'e �e 7w
State Certific tion or Registration#: Certificate of Competency#: oeaoZ!9
Requests permission to install (describe work,attach separate page if necessary)in the adjoining right of
way:
q
Type of Work: ❑ Paving °0- Utility •"❑ Sidewalk ❑ Electric X"Irrigation" f.
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER:Architect/Engineer:
Address: Of
City: State: ZIP: ;4r
Telephone: Email: ": t _•_
Registration# • -., ,., �., n�y�- """"'�
Yr>..,.rxatrRe -,o. z.,,..,ww ,u++n•.*.a...iw.:+.w.nw `="°r .:..1r.*c _ '.^ , �a
I s. JU �, p< i,^• { I n,•;h 9 r i.` r�F3' vs. F' G�» S •4
Value of Work for,this'Permit., $ Square/Lineal Footage of,Work
�l ttB 7;+ M '+•lt''S�'.»C ,#t'� :'7Q� 1���6��+� B ie.,.:.C'fll .tai :t X47 �.,*b%��_..:.......•".�_.�
Fees
Permit Fee$ 100.00 x
Notary$ Training/Education$0.20 Technology Fee$0.80 Scanning$ 1
Bond$ (if required) Total Fee Now Due$
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Bonding Company's Name(if applicable):
Bonding Company's Address:
City: State: ZIP:
Applicatiori 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:Asa 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,afterthie public works permit is issued. In the
absence of such posted notice,the inspection will not'be approved and a reinspection will be charged.
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Signature Signature
Ap icant o Z' Y ent--k Company/ ility Agent
The foregoing instr ent was acknowledged before` ' The'foregoing instrument was acknowledged before
me this�day of OWZ 20_LF�by me this_day of cit C- 20 ZE by
,_,48,t-e. .i ?.4iTwho �.�_r_�� �,/,c J who
is personally known tome or who has produced is personall�v known t�V or who has produced
as as
identification. identification.
NO Y PUBLIC.
SAgnQ Sign:
P / Print: ,t:r e 70 �r
S „ SE
JORGE TOLEDO JORGE TOLEDO
MY COMMISSION#GG 0208074.`�1'10
MY COMMISSION#GG 020807
EXPIRES:August 22,2020 Bonded ThNry Public UnderwrlteR EXPIRES:August 22,2020
Bonded Thru Notary Pudic Underwriters
APPROVED BY: PA 1i Public Works Director, or Designee
2017-04-15
I l � � il� f11 �� � �11111 All MAE
RC F N 2 C) IR Ci 3 3 ii—il 716
OR BK 371001 P3 434.0 (IP9S)
Miami Shores Village RE(-ORDED 06/1 "i C, 2
H1.REY RUVINP 1.1 FRK OF COHR.1'
affix 111XI
Building Department AQ
U,.i=;r FLOR.M.;
10050 N.E.2nd Avenue
'rrz i Miami Shores, Florida 33138 1;1A1 It L*-FLOOLIA,COLIN I Y Of DAVE4-0 Tel: (305) 795.2204 'HEPZBY CER77FY that this is a&w the
**W filed o this am on-
Fax: (305) 766.8972
AD4
SS
&WhU Md al.,Sei.
4AI;n*y R",GLWK, and Gowdy C"ft IN
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAN%
Whereas, (owner)_(::�.—d 3
Re
hereinafter referred to as the owner of the following described
property (address): S-0 V. C /0 7 S
Legal Description: Lot Block Subdivision
Folio #
Z 3 2 - 024f Ea
Requests permission to install (describe work):
Within the public right of way of,(address) 1P,_!EQ /6 iF Za 7 S75ee.,_-7.
IN C ONSIDERATION 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 Dade County to
make repairs or maintain said items within public right of way including restoration of 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 hereby agree to indemnify and hold Miami Shores Village or 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 60 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 obligations has been canceled by an affidavit filed in
the Pukc Records of Dade County, Florida by the Village Manager of Miami Shores Village
(or his ull auth
Signature i9 2 e (A)
Owner or Agent
State of Florida
County of Miami Dade
The foregoing instrument was acknowledged before me this day ofT&,y e- 20,4_, by
6ABA;C1 AZIA11111 is-personally known to me or who has prt&ced
as idergification.
NOTARY PUB IC: JORGE TOLEDO
MY COMMISSION#GG 020807
Sign:
EXPIRES:August 22,2020
Print: Bonded Thru Notary Public UnderwIters;
SEAL:
Property Search Application-Miami-Dade County https://www.miamidade.gov/propertysearch/#/ '
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IMPORTANT
MESSAGE
When buying real estate property, you should not assume that property taxes will remain the same.Whenever there is a
change in ownership, the assessed value of the property may reset to full market value,which could result in higher property
taxes. Please use our Tax Estimator to approximate your new property taxes.
The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collector's website '
directly for additional information.
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Address Owner Name Subdivision Name Folio
...................
SEARCH. 1050 ne 107 street ? Suite Q Print Results
EXACT MATCH NOT FOUND FOR SEARCH CRITERIA ENTERED. 1 POSSIBLE MATCHES) ARE LISTED
BELOW.
Click on the Folio number to view property details.
FOLIO: 11-2232-028-0520
SUB-DIVISION: MIAMI SHORES ESTS
OWNER: GABRIEL MARTIN KUSKUNOV
PROP.ADDR: 1050 NE 107 ST
MIAMI SHORES
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on
record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://wvlw.miamidad
e.gov/info/disclaimer.asp
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