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PW-18-304 (2)Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Issue Date: 2/6/2018 Permit NO. "PW-2-18-304 Permit Type: Public Works Worm Classification: Public Works Permit Status: APPROVED Expiration: 05/07/2018 Project Address Parcel Number Applicant 17 NE 105 Street 1121360060100 OLIVER &ANDREE STEPHANIE Miami Shores, FL 33138- Block: Lot: OLIVER & ANDREE STEPHANIE 17 NE 105 Street MIAMI SHORES FL 33138- 17 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone HIDALGO CONSTRUCTION GROUP LI (786)262-3596 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 Cell Valuation:=768.00Total Sq Fee Pay Date Pay Type Amt Paid Amt Due Invoice # PW-2-18-66361 02/06/2018 Credit Card $ 54.00 $ 50.00 02/06/2018 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Excavation Final Public Works Review 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, 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 ang6zoning, Futhermore, I authorize the above -named contractor to do the work stated. February 06, 2018 rr ed Signature: Owner / Applicant / Contractor / Agent Building Department Copy February 06, 2018 1 5ose 0 re flm," Miami Shores Village RECEIVED Building Department FEB 06 2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 cob FBC 20 BUILDING Master Permit No. 30 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: V3 IVE /Os S�rtt, t City: Miami Shores County: Miami Dade Zip: 9aJ1 3 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 54& oAyrie Se(yat Phone#: oC0�2� y�aS-Gd Address: 1'4- /V F )175 Skree. � A of i 51.0rry. 1=C.1 36(3 3? City: c rf 5 State: Zip: 3613 fS Tenant/Lessee Name: PhonneMM#: Email: 3D&C . gcc CONTRACTOR: Company Name: 44FA(�Q COa51rLG•1,on J.(O(,p Phone#: �86'aZ(Oa; 3Sy6 Address: "410 IVCV 9 � d & �+,r City: /P CG ---i State: 1 " zip: 1 �JI� Qualifier Name: ,i r^ tti LlA (h n Phone#: State Certification or Registration #: Ut C. 15 1 S)1 a Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State: Zip: Value of Work for this Permit: $ 44 46_ $ �Square/Linear Footage of Work: tf#f3` at o Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: E -k d E- ?(Avtr 5 Dr i rY Specify color of color thru tile: Submittal Fee$ r �. Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $, Structural Reviews $ Training/Education Fee $ t LS CCF $ DBPR $ ,-tit.ls.i uric �.. CO/CC $ Notary $� Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work 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 regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 building permit with an estimated value exceeding $2500, 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 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 building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur ,2 Signature OWNER or AGENT CONTRACT The foregoing instrument was acknowledged before me this a dayof Janvcr% ,20 11 by 44rc40, S4-e 9 kar> f 51r- who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: BR.uiTTE VENDRELL Notary Public - State of Florida 3• ' Commission # FF 947409 . APPROVED BY My Comm. Expires Jan 3, 2020 The foregoing instrument was acknowledged before me this a� dayof SGVlyov 120 1 8 by Al aiN ll091P who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ssssssssssssss I I Plans Examiner as 8hiu,TTE VENURELL Notary Public - State of Florida •t= Commission # FF 947409 a:F CIF My Comm. Expires Jan 3, 2020 OF f ;��.