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PW-18-327Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-296998 Permit Number: PW-2-18-327 Scheduled Inspection Date: April 10, 2018 InspectoriMiranda, Chris Owner: GONZALEZ, MARIO Job Address: 9811 NW 1 Avenue,. Miami Shores, FL 33150- Project: <NONE> Contractor: STAR ISLAND CONCRETE DESIGN CORP Permit Type: Public Works Inspection Type: Final Public Works Work Classification: Public Works Phone Number (786)236-0135 Parcel Number 1131010330080 Phone: (305)776-7916 Building Department Comments DRIVEWAY ON RIGHT OF WAY AREA Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments ti)04-L 1.4 0 0T 45 Pci2._ 2L ,e- e-c appai2J J April 09; 2018 For Inspections please call: (305)762-4949 Page 3 of 28 Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address P Issue Date: 218/2018 Permit NO. PW-2-18-327 Permit Type: Public Works Work Classification: Public Works Permit Status: APPROVED Expiration: 05/09/2018 Parcel Number Applicant 9811 NW 1 Avenue Miami Shores, FL 33150- 1131010330080 Block: Lot: MARIO GONZALEZ Owner Information Address Phone Cell MARIO GONZALEZ 9811 NW 1 Avenue MIAMI SHORES FL 33150- (786)236-0135 9811 NW 1 Avenue MIAMI SHORES FL 33150- Contractor(s) Phone STAR ISLAND CONCRETE DESIGN CC (305)776-7916 Cell Phone Valuation: Total Sq Feet: $ 1,000.00 250 Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.00 $0.00 $0.00 $0.20 $100.00 $3.00 $0.80 $104.00 Pay Date Pay Type Invoice # PW-2-18-66388 02/08/2018 Credit Card 02/08/2018 Check #: 114 Amt Paid Amt Due $ 50.00 $ 54.00 $ 54.00 $ 0.00 Available Inspections: Inspection Type: Excavation Review Public Works Final Public Works 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. Futirmore, j thorize the above -named contractor to do the work stated. Ot,M Authorized Signature: Owner / Appl ant / Contractor / Agent February 08, 2018 Date Building Department Copy February 08, 2018 1 Miami Shores Village Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Sho , L 33138 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): rk. CA. r ( 1D 0t`2618 Permit#�S� tJSaG b 013) -3a; zu (ez Owner off the following described property: I Legal Description: Lot P 1 3 Block is g Subdivision ("1 o d ,� , SLofc. Folio #; \ \ - 3 `— d�� —p©%b Address: ��� ( UTILITY NAME: S-Vo.1_1__ S (yto Agent: ce Qualifier Authorized � /1"\ l�`C � Cl Address: 10 I$_ tJ (4-1� City: '''tto►v.,. , State: ZIP: 13 /,22, Telephone: Email: State Certification or Registration #: Certificate of Competency # eo201`Lo3 CONTRACTOR NAME: Qualifier/Authorized Agent: Address: 0 l.J City: ta....� State: V( ZIP: 33/s9 Telephone: SC,r7 - t-(0)17 Email: State Certification or Registration #: Certificate of Competency #: *G a014O 3 Requests permission tq in tall (describe work, attach separate page if necessary) in the'adjoining right of way: N 1.J III S Type of Work: ❑ Paving ❑ Utility ,❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: State: ZIP: Telephone: Email: Registration #: f,,' A"7'1'c' It 'l:yPl,„ w• , �.—,�. ,__.....,, )iir �� 1 -w• ,«a.r....N,y,p Value oftWork for, this Permit ;i$ �;� 000 Square/Lineal Footage of,Work o� ;t `' ilk 1p fC ii. ri �t r Srt.., is c. C., 1' l` .,.,1 lli:+ ar . ; ); ***** Fees *****t) 4Permit•Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ _ Bond $ (if required) Total Fee Now Due $ 'i . .J. Li., { 0 ttiT. 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 andthatell 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 YOVINTEND TO`OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE,RECORDING YOUR NOTICE OF COMMENCEMENT." t " ` ' '' • '' Notice to Applicant: As a condition to the issuance of a public works permit with an estimated value exceedingt$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 o'fth' 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 d a•reinspection will be charged. • Signature Ap. ' ca t or horized Agent The fore inst . •• w s acknowledged efore m this day of r _ • by � 0.