PW-18-2325Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:10/29/2018'
Location Address Parcel Number
1296 NE 99 ST, Miami Shores, FL 1132050090140
Contacts
Permit No.: PW-8-18-2325
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved`
Expiration: 04/29/2019
FILPO PROPERTIES LLC Owner FILPO PROPERTIES LLC Applicant
1296 NE 27 ST 2904, MIAMI , FL 33137 1296 NE 27 ST 2904, MIAMI , FL 33137
Other:9147140878 Other:9147140878
MIAMICRETE INC Contractor
ENRIQUE NUNEZ
Business: 3057904850
Description: PLAIN CONCRETE DRIVEWAY Valuation: $ 2,000.00 Inspection Requests:
Total Scl Feet: 274.00
Fees
Amount
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$105.70
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$105.70
Check # 5351
10/29/2018 $55.70
Deposit
10/25/2018 $50.00
Amount Due:
$0.00
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. Futhermore, I authorize the above named contractor to do thefwork stated.
Authorized Signature: Owner / Applicant / Contractor /
October 29, 2018
Date
Page 2 of 2
RECEIVED
AUG 302018
Miami Shores Village ^ _�
Public Works Department (`Y►-_C�
(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
� j
Permit#: TS 16
v `
�w I
Name of Applicant (if utility see below): V�`."Q o 4L.0 24=A , c�_5
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio#; 05 - oc (c=-
Address: (ooa (.� Z, '5 ` AV �O � ��.1. r cv:., -7L 10wOelt
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City: State: ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: VA%` ,0t,
Qualifier/Authorized Agent:
Address: _` -\\. _', n, �.lo
City: 44-3"- C. State: �-,L- zip: 33\ 5 S
Telephone:3o59`1j-6 $`1'Q Email: _�PPQnon 4s ® �c •c.o r•-,
State Certification or Registration #: Certificate of Competency #: o S 65 ooG 5 3
Requests permission to install (describe ork, attach separate page. if necessary) in the adjoining right of
way: 2 L, % %Z �o c�cr E- '�-: �s-� n J"
Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer: ;f,
Address:
City: State: :ZIP:
Telephone: Email:
Registration #:
y �
Value of Work for this Permit: $ ZQCb Square/Lineal Footage of Work: Z`t
***** 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.
A.
Signature / .f •
Applicant or Authorized hgKnt
The foreg ing instrument was acknowledged before
me this day of 20 18 , by
0-411. who
is personally kQrwn to me or who has roduced
as
identification.
40
Signature
C nt
The fore ing instrument as ac owledged before
me this ?oday of 20L!&_J by
N who
is personally ow o me or who roduced
as
identification.
7
Sign:Sign:
Print: OL - Print:
SEAL: SEAL:
�1GA'• ' onF i i�F
$V * r
******************d*********************
APPROVED BY: 1b o Public Works Director, or Designee
2017-04-15
Illul IIIII IIIII IIIII Illli Illil IIIII illl III
-4
It
DOCUMENT COVER PAGE
For those documents not providing the required 3 x 3 inch
space on the first page, this cover page must be attached.
An additional recording fee for this page must be remitted.
Document Title: r-C-LV_t"�
(Mortgage, Deed, Etc.)
Return Document To / Prepared By:
OR BK. 31120 F'as 1929-193ii (2E•3s)
RECORDED ii�;
Hf;RVE''i r:L14Illr G1_EfiK. O; _011-F:T
,IiHnT--DACIE: i:OIJN `i 4 1=i.-ORIi-1;;
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I------------ -- ------------------
(Space above this line reserved for recording office use)
Rule 2.520 (d) On all ... documents prepared ...which are to be recorded in the public records of any county... a 3 - inch by
3 - inchspace at the top right-hazid corner on the first page and a I -inch by 3 -inch space at the top right-hand corner
oneach subs equentpage shall beleft blank andresen,edfor use by the clerk of court.