•�� Bonded through Nation a] Notary Assn. �j - Zoning (Revised02/24/2014) Structural Review Clerk Property Search Application - Miami -Dade County Page 1 of 2 w OFFICE PROPERTY Summary Report Property Information Folio: 11-2136-006-0100 Property Address: 17NE105ST Miami Shores, FL 33138-2030 Owner Mailing Address OLIVIER SERVAT ANDREE STEPHANIE SERVAT LAGATTU ... ....... _ 17 NE 105 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/1/1 Floors 1 Living Units 1 Actual Area 1,562 Sq.Ft Living Area 1,312 Sq.Ft Adjusted Area 1,437 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1940 Assessment Information Year 2017 2016 2015 Land Value $230,638 $198,007 $163,894 Building Value $111,684 $112,517 $100,015 XF Value $915 $930 $756 Market Value $343,237 $311,454 $264,665 Assessed Value $342,599 $311,454 $116,582 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $148,083 Non -Homestead Cap .... ... ___.._-- Assessment Reduction $638 ...................... ...... _......... Homestead Exemption $25,000 Second Homestead Exemption $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description DUNNINGS MIAMI SHORES EXT NO 2 PB 41-78 LOT 10 BLK 202 LOT SIZE 75.000 X 123 OR 17699-3084 0697 1 Generated On : 2/5/2018 Taxable Value Information 2017 2016, 2015 County Exemption Value $0 $0 $50,000 Taxable Value $342,599 $311,454 $66,582 School Board Exemption Value $0 $01 $25,000 Taxable Value $343,237 $311,4541 $91,582 City Exemption Value $0 $0 $50,000 Taxable Value $342,599 $311,454 $66,582 Regional Exemption Value $0 $0' $50,000 ................ Taxable Value S342 599$311,454i $66,582 Sales Information Previous OR Book Price'; Qualification Description Sale Page 29783 09/09/2015 $420,000 Qual by exam of deed 0421 23585- Sales which are disqualified as a result 06/01/2005 $0 2677 of examination of the deed 17699 ._....... __ _.-.......... 06/01/1997 $108,000 Sales which are qualified 3084 17356- 09/01/1996 $62,500 Other disqualified 4824 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser http://www.miamidade.gov/propertysearch/ 2/5/2018 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemation Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt i£ 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: , & O er State of Florida County of Miami -Dade The foregoing was acknowledge before me this � day of , 20�. By h �rt C S[e qka, % e SQ t-Gk I who is personally known to me or has produced identification. BRIGITTE VENDRELL X Nota AP('.- Commission PU'= Notary Public - State of Florida ry: ` ` Commission N FF 947409 '.;�,, `4 My Comm. Expires Jan 3, 2020 SEAL: .,6p Bonded through National Notary Assn. I Date: 2-- S ol'1 State of F to n da County of /it a-i DA Before me this day appeared kk atn 14 G 6 who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 1`74 N15 S1\4 fre, FE, 3313 IS Contractor Sworn to( or affirmed) and subscribed before me this f� day of FeI ry wr l 20 t 8 by A- V ow, I� Personally known_ Or Produced Identification Type Of Identification Produced i s bN,u.TT E VENORELL Notary Public - State of Florida Commission / FF 9, 7409 oP;•' FL My Comm. Explrm Jan 3, 2020 Bonded through National Notary Assn, Print, Type or Stamp Name Of Notary OD\J -.erbrd ( , HIDALGO CONSTRUCTION GROUP LLC Certified General Contractor: Alian Hidalgo License No. CGC151578 Page 1 of 1 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 For Inspections please call: (305)762-4949 eturn to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Bill To OLIVER & ANDREE STEPHANIE SERVAT LA, 17 NE 105 Street MIAMI SHORES, FL 33138- MIAMI SHORES, FL 33138- Permit Number: PW-2-18-304 Invoice Date: February 06, 2018 Invoice Number: PW-2-18-66361 Bond Number: Comments: Permit Type: Public Works / Work Classification: Public Works Date Fee Name Fee Type Fee Amount 02/06/2018 Technology Fee Calculated $0.80 02/06/2018 Education Surcharge Calculated $0.20 02/06/2018 CCF Calculated $0.60 02/06/2018 DBPR Fee Calculated $2.88 02/06/2018 Permit Fee Calculated $192.00 02/06/2018 Scanning Fee Calculated $3.00 02/06/2018 DCA Fee Calculated $2.00 Total Fees Due: $201.48 Payments Date Pay Type Check Number Amount Paid Change 02/06/2018 Credit Card $50.00 $0.00 Total Paid: $50.00 ITotal Due: $151.48 Tuesday, February 6, 2018 NORTH MIAMI AVENUE — ----------------- o 00 O O \ N � N 10 O S I S co m 122.95' (M) \'Tr• 122.91' (P.) \.7 WOO,211RAW.. . es En 0 • •a ' • k! �.m S,�cr-s Vilhae APP iO'VED BY DEPT g,, D3 DEFT DATE St IJ—Ei✓T 10 CCNIPL)�11C9W1 FH ALL FE�iI rE�W STATE ANv LLI-JN`rY riLLS AND REGtII1Ti(aNS _l rr I Z 9 0 .