RC-17-1597 (2)Miami Shores Village C QMa
Public Works Department
(305)795-2210 •--
Public works forms are available from the building department, 10050 NE 211 Ave., Miami Shores, FL 3313
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: Master#RC-6-17-1597
Driveway# DS-10-18-3320 18 -3
Name of Applicant (if utility see below): Property Hounds LLC
Owner off the following described property:
Legal Description: Lot 10-11 Block 1 Subdivision El Portal
Folio #; 11-3206-019-0070
Address: 420 NE 91 ST
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone: Email:
State Certification or Registration #:
CONTRACTOR NAME: Rare Renovations LLC
Qualifier/Authorized Agent: Michael Rares
Address: 7021 NW 67 CT
State:
ZIP:
Certificate of Competency #
City: Parkland State: FL ZIP: 33067
Telephone: 954-426-8018 Email: contact@raresgroup.com
State Certification or Registration #: CBC1260851 Certificate of Competency #:_
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: Driveway
Type of Work: ❑■ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer: S H Brandt & Associates
Address: 5010 N Federal Highway
City: Lighthouse Point State: FL
Telephone: 954-564-2111 Email: kristina@shbrandt.com
Registration #: AR0013352
ZIP: 33064
Value of Work for this Permit: $ 2000.00 Square/Lineal Footage of Work: 516
***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ `J
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.
Signature
Applicant or Auth&F-fzed Agent
The foregoing instrument was acknowledged before
me this 30 day of November 2018 , by
Michael Rares who
is ersonally known to me oho has produced
as
identification.
Signature
Company/Utility Agent
The foregoing instrument was acknowledged before
me this 30 day of November , 2018 , by
Michael Rares who
a y known to m who has produced
—� as
identification.
Print: Na�ShQ 8604e Print:lVho BbOKf
SEAL: SEAL:
t�?ice, NATASHABOOKE ��:;, • NATASHABOOKE
MYCOMMISSKNI # GG 154422 = �°'
- EXPIRES: October 27, 2021 '.• .: MY COMMISSION # GG 154422
P �`-` EXPIRES: Odober 27.2021
'FdF F�?•• Horded Rn Notary Public UndenMllters 'Fu `oc;:
F q , Baded ThN Notary PUbtic UrlderMmters
### ########################################
APPROVED BY: lti i ` Public Works Director, or Designee
2017-04-15
m
rwrn u.
�.. C-,
rn.m tr- o • r--
�.M r7 rr u`
ti
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) P_rQPertu Nouncac, t_t_C hereinafter referred to as the
owner of the following described property (address): 42.'0 NE cl I sT
Legal Description Lot I o -1 1 Block I Subdivision E t Portal
Folio # _I_I_- 32-OU -ot g - 00i D
Requests permission to install (describe work): ari yewal
Within the public right of way of (address) ll N Eg 1 ST
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
F
3
►I
W
Signature
To maintain and repair, when necessary, the above -mentioned items) 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).
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 Mi mi Shores Village (or his fully authorized representative).
1912 1
Owner or Agent �
,��fore g9'ng instrument was acknowled efore me this 30 day of Noyemb .r , 20 IS , by
who i persona y known tom r who has produced
as identification and who did take an
NOTARY �1 LIC•
Sign:
Print: Nc,taSho PM)%P.
My Commission Expires:
rr
�;.
NATASHABOOKS
MY COMMISSION # GG 154422
EXPIRES: October 27, 2021
I_
Bonded rnti Notary Public Underw Ilm
,jr war +at as D
.d,�catgr
!}fkaar 1tlra
"X
' rRtva� sb tom►
$HAIVERRA BRAZIL #162588