PW-20-264Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 02/06/2020
Location Address Parcel Number
1234 NE 94 ST, Miami Shores, FL 1132050100210
Contacts
Perrtmit.NO.:
PermitType:
Work Classification:
Permit status. Approved
Expiration: 08/04/2020
MARIA GABRIELA CONTRERAS Owner ELI BRAVO Owner
1200 NE 97 ST, MIAMI SHORES, FL 33138 1200 NE 97 ST, MIAMI SHORES, FL 33138
Other:3059492371 Other:3054942371
NAVICON CONSTRUCTION Contractor
ANTONIO 105E TORRES BETANCOURT
175 SW 7 ST 1618, MIAMI, FL 33130
Home: 7862020237
Inspection Requests:
Description: DRIVEWAY AND WALKWAYS. ALSO, PLEASE REFER Valuation: $ 1,800.00 Inspec ion Re
TO DRAWINGS L-04 OF MASTER PERMIT.
Total Sq Feet: 500.00
Fees
Amount
Education Surcharge
$0.40
Public Works Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$105.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$105.90
Check # 10559
02/06/2020 $105.90
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. 1 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 co yte do heoork tat)ed.
Authorized Signature: Owner / Applicant / Contractor /
r/ CJ
Date
February 06, 2020
Page 2 of 2
Miami Shores Village
Public Works Department
BY:
(305)795-2210
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 138
PUBLIC WORKS PERMIT APPLICATION -V_>0 " t ` ?_ - I l- 2_q ! 3
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: 9S -D � - 2Q -kC L
f?(nl -n? -? -?� Lf
Name of Applicant (if utility see below): b"W o -A Mq,� G Gcibc; Qkq ' oire4r_,A
Owner off the followin described property:
Legal Description: Lot 3 - 24 Block Subdivision`rni ami -(AOreA
Folio #; 11- S2O S —.010 - 9 krJ
Address: 1 LA rJf: Cl (S N Ck AA : n 2 9
UTILITY NAME:
Qualifier/Authorized Agent:
Address: _
City:
Telephone:
State Certification or Registration #:
Email:
State:
CONTRACTOR NAME: I_NQ.k_kC0~1 tYU
Qualifier/Authorized Agent: ! ' -A ; o -110
ZIP:
Certificate of Competency #
Address: V 15 SU-> 1 ktA Kt W 1 fo ( 6
City: W, QM ' State: Ft_ ZIP:
Telephone:"�:)fl6- -Email:
State Certification or Registration #: CCU C VS 1 ertificate of Competency #:
Requests permission to install (describe work, attach se crate page if necessary) in the.adjoining right of
way: 6 Y' � .R.lL>LA t2 ( n2,A L�
Type of Work: ❑ Paving ❑ Utility
❑ Landscape ❑ Antenna
DESIGNER: Architect/Engineer:
Address:
❑ Sidewalk ❑ Electric ❑ Irrigation
Other: pr\1A>3Ct-+�
City: State: ZIP:
Telephone: Email:
Registration
r .rir r.c J, .�• v
I IL T 1 )J A�
Value of Work'forthiS P'e�mit: �$' ; , UD SquaVe/Lineal•Footgge'of Work: S f$�
x�{ %xs
Fi t h Y. � _ r ti � 'r � � �i•..e�. 7 ,i '*Y::.:,..p....:+75 *....-n :x.w.: • vwi..'n4,.,. n..t w o;.''.
t,..� ��..,�,...,_��.: ...v..,•,� :,***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ �(s
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 $2,500, the applicant must promise in good faith that a copy of the notice of commencement
and construction lien law brochure will be delivered to the person whose property is subject to the
attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job
site for the first inspection which occurs seven (7) days after the public works permit is issued. In the
absence of such posted notice, the inspection will not be approved and a reinspection will be charged.
Signature ///-VW7VVX'Y1 11 `/ -
Applicant or Authorized Agent
The foregoing instrument was acknowledged before
me this �16 day of F 20 , by
%6Q C-�16jPici � who
is personally known to me or who has produced
as
identification.
Print: a
Signature
ompa ti ity Agent
The foregoing instrument was acknowledged before
Nhis 4Vx day of NV 20_20 , by
*W 0 -m who
is personally knn to -me -or who has produced
as
identification.
Print:
SEAL: �igS►i ANALUCIATILLIT SEAL:
�` s_ W COMMISSION # GG UM ANA LUCUITILLIT
o!` EXPIRE$: April 23, 2023 MY COMMISSION 0 GG 345033
�• Bid Thor Nowy Pubk Ur4wyftm e EXPIRES: April 23, 2023
.a °`'• Bonded Thru NoWy Publk Undenvrbre
** ******* ** *****************************
APPROVED BY: Oyl�ublic Works Director, or Designee
2017-04-15
IIIII EIIII IIIII IIIII IIIII IIIII IIIII IIII III
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
C=FI-i 211213R1-IIJ-`623z'c?
OR. BK .31807 F9 781G %1P3s1
REC']RDED 0'.2/0
11-V1F�;i�E`� .JIVIIhlf
i11t-iMI--Gr DE- (AOUN f. T f FLORM-.1
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) Nl6 a (` QVHUQ� CeA >—�
hereinafter referred to as the owner of the fotr
wing described
property (address): 123u Nf- 01 �1I-
Legal Description: LoQ3£24131ock Subdivision M'�Gyw, S�q,7reSy;VAXJ
Requests permission to install (describe work): dnW CA x)
Within the public right of way of (address) 1 Z3iA rX 4
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
N
9
a
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 alien. 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 Miami Shores Village
(or his fully authorized representative). STATE 0t: 1:1 AMIMA COUNTY
Signature
State of Florida
OF MIAMI-_DAbI+
HEREBY CERTIFY that this is-a.true copy of the
orfgfr��filed in this Q�ff, on,.day _ day of
(�-- U * AU 20
WITNESS my han and Q `•'-'
HARVEY RUVIN, ler f c ounty Courts
By D.C.
County of Miami Dade
The foregoing instrument was acknowledged before me this �— day of gQ�NG , 20 , by
V�fliG sac; 00 who is personally known to me or who has produced
as identification.
NOTARY B C • SK' • Aw►I ucwrLI.Ir
" MY COMMISSION # GG 3M33
j I g n : EXPIRES: April 23, 2023
Tint: 1 ; SEAL: .'••°��''': Booladn,n,NorPuMundam+taft
'vi"VI "lft- 7 l / � — .
Owner or Agent