� m m Z ro o I ro i�4. ' c•9� � I 0 p co 6.75' _nOp xfA m 4.30' ,0a)o 0o 0 2 .J� I m(A 14.00 N '6, V Z O s SQ. nx m ° v v, \�? • 11 01' 54.88' TO PL I I O c; a N o Z to Lh 39.15- M_ 5 03 a lio,� n\ �O\ l O I — ] — p — — 122.97' (P_ 122.9Z,' (h1) i cn a to U7 a to U 2 D r- 3.1 10.57'CL I — l o __ 1 III i,, 170 a OO �CT1 � my iI gVi I !✓ N 2� Heal m am �6 C.S. C) rn - pftatioo N H H date: rnSLA Signature _ -, ti- �c S1 Bearing, if any, shown based on N/A (reference) N/A REVISIONS:LEVATION FLOOD ZONE COMM.0No. PANEL No. SUFFIX: NOTE: IF APPLICABLE ( ) Not valid unless itbearsthe 120652 0302 L L.F.Elev.= 12.29, (lowest habitable floor elevation). Elevation shown hereon refer to N.�.V.D. 1929. ibears signature and the Lowest adjacent grade elevation= DWG. 1 9 original, raised seal of Florida licensed F.I.R.M.DATE F.I.R.M.INDEX BASE ELEV. 09 / 11 / 09 09 / 11 / 09 + N/A N.G.V.D. BM. # N-567 . Elev.= 10.54' Garage Elev.= 10.37' Erp = _ �Lli_. Surveyor and Mapper. a @m " " LEGEND —�'v $ � a =arc A. v I a m m 8 ASPH = Asphalt = Bench Mark I` BM S BRG CATv = Bearing = Cable TV c a m v CB = Catch basin CBS = Concrete Block structure r e m CH = Chord Chattap Chattahoochee E o, c = Center Line m a a r c $ CLF = Chain Link Fence g _S e m m 8 ,- 'g CL. , = Clear m � 8 CONC: Conaeoa a� 2 � a D = Delta v O N ° 0 - Diameter m a �° $ '6 - 'd DH DIME =Drill Hole = Drainage & Maintenance c m' w S m e w Easement z a $ v d E.B. = Elecbic Box m � 8 5 8 Enc. = Encroachment c a E E m Q q F.F. = Finish Flow 8 m F.H. - Fire Hydrant e o m m g L ? F.I.R. = Found Iron Reber a ii c, c E FPL = Florida Power & Light 'a E m s io E v c ' o $ c F.I.P. F N = Found Iron Pipe = Found Nall This property described as: 5 - i v I m S LP. =Light Pee Lot 10, Block 202, a a z M = Measured DuNNINas MIAMI SHORES EXTENSION No 2, 8 � m 8 a M.F. =Metal Fence m E e n p M.H. saNanhole according to the Plat thereof g o i` : ` M ' .Jment unO ..... m$� nm Ei m•S as recorded in Plat Book 41, Page 78, g01.= Mgrumnt e• v w m @ WA• yNot Applicable • of the Public Records of Miami -Dade County, Florida. o 1 • • • • • • m' NID = r1a1 & Disc RIo><� NTS = Not to scale • • • m ^• 0/3 0:08faet �••••: Certified to: s � •�• • Utllljjr�ps, Oliver Servant and Andiee Stephanie Servant Lagattu o.u.Lr�GYBriread 49ME , • , off ,�QVhang • • � • • • Guaranteed Rate, Inc Mail - I • •9 PB • • = Plat'book **so:* • its successors and/or assigns, ATEV A :•,� • PC = Point of Curvature , • First American Title Insurance Company w 8 'g P = PaVd of CoMWWV, • , g -0 ...curvature Concorde Land Title Services, Inc, • a PCP =Permanent COoI Point Address: 17 N.E. 105 Street, Miami Shores, FL 33138 CL Notes: No platted easements in this lot No visible encroachments in this lot »A b s � • ••.• PG • r, Page • • ' P.I! P nt of Intersection •'= g g Property Line cm PL = Planter 2 € P.O.B. = Point of Beginning a `o ti a P.O.C.= Paint of Commencement m m m Q P.P. = Power Pole E a o a P.R M.= Permanent Reference c a Monument PAC. = Point of Reverse a $ m H Curvature c v o c PT = Point of Tangency m S W E a, -a 11R = Radius I c g m o� E RIR = Railroad PSM = Professional Surveyor r g m 0. Mapper m{, c. c 2,12 a�o m RIW = Right-f--Way E ° m g a v g E SWK = Sidewalk cry m �• ° m 2 c m 0 P 3 co 2 a Sec. = Section = Typical mE g 8 (TYP) T = Tangent `o Im c m I B m 0 B t � U.E. = Utility Easement W.F. = Wood Fence $5 op$ c`c� W.M. = Water Meter "TEAS SURVEY DECLARATION IS MADE ON THE FIELD DATE INDICATED, OWNER(S) LISTED. IT IS NOT § € oil `o E m a 1 "_� '. m W.V. = Watervalve TO THE 8 m - Denotes Spot T'UNSCERABLE TO ADDITIONAL INSTITUTIONS OR m m m io Elevations Taken SUBSEQUENT OWNERS " 2 m a o v m C BOUNDARY AND TOPOGRAPHIC SURVEY. I HEREBY CERTIFY: that this survey meets the Alvarez, Aiguesvives and Assoctes, Inc. Standards of Practice as set forth by the Surveyors, Mappers and Land Planners FLORIDA BOARD OF P ION SURVEYORS 5701 S.W. 107th Avenue #204, Miami, FL 33173 AND MAPPERS i ap J-17 F da