CLK/CT 155 Rev. 08/16
Clerk's web address: www.miami-dadeclerkcom
G R B i''£,. 3 1 1 21-1 P G 1;
LAST PAGE
SNORms ; HE1?C!`sy .;`� ir',',l•t_. , �i
:a ti..; ;
ZOr A AR Y RUVIN t, t-rF ,u cv)Ojn!r, C
uti
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner)*1 I W Pry r+l'tS hereinafter referred to as the
nwner of the followinn rip- rrihpri nrnnart r lnrmrm��N- 17ak L Q4
- -- --- ---- �--------- r•-r.-.., k........,.--I- -.a — r — .vas i , '=r
Legal Description Lot Block Subdivision
Folio # 1 \ - Zo S - oo 5 - o 1 y 0
Requests permission to install (describe work): C_ W-0m�=V
Within the public right of way of (address) t ZQjfo i� qg s
IN CONSIDERATION of the approval of this permit
2.
3
4
Signature.
the Village, the owner agrees as follows:
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.
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.
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).
They undersigned further agrees that these conditions shall be deemed a covenant
run fng with the land and shall remain in full force and effect and be binding on the
un ersigned, their heirs and assigns, until such time as this obligations has been
ccfeled by an affida ' file in the Public Records of Dade County, Florida by the
d ape Manager o�ll�li m Shpres Village (or his fully authorized representative).
as taentfrlcmit9n an
NOTAR
Sign: _
Owner or Agent
i nt was acknowledged this ( day ofO, 20 by
o is personally nown to me or ho has produced
rh di fake an oath.
Print: Y
My Comm'isslon Exp es,
LARITZA VA2t1UE1•CESPEDES
Notary Public - State of Florida
' : • iE Commission # FF 948571
iFOF'` My Comm. Expires Jan 6, 2020
"•��•` Bonded through National Notary Assn.
OR B 4''.. 31 1 21D PG 1 9 3 CI
LAST PAGE
SH��s
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, (owner6l I W 'Pro +1'6S • hereinafter referred to as the
owner of the following de cribed propert (address): IZO� 4 Ng gg -s-r
Legal Description Lot Block Subdivision
Folio # � \ -3Zo S- c�c ! - o 15( a
Requests permission to install (describe work): cIN = e—
Within the public right of way of (address) _A 7
IN CONSIDERATION of the approval of this permit
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
Aunrsigned,
ng with the land and shall remain in full force and effect and be binding on the
their heirs and assigns, until such time as this obligations has been
led by an affida ' file in the Public Records of Dade County, Florida by the
a Manager oNi m Shpres Village (or his fully authorized representative).
Signature - \/ ffS /O
Owner or Agent
MON acknowledged this v ( day of , 20 by
s personally nown to me or ho has produced
as ideakeanoath.NOTA
Sign:
Print:
My Com ission 1 xeSi., .... LARITZA VAZOUEZ-CESPEDES
Notary Public - State of Florida
Commission Ar FF 948571
My Comm. Expires Jan 6, 2020
"° .� Bonded through National Notary Assn.
11111111111111111111111111111111111.11111111011
DOCUNIENT COVER PAGE
For those documents not providing the required 3 x 3 inch
space on the first page, this cover page must be attached.
An additional recording fee for this page must be remitted.
Document Title: ''` r4--L
(Mortgage, Deed, Etc.)
Return Document To / Prepared By:
CFN 201uRCj5268rs7
OR BK 31120 P9s 1929-1930 QPgs)
RECORDED 08/ '29/ 2 01 15 : 4 6 , 4•b
HARVEY RUVINs CLERK OF COURT
MIAMI--DADE COUNTYY FLORIDA
-
Rule 2.520 (d) on all ... documents prepared ...which are to be recorded in the public records of any county ... a 3 - inch by
3 - indispace at the top right-hand corner onthe firstpage and a 1- inch by 3 - inch space at the top right-hand corner
oneach subs equentpageshall beleft blank andreservedfor use by the Berl, of court.
CLK/CT 155 Rev. 08/16 Clerk's web address: www.miami-dadeclerk-com