PW-19-1046Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
issue Date: 07/19/2019
Location Address Parcel Number
1329 NE 105TH ST, Miami Shores, FL 33138 1122320270060
Contacts
Permit NO.: PW-05-19-1046
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 01/15/2020
CHARANCE LLC Owner RELIABLE CONSTRUCTION GROUP. Contractor
1070 NE 119 ST CAMILO MEJIA
1101 SW 18 CT, FORT LAUDERDALE , FL 33315
Business: 3052294945
Other:7893264041
Inspection Requests:
Description: 80LF OF NEW SIDEWALK AND RESEALING SIDE Valuation: Lj 305-762-4949
AREA OF ASPHALT
TotalSq Feet:
Fees
Education Surcharge
Public Works Permit FeeL]Amnt
Scanning Fee
Technology Fee
Total:
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$106.30
Credit Card
07/19/2019 $106.30
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 the work stated.
Authorized Suture: Owner / Applicant / Contractor / Agent Date
July 19, 2019 Page 2 of 2
V
1 J
Miami Shores Village
Public Works Department AY 9 019
(305)795-2210
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 3331138' 7i
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property..,
Permit#T-6_g-m' M �
0�
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio #; O ") �NG%" S W_S
Address: (3 � �
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone: Email:
State Certification or Registration #:
CONTRACTOR NAME: '
Qualifier/Authorized Agent:
Address:
City:
Telephone:- _3 — Email:
State Certifi ation or Registration #:
Requests permission t install (describe work,
way: ► m %4:
Type of Work: )( Paving ❑ Utility
❑ Landscape ❑ Antenna
State:
ZIP:
Certificate of Competency #
N T
State: %-,T— V.-I f ZIP
d" 1!'r
Certificate
rate pa it e(
� �1GNw
Sidewalk ❑ Electric
11K1. 4k`xS.'.t1'i:/
❑ Othd:r _'71'
r"
1 wi Jtt ..• `f./
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP: y
Telephone: Email:
Registration #:
N.
.fit I
Value of Work for this Permit: $ Squa e/Linea Footag
Permit Fee $ 100.00
Notary $
Bond $
***** Fees*****
. WL)")\X v • w r-
jetency #:
k
ary) in the adjoining right of
�_ aS f5 eL ICT•
❑ Irrigation
of Work: � J_�
(41n
s� •
_ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $ f1b . �3
LJ
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%nd
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 ermit is issued. In the
absence of such pos d notice, the inspection will not be approved and rei spection will be charged.
Signature Si natur
Applicant or Authorized Agent Compan /U lity Agent
The foregoing instrument was acknowledged before The foregoing instrument a cknowledged l4fore
thi��° , day f f� 4 20 r by ' me this•�Q day of 20�1—C�—j" by
who 1 '1 who
i ersonallyI�nown to me or who has produced is personally known me or w o has produced
-DY"U y l I(gnS`-Q as lIC (2 as
identif1catiA. identification.
N TAR• PUB I ; Heft;•. y NOTARY LIC:
01
Sign: o = g
= AIGG 2d121i
Print: Y� Yl`'� s �' Print: ,,,;;►� �., MAHARAIK.GONZALEZ
myuumml
SEAL: �i .�WNcU�. f.\A SEAL: r * EXPIRES Nwember2,2o20
'B • • • • \\� :';,c Thru Notary Public Underwriters
��/b..uc.SIR�.��\\\ ••fori�o, Bonded
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APPROVED BY: I& 1 , Public Works Director, or Designee
2017-04-15
Miami Shores Village
Building Department
10050 N.E.2nd Avenue STATE of I
Miami Shores, Florida 33138 'Nt:REBYCE
original filed
Tel: (305) 796.2204
Fax: (305) 756.8972 WITNESSm
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAS(
Whereas, (owner) C l-t A A A tv c c LL L
hereinafter referred to as the owner of the following described
property (address): 13 2� a E a S fl
S+ t1 t 1 j S P3RES, 3313
Legal Description: Lot j =A Block Subdivision r� rJc o
C-FM 2019RO242450
OR BK 31410 P9 64 (11`9s)
RECORDED 04/19/2019 11:22: 1
Y RUVINI CLERK OF COURT
NIANI--DARE COUNTYr FLORIDA
DRIDA. COUNTY of DADE
r1FY that this is a true co- ofthe
this o oday o/
f A 2
and a 0 ial Sc el.
��ur tY Ccutts
Requests permission to install (describe work): S i N w A L k 1y c1-i
J�
Within the public right of way of (address) 13 2 q nit✓ I (3 S ST 2Et"r ti t` A m S i4o P,:�-._, 3 313 6'
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
CZ c iqA R H wc-E L L C
County of Miami Dade nn
The fore oing instrumen was ack o le gee fo me this 1 "1 day of r , 20 �, by
(�c� C�W G (hV � � �� 1 9 i 111 '41 �C�own to me or who has produced
s identification. ,yP�
NOT P BLIC: Po,'.• Bi-,: MAHARAI K. GONZALEZ
# g MY COMMISSION # GG 044602
Sig L;;P EXPIRES: November 2, 2020
a ;?• BondedThruNotar
y Public Underwriters
Pri G SEAL:...-: