PW-19-2924Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
IP�r?["r[�
Issue Date:12/31/2019
Parcel Number
117 NW 97TH ST, Miami Shores, FL 33150 1131010260100
Contacts
Permit NO.: PW-12-19-2924
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 06/29/2020
AXEL SOLER Owner
11797
S&C CONSTRUCTION CO. Contractor
ALEXANDER SOTO
2103 CORAL WAY, MIAMI, FL 33145
Business: 7863060329
Description: CONCRETE APPROACH. Valuation: $ 3,500.00 Inspection Requests:
305-762-4949
TotalSq Feet: 900.00 11
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
Check # 2061
12/31/2019 $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 {6( ELECTRLC_AL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNER,IAFFIDA\4T:' certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatjri constrWcti n and zoning_Futhermore, I authorize the above named contractor to do the work stated.
nature:
/ Applicant / Contractor / Agent
Date
December 31, 2019 Page 2 of 2
P'EcEuVED
Miami Shores Village DEC 10 2019
Public Works Department
(305)795-2210X�
Public works forms are available from the building department, 10050 NE 2^d Ave., Miami Shores, FL 33
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: ,
2G ZLi
Name of Applicant (if utility see below): AXEL SOLER
Owner off the following described property:
Legal Description: Lot 10 Block 2 Subdivision RESUB OF BILK 2 OF BONMAR PARK
Folio #; 11 -3101-026-0100
Address: 117 NVV 97_ST MIAMI SHORES FL 33150-1734
>�>it>�i7►TTul�i
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
Email:
State:
CONTRACTOR NAME: S&C CONSTRUCTION CO.
Qualifier/Authorized Agent: ALEXANDER SOTO
Address: 91wirnRAI WAY#R15
Certificate of Competency #
City: _MIAMI State: FL ZIP: 33145
Telephone: 786-306-0329 Email: ALEX@SCCONSTRUCTION.US
State Certification or Registration #: CGC-1514636 Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: A CONCRETE APPROACH
Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other: CONCRETE APROACH
DESIGNER: Architect/Engineer: JOAQUIN MONTESINO
Address: 6219 SW 131 PL. UNIT 102
City: MIAMI State: FL ZIP: 33183
Telephone: 786-252-2768 Email: HARRYS@DDANDP.NET
Registration #: 69969
Value of Work for this Permit: $
Permit Fee $ 100.00
Notary $
Bond $
Square/Lineal Footage of Work:
*****Fees*****
Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $ (O<o�—
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 postgd nice, the inspection will not be approved and a reinspection will be charged.
Signature _
Applicant or a Agent
The foregoing instrument was acknowledged before
me this 5th day of NOVEMBER . 2019 by
AXEL SOLER who
is personally known to me or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
Print: HARRY 7ANCHEZ
SEAL
HARRY SANCHEZ
MY COMMISSION # GG094929
ylll�p? EXPIRES April 17, 2021
Signature
ompany/Utility Agent
The foregoing instrument was acknowledged before
me this 5th day of NOVEMBER 2019 by
_ who
is personally known to me or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
Print: -HARRY SANCHEZ
SEAL:
IN HARRY SANCHEZ
MY COMMISSION # GG094929
tF EXPIRES April 17, 2021
APPROVED BY:
1 ,Public Works Director, or Designee
2017-04-15
IIIII IIIIIhillIIIIIillllIIIII illll IIII lil
OR BK 317! I j Ps 2293 (IFs i
Miami Shores Village l(iRV�EY RI.;y+IN :i. Fh. OF
°
Building Department 7r.;°;I11--r..,)rE _FILUH - L i r:-' n
10050 N.E.2nd Avenue STATE OF FLORIDA C UNTY OF MIAMI-DADE No couHr
Miami Shores Florida 33135 I HEREBY ERTIFY t at his is a truetopy of the �° CLERK pop
orfgina in his o n day of
Tel: (305) 795.2204 6 �1 AD 20 N
Fax: (305) 766.8972 WITNESS y hand and ial Seal.
HARVEY R VIN,e of i uit and County Courts oM a°°"� TRUE o�Qa
4 F
,OVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY ANAZ AMNOLD 4201144
Nhereas, (owner) Q.x l *0LA5 -
iereinafter referred to as the owner of the following described
Droperty (address): it-7- WO
_ega.l Description: Lot 1i0 Block 2 Subdivision V-W_alcyir:. dy-j- Is -'L Dt-
=olio # l t -- V�lOt -02c- awa -
,:Zequests permission to install (describe work):
Nithin the public right of way of (address) t l 7- &3U-j R9--- s—r act
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�f� unty, Florida by the Village Manager of Miami Shores Village
(or his fully Ai, thoriz d j resentative).
Signature
or
er-
state of Florida
,ounty of Miami Dade
f he foregoing instrument was acknowledged before me this 4:91� day of 20 111 ;by
-:�10c_15T-. • who is personally known to m�. or who has produced
as identification.
4OTARY
iign:
Tint:
MY COMMISSION # GG094929
EXPIRES April 17, 2021