PW-18-1431`SHORES LAC
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Kea
FtORtDA
Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
1080 NE 92 Street
Miami Shores, FL 33138-
Owner Information
GUCO HOLDING LLC
Permit NO. PW-5-18-1431
Permit Type: Public Works
Perlill't Work Classification: Public Works
Permit Status: APPROVED
Issue Date: 7/16/2018 1 Expiration: 10/14/2018
Parcel Number Applicant
1132050270400
GUCO HOLDING LLC
Block: Lot:
2700 SW 3 Avenue
MIAMI FL 33129-
2700 SW 3 Avenue
MIAMI FL 33129-
Contractors) Phone Cell Phone _ 1
CP CONSTRUCTION & INVESTMENT 1 (305)926-0977 II
Fees Due
Amount
CC F
$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
Phone
Valuation: $ 1,000.00
Total Sq Feet: 100
Pay Date Pay Type Amt Paid Amt Due
Invoice # PW-5-18-67694
07/16/2018 Credit Card $ 54.00 $ 50.00
05/24/2018 Check #: 2538 $ 50.00 $ 0.00
r
Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
In consideration of the issuance to me of this perry t, I agree to perform the work covered hereunder in compli ince with all ordinances and regulations
pertaining thereto and in strict conformity with the plat s, drawings, statements or specifications submitted to the prol ar authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all � or': done ' , _a1,�. r�;_c:f m', _ _ r' ys_ I understand that separate permits are
required for ELECTRICA'.. P'_ N ECNA^1+CP , l\11ND0VhS, DOORS, ROOFING end cWInnrnir�!; pnnL •yo. �.
OWNERS AFFID Wcoify that all the foregoinc informaton is accurate and that all work wili be done in --om 1liance with all applicable laws regulating
construction andermore, I authorize the r bove-named contractor to do the work stated.
Ju'y 16, 2018
Authorized Signature: Owner / Applica it / Contractor / Agent Date
Building Department Cop I
July 16, 2018
!AY 2 201
Miami Shores Village
` Public Works Department
(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 -Dad
e Property %
Permit#: t v
w i?.-
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot_L Block _Subdivision
Folio #; - 3105 — 0 29- —O ¢00
Address: kNA0 011�i a2.'1xd 5*%dQ % rw
UTILITY NAME:
Qualifier/Authorized Agent: ;5olscO Pr6-1tac(-0-5-T:tYF-,
Address:
City: State: ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: %Wkx"QCC LUC,
Qualifier/Authorized Agent:
Address: 00 SAD Yd POQ. 2.
City: ° State: ZIP:wack
Telephone: (22U) ,k�-- (-Uq9 Email: LaV IOs� C.bCotn� Ca+�
State Certification or Registration #: C. Gi:`— XZGS 21L ertificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in t e adjoining right of
way: ae ►�Aoy �' % 12eh(a.c2 6 �`J�'t�t�'ci � K row" U5?}tc, 1� Y r �vn(7-r?o -
Type of Work: ❑ Paving ❑ Utility X Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer: 3,U A PAS c .
Address: 1 3 S 5 COCA L W A-/
City: M I M I State: l ZIP: 3 3
Telephone: 30 3 3 Email:
Registration #: A,, r
Value of Work for this Permit: $�Square/Lineal Footage of work:
***** Fees *****
Permit Fee $ 100.00
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 posted notice, the inspection will not be approved and a reinspection will be charged.
04, P
Signature.4
Signature
ant or Authorized Agent Company/Util y Agent
The foregoing instrument was acknowledged before The foregoing instrument w s acknowledged before
lWh.is day of b 200, by me this �' day of CAA 20� by
31 Q who �Ad�dS CO who
is personally known to me or who has produced is personally known to me or who has produced
as
identification.
identification.
as
W.
Sign: vwpr v N k Sign:
N+�v��%&Mayra Carolina Montero
Prink '�qW Print: �
SEAPli a► CO�eMiSSION aT89M3 SEAL: *: �► t99t9�
41'IRES: NlIY 12 2019 Expires: Feb. 27, 2021
*TasY.GW Bonded thru Aaron Notary
APPROVED BY: 474 ublic 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
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
0R ILI'K 37A912 F3 2672 (1F3s)
Whereas, (owner)
hereinafter referred to as the owner of the following described
property (address): 10%0 t\�C q2md zttee4-
Legal Description: Lot I Block _3 Subdivision
Folio # 11-- 320 S- 02,7-- pgod
Regu sts permission to install (describe work): itr/yJQA;,t5j�^5 Dr'nn a4 0,wlk nor
t3oIJ NevJ , � I
Within the public right of way of (address) logo OF. Caml,
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 fully authorized representative).
Signature
Owner or Agent
State of Florida
/ iTATE OF FLORJDA. NIN]Y OF 0 G
. rimdantileinthb
MERRITT #310229
County of Miami Dade
The foregoing instrument was acknowledged before me this g�:4 day of r , 20 1_, by
Cvn who is personally known to me or who has produced
as identification.
NOTAw of 1121 1r-.
Sign
Print
` 0\R.?r//t ' Mayra Carolina Montero
SEAL Commission # GG077310
Expires: Feb. 27, 2021
''�•�,,,ol,' ,,V Bonded thru Aaron Notary