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PW-18-963Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Pe Issue Date: 7/5/2018 Permit NO. PW-4-18-963 Permit Type: Public Works Work Classification: Public Works Peat Status: APPROVED Expiration: 10/03/2018 Parcel Number Applicant 580 NE 92 Street Miami Shores, FL 1132060141340 Block: Lot: J ROBERT & DONALD JR STOB: Owner Information Address Phone CeII J ROBERT & DONALD JR STOBS TR 580 NE 92 Street MIAMI SHORES FL 33138-3173 9505 NE 5 Avenue MIAMI SHORES 33138-2728 Contractor(s) MORLIC ENGINEERING CORP Phone NONE CeII Phone Valuation: $ 3,000.00 Total Sq Feet: 300 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-4-18-67135 04/11/2018 Credit Card 07/05/2018 Credit Card Amt Paid Amt Due $ 50.00 $ 54.00 $ 54.00 $ 0.00 Available Inspections: Inspection Type: Excavation Review Public Works 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 a ume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fJi LECT LUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNE constru that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating morQ, I authorize the above -named contractor to do the work stated. orE•d Si, • • ure:`Owner ('/ Applicant / Buil •tng Department Copy Contractor / Agent July 05, 2018 Date July 05, 2018 1 A a • / • •• e•:•• �:• • �ii2o' ••••••• ••• •• • • • •• • •• • '.• • • • ••• • • • • ••• • • • • •• •• •• • • • • • • • ••• • • • • •• • • • • •• • • • • • •• •• • • • •• •• ••• • • • ••• • • n.e. 92nd street , eet miami. shores,floridQ' • ,•;.: • .y 7l M iA I(-.„ -,L r. -,- • DATA' 9 n a DEPT /� la Sub,JECT 10 Cc,t,,IPC`r E WI Pri ALL E(1.L) t,1:Li -TE A(v1 u L;,jjN ( ;-t.LL�S AND PECULATION/5 L_ _.__ __._ __ a yr JAL a!+ lie's e1 w ry 14- wm, Dizzipp roe ►ision Process No: THIS NOT A PER ** T- IS PERMIT. MUST PROSE FIRE MUNICIPAL INSPECTION RrEQUDREMENTS AND RECORD CARD AT THE TIME 0 . A FIRE INS ?,yam 0N• q u i I I i 0000235148 i 111 i q .. • • • •• • • • • • • • • • ••• • • •••• •••• • • •••• • • • • • • • • • • • • fi 4 Ai/ N E. 9e— yr sir: • 1I 1 1 LOCOY/OA/ MAP tcld, raamna- et " a, ;wn wrg; di: t, rrykr OF A moon' l rsof ,ao''u°1r�/2, As`°e aim to O un,619� ewar. h,rlea. SIM= MIL rl.m'<r.Z.i7404" . tr.ew Iw ea,r.nit waw Fipiiewtlsn Slan hwll re lulls. m Mllwst W ib �N 6Slel Fitii[Ip ..%�IOtlll¢a"tM tat ICE fill 5 n itni at aes<w tnaM 43e3 ware feet. or Or3f0 test•Lm .117:o Arm 1. I%K.ri!' aitrgcn4nls J�etenanN frltwe H Cul It �lais�aili�tai-tltn,MlxataaswMl or[Iw. • 4,a1 Microdot Mom ner„n /motif. De Cheat. a`er°`e l itallell met w 'iaw°ie A tka g wrtar to eli ahtcit SPos t north Or Om ISie e of Medea Boar, rasa. tun: Ru[s. PC. -ror rttm MESS srum" x.t. erw�'sy 3ww7„ n. $KETCH OF SURVEY FORTIN, LEAVY, SKILL'S, Inc. C,NxIArtsc [ACIN[!R4 Y AANO AM, DIMS P.M / 's.rear-a Nina wry Ives s.aa ws / F.rw Ns-rrM / Ir. mum. Ila.rfw - Miami Shores Village APR 1 018 Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2"d 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#: Name of Applicant (if utility see below): Owner off the following described property: Legal Description: Lot 24 Block 59 Subdivision Miami Shores Sec 2 PB 1 0-37 Folio#;1 1-32-06-01 4-1 340 Address:580 NE 92 St, Miami Shores F1 33138 UTILITY NAME: Qualifier/Authorized Agent: Address: City: State: ZIP: Telephone: Email: State Certification or Registration #: Certificate of Competency # CONTRACTOR NAME: Mor•Lic Engineering Corp Qualifier/Authorized Agent: Jose Orlando Mora Address: 3020 NW 7'9 'Avenue City: Doral l r; State: FL ZIP: 33122 Telephone:305-597-1 200 ', Email: gcastanedafamorlic . com State Certification or Regist `ration' #:1 4 9 0 5 8 0 Certificate of Competency #E 1 3 2 2 Requests permission to install (describe work, attach separate page if necessary) ip the adjoining righVf way: Repair and/o`r replace sidewalk — STC.it3f' ( .Sd» Carr AJG Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric; ,%❑,;'Irigation.= ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: State: ZIP: Telephone: Email: • •4 Registration #: ielewillodrisit;i!fttesok.Lti. Value of Work for this Permit:.. ��- shila.' la mita4 i� r $ i Square/Lin al5ootagyef mA diet ,6; tat, •"tuq%3 .fiin* !1 ***** 44 Fees ***** — 40 Permit Fee $ 100.00- Notary $ O Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ .7 Bond $ c (if required) Total Fee Now Due $ 34. . °r tqff lor;66?..)a) identification. Sign: Print: S APPROVED BY: Applicant or Authorized Agent e iitng instrument was akn cowledged'before` The foregoing day of Ptpn , 20 1 g , by me this who 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 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: As a 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 prope, y is subject to the attachment. Also, a certified copy of the recorded notice of commencement .cv(us be posted at the job site for the first inspection which occurs seven (7) days after the public w s e mit is issued. In the absence of such posted notice, the inspection will not be approved and . jj i p: ction will be charged. Signature (") " Thefor me this ).\AY,S-Lub, Signature oY\Gl is perso II kno n t me or who has produced is personally known to Qr who has produced —na• 'bbs Tr. as A/ "9' as MOAN MNLEN LEE Wary Milt . State a Flora Comaisslie QS12716 My Comm. Wires Jul 1Y, 1020 identification. Compan /U lity Agent instrument, as . knowledged before ay of , 20 1'9 , by o rote $.01:'a��y MILDREDY GOMEZ . Notary Public - State of Florida Commission # GG 124261 My Comm. Expires Aug 24, 2021 Bonded through National Notary Assn. Public Works Director, or Designee who 2017-04-15 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) Q . (, - on Cb hereinafter referred to as the owner of the followin described property (address): SY50 NE,92.001 S-I- Wank 1111111111111111111111111311311111111111111 CFN 2018R0217635 OR BK 30935 P9 1300' (1P9s) RECORDED 04/11/2018 15:18:33 HARVEY R:UVIN► CLERK OF COURT MIAMI--DADE COUNTYP FLORIDA Legal Description: Lot )C Block Subdivision Folio # 1l-,32tit- O(N -1390 Requests permission to install (describe work): try `�y}- co; jsh �-' eer Cam--Y +0�4 1c. r ,j Within the public right of way of (address) S St N9211p1 St ShbaS a. 33/3S IN CONSIDERATION 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 Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or hi,oriz- •representative). Signature Owner or State of Florida County of Miami Dade The foregoing instrument was �'. goIBcrA--S1th N�) as iden NOTARY PUBLIC: Sign: Print: M eo o 2)- � 5 acknowledged before me this 9441 day of P , 20 I , by who is personally known to me or who has prod ced tification. SE MillidtinAllt LEE Non POW • Me d Podia • IV C .•1*PN * $IN Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 11111111111111111111111111111111111111111 C FN;i 2018R _021763 OR BY, 3 935 Pg 13OI I (1P s ) 'RECORDED 04 i 11:201? 15 1.::. 8 I•iARVEY F,°ii\Jlh{e CLFF:K, OF COURT IMIAMI-DARE :OUI• T•r e FLORIDA HEREBY CEPT!FY that this is a thi,;, �: of the original filed i; s this ci e ort____ oa`TJ COVENANT OF CONSTRUCTION WITHIN RIGHT Crary Whereas, (owner) hereinafter referred to as the owner of the followin describ property (address): SRO NiE92.1 S-f' t4i n "7snd anti r• r . �� !" :f i y.n C111S D.C. Legal Description: Lot )C Block Subdivision Folio # l l -32n,- 0(4 —1390 Requests permission to install (describe work): y1r_,r)c � - coF}rjshmp i ' per ct .�! c��a nOY1 ,j Within the public right of way of (address) S O NER2nok St tdIxami Shorzs f. 33 /S IN CONSIDERATION 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 Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or hisrf011y . ut Iorizgd, representative). Signature \ Owner or State of Florida County of Miami Dade The foregoing instrument was acknowledged before me this crtil day of , 20 (g , by (-E gage. --Stabs who is personally known to me or who has prod ced as identification. + NOTARY PUBLIC: en Sign: L Print: M r- ( La_, I ,.o :'! - wiry hew MILLER LEE = r,�!�1wiry+ewe • eun of Rot* SEAN! :Commission 0 � 12. ne WIN.balm l*