PW-18-1457Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permi
Permit NO. P'11V-5i- 8-1' 4►7
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
Issue Date:: 8/7/2018
Expiration: 11/05/2018
Parcel Number
Applicant
150 NE 107 Street
Miami Shores, FL 33161-7032
1121360070200
Block: Lot:
PATRICK & SARAH SULLIVAN
Owner Information
Address
Phone
Cell
PATRICK & SARAH SULLIVAN
150 NE 107 Street
MIAMI SHORES FL 33161-7032
Contractor(s) Phone
DRIVEWAYS BY DESIGN INC (305)776-7916
Cell Phone
Valuation:
Total Sq Feet:
$ 6,000.00
900
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$o.00
$0.00
$0.20
$100.00
$3.00
$0.80
$104.00
Pay Date Pay Type
Invoice # PW-5-18-67722
08/07/2018 Credit Card
05/29/2018 Credit Card
Amt Paid Amt Due
$ 54.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Excavation
Review Public Works
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 assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUM: G, MECNAKI L, WI WS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAV
construction and-zbni .
oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
te,"1=aufhorize the above -named contractor to do the work stated.
ed Signature: Owner / Applicant / Contractor / Agent
August 07, 2018
Date
Btri ding Department Copy
August 07, 2018 1
Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available from the building department, 10050 NE 2"' 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 IDS
ID S
Name of Applicant (if utility see below): .6i4:Z44swt l:deA-d-%.
Owner off the following described property:
Legal Description: Lot L/ Block 208 Subdivision (,vVltic,%J fi2c,cnu; A on-'
Folio #; J/ -Z/,; 6 -o o - oZ(^
Address: f fO /U /O'}t"I"
UTILITY NAME:
42,T / 102-r H -JJ/ra/
Qualifier/Authorized Agent:
Address:
City: State: ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: Driveways by Design, Inc
Qualifier/Authorized Agent: Rene Verlaat
Address: 222 NE 65th Street
City: Miami State: FL ZIP: 33138
Telephone: 305-779-0965 Email: rene@drivewaysbydesign.com
State Certification or Registration #: Certificate of Competency #: E 17 0 0 3 3 6
Requests permission to install'(describe work, attach separate page if necessary) in the adjoining right of
way: CO&CRere _SLc:c35 ,02ci/E�.... K /M /2T✓T c.>
Type of Work: [t Paving ❑ Utility ❑ Sidewalk ❑ Electric 0 Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ 6679V Square/Lineal Footage of Work: C((�
*****Fees***** l
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ op
�_ AJoJ
1r e
F,
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 ii 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 $2,500, the applicant must promise in good faith that a copy of the notice of commencement
and construction lien law brochure will be delivered to the person whose property is subject to the
attachment. Also, a certified copy of the recorded notice of commencement must be posted at t
site for the first inspection which occurs seven (7) days after the public works permit is is
absence of such posted notice, the inspection will not be approved and a reinspe
Signature
Ap ant or
The foregoing instrument was ac ' - .:td before
m this°1- day of ` , 201 , by
.Ai
r S i Q ,r\
is personally known to m or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
Print: rf �� A i�-e
SEAL:
EVELYN ARTOLA
S ,•, % MY COMMISSION # FF 950401
' EXPIRES: February 7, 2020
V.?, o „: Bonded Thru Notary Public Underwriters
APPROVED BY:
2017-04-15
Signatur,
Company/Utility Agent
The f$ng instrument liras acknowledged before
me this 3° day of AOt'2 - , 20 18 , by
/2EME (I 26A-A-t who
r who has produced
identi
NO
Sign:
L
Print:
SEAL
MAXIME KOMORNIK
kState of Florida -Notary Public
•; Com'mission # GG 128031
My Commission Expires
1 July 25, 2021
*.l
***********************************
I
1( l( , Public Works Director, or Designee
111111111111111111111111111111111111111111111
C Fha :201 8R02798':i4-
OR BK. 30972 F'3s 1356-1.57 (2F'3s)
'RECORDED 05/091201 14
nt;-
HARVE'i RUVINr CLERK OF COURT
I'1IANI--DARE COUNTY, FLORID
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) IAkJ(_4_vCA- hereinafter referred to as the owner of
the following described property (address): Jc / c AJ E- «� d C
Legal Description
Folio# it — Z/3C— 010 -- 0200
Requests permission to install (describe work): 7211 C_L4 J C1 y , ‘X-CLef LJa. , ,e ua e 1 f/1.4 .
Lot Block Subdivision l(XVlvi S //14arti, J "Iuo/C1
-• do 3
Within the public right of way of (address)
J Sa f ! 01-H (�E 4Zt c L/-tc -
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.
1
OR BY, 30972 PG 1357
EAST T PAGE
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 covenanttrurining with the land
and shall remain inrfutl1orce and effect and be binding on the undersigned, their heirs and -assigns, until
such time as this obligations.bas: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 authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 9 /I&day of ApAL ,201
SIGNED, SEALED, AND DELIVERED in the presence of:
Mix IMF___ ko/,-t02Ndr
•
,,o�;pf ,ki MA I K O M O R N I K
; e • •rida-Notary Public
oi!
_..
�•a
N I '` C•sion#GG128031
„ �o',. y mmission Expires
"" "`� (July 25, 2021
2
ner's Signature )
STATE OF FLOAIDA, COUNTY OF DADE
I HEREBY CERTIFY that this is a hue copy of rise
originpl ffll in this Ore 20 I13 dey of
WilrhoSS D 20
my end aciel Seal.
NARU,EY CLERK, of Circuit and County Covets
91-- D.C.