‘ f) ©N?112Ce who is personally known to me or who has produced as • ) identification. NOTARY PUBLIC: Sign: APPROVED BY: Signature The fore me thi tility Agent as'acknowledged before 20(,by who is personal) kl'wn to me or who as produced as identification. NOTARY PUBLIC: Sign: Print: SEAL: MARIA DE BRUZOS MY COMMISSION # GG 136575 EXPIRES:�Augyus�t�21, 2021 •FVFF4��`' Sonded"' Notary Public Undetwiiters **************************** Public Works Director, or Designee 2017-04-15 SPECIAL POWER OF ATTORNEY KNOW ALL MEN by these presents that MARIO GONZALEZ III, constitutes and appoints and by this present does make, constitute and appoints VANESSA CASTRO GONZALEZ, as true and lawful attorney -in -fact for himself and his name, place and stead, giving and granting unto VANESSA CASTRO GONZALEZ, full power and authority to act and appear for and on his behalf before the City of Miami Shores to execute any document necessary for including but not limited to the remodeling, building, improvement, renovation of the property located at 9811 NW 1't Avenue, Miami Shores, Florida 33150, more particularly described as: Lots 12 and 13, Block 128, MIAMI SHORES SECTION SIX, according to the Plat thereof, as recorded in Plat Book 10, at Page 39, of the Public Records of Miami -Dade County, Florida. VANESSA CASTRO GONZALEZ, as attorney -in -fact is hereby authorized and empowered, to make, appear, execute and deliver, any document necessary to effectuate the above mentioned purpose including but not limited to building permits, building applications, inspections, a ;: ements with City of Miami Shores Building Department and to do any other act or thing nece , useful or convenient to accomplish and carry out the specific foregoing purpos Signed in jhe presenciof: Print Witness Name: 1' Q r t \ ikes Print Witness Name: STATE OF FLORIDA COUNTY OF MIAMI-DADE ) )SS: ) d lari io Go ' — I HEREBY CERTIFY that on this day, personally appeared before mc, an officer duly authorized to ad t irist r oaths and take acknowledgments, MARIO GONZALEZ III, who presented as proof of identity and who executed the foregoing Power of Attorney and why acknowledged that he executed the same freely and voluntarily for the uses and purposes therein expressed. WITNESS my signature and official seal this (p day of --1 ' , 2018. ISIS VALLE Notary Public - State of Florida Commission # FF 219796 f ,�;� My Comm. Expires Aug 6, 2019 Bonded through National Notary Assn. -------NOTARY PUBLIC, STATE OF FLORIDA Serial Number: Commission Expires: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 I iimi emmiu lion imi iiiii iuu iiu im C FN 2C 1;SRC 073836. OR BK 30JL 3 Pe 1373 (1Pg's) RE:CORDEr 02'H ,/2ii(,' 11.;57:."I HARVEY RUVIN1 CLERK OF COURT MIAMI-DAfi E. COUNT , FLORIDA a. OF FLORIDA,, CoUNTY OF DADE Y CERTIFY tiriY this is a true copy of the � 1 r�ay • it thr office one of WIN ;SS my ha r and Oi!rck)I Seal.• COVENANT OF CO STRUCTION WITH RIGHT O ' W,\ cY ERK'�� County Courts Whereas, owner e,� ��� �P STAT !HER, origin ( ) SSA Za hereinafter referred to as the owner of t1 e f Ilowing described property (address): + ( 13AZ 5 MT' p Legal Description: Lotu.F3 Block b? Subdivision Folio # _I`-- TMO 1 — 03-7Th —OO$O �j Requests permission to install (describe work) Cov f ? 1 tom- � Uca ,reS ,.ae Within the, public right of way of (address) 9 CAI l h 1 4 s* AJ-t. • AN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: ti 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 complymith this notice will result in the Village causing the items) 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 Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully - thorized representative). pcs D.C. Signature .Owner or Agent State of Florida County of Miami Dade �e SS0 %L, s (lie foregoing instr ent w acknowledged before me this S day of \I 0,v\> SS 202. o is personally known to me or who has produced as identification. NOT ' ' Y PUBI,.IC: Sign: Print: 20 , by iq`r•+ ; MARIA DE BRUZOS :, MY COMMISSION tt GG 136575 ao EXPIRES: August 21, 2021 'fRF" °' ' Bonded Thu Notary Public Underwriters