Administrative Code, pursuant to S 'on 47 . Florida Statutes. Phone 305.385.0385 Fax 305.385.0623 ------� L.B. No. 6867 / E-mail: fastsurvey@aol.com REN AI S 10/22/15 Field Date Scale: Drawn by: Drwg. No. PROF SIONAL SURVEYOR AND 10/20/15 1"=20' J.A. 15-21762 MAPPER No. 4327. State of Florida. RECEIVED Miami Shores Village Public Works Department FEB 0 6 71119 (305)795-2210 �q n Public works forms are available from the building department, 10050 NE 2"a Ave., Miami Shores, FL 33138 Tom- `/ PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property Permit#: ► & 1 V 1303 Name of Applicant (if utility see below): Ar-� A t o ke-At Spurn t Owner off the following described property: Legal Description: Lot Block a0,�- Subdivision . oir,65 / e,—, 5kot5 Folio #; Address: r/V& IDS s}M J 'Yxisk-"k Sl Gretj R, 3313b UTILITY NAME: Qualifier/Authorized Agent: Address: City: Telephone: State Certification or Registration #: Email: State: ZIP: Certificate of Competency # CONTRACTOR NAME: P i A VIIh,n CiO1454(VCG4ioy% (royQ`L(i Qualifier/Authorized Agent: /4Li o 41, dal9c, Address: 11" NW Yard ?L City: 'd4Av.i State: FL_ ZIP: 1631d b Telephone: "4-Pb-eL6X-3 511�q(o Email: AV &A A ki"4(9 net CcE Aet 4vrok I . Co►ti State Certification or Registration #: (;G L IS l51` Y Certificate of Competency #: Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: -kiP(afe_ 5,`ic(fV*W !4IfroKk and ll.,°Mr 5(*wAIit foc a�.,v,r11 �i�t�.uIrG Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: Citv: Telephone: Registration #: Vale of Work for this Permi Permit Fee $ 100.00 State: Email: ZIP: t: $ -4G9.00"q aitie/Lineal Footage of Work: f b Fees* . * N ,.•,`"-,,` 114z sq_ lei. po,crtr5 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. /�, Signature Signature App icant or t rized Agent Company/Utility A nt The foregoin instrumen was acknowledged before The foregoing instrument was ackn ledged before me this Adayof n 20tlk, by m t is ay f v 20�, by lye- ^C rr0 who who is personally known to me or who has produced is personally known t me or who das produced as as identification. identification. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: CC Print: ervd Print: r SEAL: SEAL: a c "Luh«� ��w, Poe•, pr, , 'TE VENORt�I Notary Public - State of Florida �P `: Notary Public • State of Florida • • :. Commission # FF 947409 w. omm ssion # Fi ja; 409`0 My Comm. Expires Jan 3, 2020 ;µ ; 1; e , , e, %170, My Comm Expires Jan 3, 2020 <«�• Bonded through National Notary Assn. �a� %o!ary Assn. APPROVED BY: Public Works Director, or Designee 2017-04-15 COVENANT OF Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NSTRUCTION WITHIN RIGHT OR BK 30851 Pg 4449 tIPssi RECORDED i i2/i i5/2Ct18 12: i i3:25' HARVEY RUVINY CLERK OF COURT MIANI—DADS COUNTY, FLORIDA sTNMOF CMW of oADE *taD hfe yOW fiis es Of the a��CUM YrVi Of) t y, Nl7Al my h : Urn O ; r : � -d. /1 Whereas, (owner) ncl,✓'e_e. . I n �e "'`" hereinafter referred to as the owner of the following described property (address): 1"I tlC IDS5TvcGi , r luHi bl-tuv�s�l 5313 Legal Description: Lot tO Block 202 Subdivision'�rrrvrVjS "ICLM[ ShotzS Folio# t1-213�-oozy-oi-oo Requests permission to install (describe work): F X -4AI f uvi ll, 5 4 p f rocah abaci New tl `Ljgrveak I ko-_plkc-ed i3rcirch 5j,4,„-UIt r,= 2 Within the public right of way of (address) ►4 tic W6 IS-e,ei-r , mctgt Sh�,S M.33 tsb 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 Cou , Florida by the Village Manager of Miami Shores Village (or his fully autporized represe a e)./7 Signature r or Agent State of Florida County of Miami Dade The foregoing instrument was acknowledged before me this 3 I day of Gtrxaotr , 20 I , by Ar�� STe_0y1r►t e-S-eXv4TNho is personally known tome or who has produced as identification. NOTA Y PUBLIC: - — -- -- - Sign: ,,a N aye, BRUTTE VENDRELL �_ v,��� Notary Public -State of Florida t rrtT� SEAL: =�. Print: �r Commission aE FF 947409 My Comm. Expires Jan 3, 2020 ' FO"` Bonde9 through National Notary Assn.