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PW-18-1869yyeN'_�o c FtoRioA Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. PW-7-18-1869 Permit Type: Public Works Per it Work Classification: Public Works Permit Status: APPROVED Issue Date: 7/13/2018 1 Expiration: 10/1 V201$ Parcel Number Applicant 1111 NE 91 Terrace 1132050010120 ANDREA &UWE KREUTER Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ANDREA & UWE KREUTER 1111 NE 91 Terrace MIAMI SHORES FL 33138- 5161 COLLINS Avenue MIAMI BEACH FL 33139- Contractor(s) Phone Cell Phone VIZCAYA ESTATES DEVELOPMENT If (786)290-0135 ning: 1 Fees Due Amount CCF $0.00 DBPR Fee $0.00 DCA Fee $0.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $104.00 Valuation: $ 10,400.00 Total Sq Feet: 130 Pay Date Pay Type Amt Paid Amt Due Invoice # PW-7-18-68194 07/13/2018 Check #: 317 $ 104.00 $ 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, MECHgN$C—AL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFPAVIT: I certify that all to foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction anA zoning. Futhermore, I authorize the above -named contractor to do the work stated. July 13, 2018 Authorized Signature: OWnbf Applicant / Contractor / Agent Building Department Copy July 13, 2018 1 W5 RECEIVED Miami Shores Village JUL 112018 Public Works Department (305)795-2210 Q'� +1 Public works forms are available from the building department, 10050 NE 2"a 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 � va(��j Permit#: D`' Name of Applicant (if utility see below): U� e` �V�tti 111`— Owner off the following described property: Legal Description: Lot Block Subdivision Folio #; Address: l IU , 1 7�241� , Ot/1(�w< < • 5�� FL 3313 Z UTILITY NAME: Qualifier/Authorized Agent: Address: City: Telephone: State Certification or Registration #: X CONTRACTOR NAME: U 1 Qualifier/Authorized Agent: Address: �� 4 ` �7 City: � I un,\ Telephone:76(o -Z.R0 ©1,� State Certification or Registration %� Requests permissio to way: .4 K State: Email: �oYe E&N V"kb% C. IZA, vT ZIP: Certificate of Competency # State: ZIP: 33 4Z'o Email: �1.�G�G.C�O\+EZ.20 a� A.CO\ - C0oV% 32%G'00 2,8" 13 Certificate of Competency #: I (describe work, attach separate page if necessary) in the adjoining right of Type of Work: El Paving ❑ Utility El Sidewalk El Electric El Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: Telephone: Registration #: State: ZIP: Email: Value of Work for this Permit: $ Square/Lineal Footage of Work: I ***** Fees***** Permit Fee $ 100.00 a Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ Bond $ (if required) Total Fee Now Due $� 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 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 after the public works permit is issued. In the absence of such poste notice, the inspection will not be approved and a reinspection will be charged. f i Signature ` g Signature Ap icant o uthorized Agent pa y/Utilit Agent The foregoing instrumen was acknowledged before The foregoing instrume t w s nowle before met -6 day of 20 , by me this � day of _ 20 4, by who a, ve, S who is personally known to me or who has produced is pe�rsonall�kn� • me or who has produced as as identification. Sign: Print:;- SEAL: i r o COMM/SSIO►yg Gftkk' "'• of «o +� ed EXPIRES: * 4G2020 7879 ThN Notary p� u�,. �. APPROVED BY: identification. kL,- S. 61 77f Print: I"1c n `GU l2 SEAL: _ - OMSMW,SSARUIZ. ION ON BoodedTIVU JU1Y4,` owli' Public ***************************** t Public Works Director, or Designee 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 CFN 201BRO413135 OR BY. 31052 Rla 3294 (1F9s ) RECORDED 07/11/2018 09:38:09 HARVEY RUVINt CLERK OF COURT MIAMI-DADE C:OUNTYr FLORIDA COVENANT OF CO ,VSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) jfitld W rf� hereinafter referred to as the owner of the following described properly (address):11 11 N6 C1I V- t'e-1'K Legal Description: Lot Block Subdivision --Folio-#- ----------- - -- ---- --- - - -- —- Requests permission to install (describe work):4�2ige wa.K Within the publicAn,ht of way of (address) L k 1 1 t)6 Gl l I"I f Gih i 9`te��. 1 3 3M 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 his f ly authorized representative). Signature y - Owner or Agent State of Florida County of Miami Dade The f regoing instrument was acknowledged before me this 01 day of ,jam , 20 , by e/t-w� who is nersonally1_ to me or who has produc d ', as identification. NOTARY U Sign: /VcAo, S- (Liti►2 6-2,ri- -- 9=rE of r-L GOUNTY OF DADE # Hany Y ,All is a true copy of ft Brow ead 9 --- day 0( 'v _AD 2_ tt end Seat. MtARY C !(, of Circuit and County Courts B'#r D.C. Ll MARIASUSANARUIZ-GONZALEZ ;tcMY COMMISSION # GG 007879SEAL: EXPIRES: July 4,2020 g' ;$.' Bonded Thru Notary Public Underwriters