PW-19-2903Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 01/03/2020
Parcel Number
261 NE 95 ST 1132060133940
Contacts
Permit NO.: PW-12-19-2903
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 07/01/2020
MTNEZ INVESTMENT GROUP II LLC Owner PRO DESIGN BUILDERS LLC Contractor
4500 NW 37 AVE, MIAMI, FL 33142 ROBEISY MARTINEZ
4500 NW 37 AVE, MIAMI, FL 33142
Home: 7863952379 prodesignbuildersllc@gmail.com
Description: CONCRETE DRIVEWAY Valuation: $ 4,000.00 Inspection Requests:
1305-762-4949
261 NE 95 ST
TotalSq Feet: 560.00
Fees
Amount
Education Surcharge
$0.80
Public Works Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$106.30
Payments
Date Paid Amt Paid
Total Fees
$106.30
Credit Card
01/03/2020 $106.30
Amount Due:
$0.00
Building Department Copy
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
dzzoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor / Agent
January 03, 2020 Page 2 of 2
sue,. Miami Shores Village RECEIVED
" Public Works Department
(305)795-2210 � 0 6 2019
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 331
PUBLIC WORKS PERMIT APPLICATION BY.
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Name of Applicant (if utility see below): MIMI .00!t t 4wA ('Awh= U-C ,
Owner off the following described property:
Legal Description: Lot Vim% Block 2 Ok—Subdivision S)a1U SEC. AMA.
Folio #; 1\— 320 — 0)*b-aa yj
Address: 26\ Mt 06 1A Mt Alti: C-,3N\0W
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone:
State Certification or Registration #:
Email:
State:
ZIP:
Certificate of Competency #
CONTRACTOR NAME: PWN )lt�C%ow. V&011 UNS (L C.
Qualifier/Authorized Agent: WS porm
Address: V'COD 1%%&, Pw%
City: State: . ZIP:—" )y 2 .
Telephone: 4%0rJ°1g•2100q Email:-PiRop4st4wb%%\&�i5U.&%,r+AiL.G�1�
State Certification or Registration #: CAL 15 220) lk Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way:
Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric . • ❑ Irrigation -
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City:
Telephone: '
Registration #:
Value.•of •Work for this.Permit:• "•$
Permit Fee $ 100.00
State:
Email:
ZIP:
Square/Lineal 'ootage�•of•Wo#k:
• 1^
***** Fees
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ 1 (-)G • ;�n
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.
t
Signature
Applicant or Authorized Agent
The foregoing instrument was acknowledged before
me this _day of "t
4Apb6%1 20_Lg�_J by
p,4ba M4rar%*. who
is personally 6own to me or who has produced
M611S—'424-45— 4WD—Q as
identification.
NOTARY PUBLIC:
Sign:
Print:
SEAL:
Signature .
Company/Utility Agent
The foregoing instrument was acknowledged before
me this ff day of 20 lA by
Z !gL,� who
is personally kn wn to me or who has produced
identification.
NOTARY PUBLIC:
Sign:
nrv,
Print: '
SEAL:
YADIRAMARi1NEZr.nwx+�ch*wa
MY COMMISSION 0 GG 190356 fi'!'•�`'tt; : YADA,4 ii1AR'I'INEZ
EXPIRES: May 27, 2022 MY G� Miv ISSiUN (f G0180359
Bwdw 7twu puDIc W M OM {? eo EXPIRES: May 27, 2022
or s� BoMc I Thru Nofry Publk W der bis
******** *************************
APPROVED BY: Public Works Director, or Designee
2017-04-15
IIIII lIIII Bill IIIII IIII I IIIII IIIlI IIII IIII
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OR. BK. 171-19 Ps 79?2 (1.Ps s)
STA F FLORIDA, COUNTY OF MIAMI-DADS
Y 41n
at this is of the
71iTNI
:rec on, ofAD, AD 20�SS Official S ai.
HARV Y RtJVIN, Clerk of and my Courts
By' D.C.
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY STRINGER
Whereas, (owner)%�XI_ jt&U, U .
hereinafter referred to as the owner of the Mowing describ
property (address): 261 Nf 06 os,)_ MiQft� 4s �, 3
Legal Description: Lot % % Block ZO�— Subdivision Sbg%&5 SEG -s AMA
Requests permission to install (describe work):
Within the public right of way of (address) 261 kf q6 S* ?dK\4rv�% S),a6gS I el 33)3Y
CLERK 'O\`
v �
x
U N
3 4�
IN 000 WE TRUST
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 D de County, Florida by the Village Manager of Miami Shores Village
(or his fully authorized repr, tative).
Signature
Owner or Agent
State of Florida
county of Miami Dade
the foregoing instrument was acknowledged before me this /57 day of fyd t ,5*, , 20 l(k_, by
who is personally known to me or who has produced
as identification.
•`'"•� • • � YADIRA MARTINEZ
VOTARY P U j3LI C • ;. MY COMMISSION GG 1eo359
I g n : EXPIRES: May 27, 2022
'tint: SEAL. 6oMWTlIn'"°fe'' PubFctlndelwrMar,