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RECEIVED
JUL 10 2018
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[GFERAL
LEGEND:
BCR = BROWARD COUNTY RECORDS
BM =.EACHMARK
CB = CATCH BASIN
C/L , = CENTERLINE
CLF` = CHAINLINK FENCE
CLP = CONCRETE LIGHT POLE
CBS = CONCRETE BLOCK STRUCTURE
CONC = CONCRETE
C/S = CONCRETE SLAB
DE = DRAINAGE EASEMENT
D = DELTA (CENTRAL ANGLE)
E = EAST
ELEV. = ELEVATION
X 0.00' = EXISTING ELEVATION
EOP = EDGE OF PAVEMENT
EOW = EDGE OF WATER
FF = FINISHED FLOOR
FH = FIRE HYDRANT
FN = FOUND NAIL
INV = INVERT
FIP = FOUND IRON PIPE
FIR = FOUND IRON ROD
FND = FOUND NAIL AND DISC
L = ARC LENGTH
MDCR = MIAMI DADE COUNTY RECORDS
N = NORTH
N/D = NAIL AND DISC
MF = METAL FENCE
ORB = OFFICIAL RECORDS BOOK
O/S = OFFSET
PB = PLAT BOOK
PBCR = PALM BEACH RECORDS
PC = POINT OF CURVATURE
PG = PAGE
POB = POINT OF BEGINNING
POC = POINT OF COMMENCEMENT
PVCF = PLASTIC FENCE
R = RADIUS
R/W = RIGHT OF WAY
S = SOUTH
SAW = SIDEWALK
SIR = SET 1/2" IRON ROD
SND = SET NAIL & DISC
UE = UTILITY EASEMENT
UP = UTILITY POLE
W = WEST
W/F = WOOD FENCE
W/M = WATER METER
NGVD = NATIONAL GEODETIC VERTICAL DATUM OF 1929
THE FLOOD ZONE DATUM SHOWN BELOW IS REFERENCED TO 1929
, `N.E1O7th STREET % �i �'
i. , 16'ASPHALT j//'-i / / /i--
• f / . i i (TOTAL)75 RMW (TOTAL)
. ,ASPHALT SHOULDER ' '
t)
M
FIP ,n"
•Off'
S 01°01'18" E 123.53'
1 0.0'
b0 0'
1
0.0'
N 89°00'00" E 75.00'
11.5'
To
29.1'
u7
N
18.6'
ONE STORY
CBS RESIDENCE
#150
LOT 4, BLOCK 208
FF ELE = 11.25'
21.6'
N
4.8'
FIP 1/2"
/ r
CONC
DRIVEWAY:
r
s.
.11.10'
•
+10.80'
5' CONC SPIV'
.10.75'
+11.01'
+N.05'
6' WOOD FENCE
FIP 1/2"
S 01°01'18" E 123.58'
.10.75'
6' WOOD FENCE 0.2'
FIP 1/2" — —
° 218" E 75 00' wI"./..
/. W, / %' / /. .
3 ppp /
i j/ j 10'ASPHALT, ; // / %/ j '/
N 89°00'00_E 225.00' I� 0
—BLOCK
CORNER
LEGAL DESCRIPTION:
LOT 4, BLOCK 208 OF "DUNNING'S MIAMI SHORES
EXTENSION NO. 3" ACCORDING TO THE PLAT
THEREOF, AS RECORDED IN PLAT BOOK 42, PAGE
33 OF THE PUBUC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA.
CERTIFICATIONS:
SARAH SULLIVAN
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SURVEYORS NOTES:
41). BEARINGS SHOWN HEREON ARE REFERENCED TO THE
WEST LINE OF LOT 4 (801'01'18"E) PER THE RECORD PLAT AND
ARE ASSUMED.
(2). LEGAL DESCRIPTION PROVIDED BY CLIENT UNLESS
OTHERWISE NOTED.
(3). NO UNDERGROUND IMPROVEMENTS LOCATED EXCEPT AS
SHOWN.
(4). THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A
TITLE COMMITMENT THEREFOR THE ONLY SURVEY MATTERS
SHOWN ARE PER THE RECORD PLAT. THERE MAY BE
ADDITIONAL MATTERS OF RECORD, NOT SHOWN WHICH CAN BE
FOUND IN THE PUBUC RECORDS OF THE CORRESPONDING
COUNTY OF RECORD.
(5). THIS SURVEY I8 FOR CONVEYANCE PURPOSES ONLY
(6). THIS SURVEY 18 NOT TO BE USED FOR CONSTRUCTION
PURPOSES AND/OR NEW DESIGN.
(7). BENCHMARK REFERENCE: N 566, ELE = (NGVD 1929)
Boundary Survey
PROPERTY ADDRESS:
150 NE 107TH STREET
MIAMI SHORES, FL 33161
FLOOD ZONE DATA:
REVISIONS:
DATE:
SCALE: 1" = 20'
ZONE: X NIA
FIELD LOCATION OF IMPROVEMENTS
03/22M8
CADD: DJC
COMMUNITY #: 120652
PANEL & SUFFIX: 0302 L
CHECKED BY: JSP
THIS SURVEYS MEETS THE STANDARDS OF PRACTICE AS SET
FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS_
AND MAPPERS 1N CHAP Fj4J-17, FLORIDA ADMINISTRATIVE CODE.
INVOICE #: 18.46999
DATE OF FIRM: 9/11/09
SHEET # 1 OF 1
JULIO S. PITA. PSM.,STATE"OF FLORIDA
PROFESSIONAL SURVEYOR AND MAPPER LS 5789
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
ALL COUNTY SURVEYORS
51* UCEN$E NO.6677
-e� ICE: (954) 777.4
_AX: (954) 777-270
5400 SOUTH UNIVERSITY DRIVE
DAVIE. FLORIDA 33328 SUITE 218