PW-20-377Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
I.�Li�Gn��L
Issue Date: 02/26/2020
Parcel Number
10502 NE 4TH AVE, Miami Shores, FL 33138 1122310130180
Contacts
Permit NO.: PW-02-20-377
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 08/24/2020
FRANCES BROOKS Owner
10502 NE 4 AVE, MIAMI SHORES, FL 33138
DECO CONCRETE INC Contractor
JOSE MONNAR
10773 NW 58 St #161, MIAMI, FL 33178
Business:3058285158 m.aguilar@decoconcreteinc.com
Other: 3053454740
Description: BRICK PAVER DRIVVEWAY AND WALKWAYS AND Valuation: $ 8,000.00 Inspection Requests:
ADD PAVERS ON EXISTING FRONT LANDING r
-162-4949
Total Sq Feet: 1,300.00 11
Fees
Education Surcharge
Public Works Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.60
$100.00
$3.00
$2.50
$107.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$107.10
Credit Card
02/26/2020 $107.10
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, DTRS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accur a find that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above name cp ractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor
February 26, 2020
Date
Page 2 of 2
RECEIVED
FE 2 0 2020
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 3 38
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: os--
Name of Applicant (if utility see below):�c�s H. 6*�s/ 7b
Owner off the following esc� bed property: �r
Legal Description: Lot I lock_�_ Subdivision %5� A44 If
Folio #; /
Address: 105;D2_ 1JA a kile-_ II lC
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City:
Telephone: Email:
State Certification or Registration #:
State:
CONTRACTOR NAME: DECO CONCRETE, INC
Qualifier/Authorized Agent: _.1OSF MONNAR
Address: PO BOX 720OR7
ZIP:
Certificate of Competency #
City: MIAMI State: FLORIDA Zip: 33172
Telephone: 305-828-5158 Email: jgtorres0clecoconcreteinc.com
State Certification or Registration #: CBC057725 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 #:
State:
Email:
ZIP:
Value of Work for this Permit: $ Square/Lineal Footage of Work:
***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ 1 6�—
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. 1 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 ipspection will not be approved and a reinspection will be charged.
Sign ure Signature
Applicant or Authorized nt Company Utility Agent
The foregoing instrument was ack►}o ged before The forego'n instrument acknowledged before
me this day of d�e e1►h 20�, by me this day of IVQU�M �f� 20_LJ , by
/�'(• �S who who
is personally known to me r who has produced is rsonall o me or who has produced
as as
identification.
Sign:
Print: _M w-,-71
SEAL: — — ---- ----
:o0%y Po'••.,
?��`;
MARIA M. AGUILAR
Notary Public - State of Florida
Commission GG 246536
My Comm. Expires Aug 7, 2022
Bonded through National Notary Assn.
identification.
Sign:
Print: Ax;0-9-
SEAL: — — — — — —
RIA M. AGUILAR
Notary Public - State of Florida
49'7`-7`.
Commission GG 246536
My Comm. Expires Aug 7, 2022
Bonded through National Notary Assn.
APPROVED BY: ublic Works Director, or Designee
2017-04-15
CFN: 20190764840 BOOK 31720 PAGE 3564
DATE:12/10/2019 0225:13 PM
HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY
11110ml. Shores V.111ago
Building Department.
1000NAInd Menus
M16MI Shlor;*,~ dA $3138
Talt (W) 793.2204
Far. (30S) 7116.1111872
COVENANT.OF CONSTRUCTION WHIN RIGHT OF WAY
Whereas, (owner) :ff-1
�C" D h6reinfterrallRirr
owner of th0blIdIvAng described property, m a_e d to as. the
(address)- /0 0 Z ^1E _J_ :t� '
Legal Description Wi 04 * it Srubdivision
Fol!6# 11 - z?- J/ - Q/ bjj7/� 41 t
Requests permission to Install Cd-eitzribowork): VAlae'Ours
Within the public Oght:qf way of(addrm), 165n7_ A17 47.
IN CONSIDERATION of the approval of thliparm . It by ft Village, the owner agrrees as fQljows:
I- To maintain and repak. When necessary, "A ' bWe=mentloqQl;l ftem(o) Inrattilled within the
ri
dedIcated right of way. If It becomes necessary for Miami. Shores Wage or Dade County
to make tepalrs Qr maintain said items within public right Of Way I . ncluding restoration, Of
street by reason qf'06 Owner's -failure to do so, such expenses . hall be paid Oytbs Owner
.or shall constitute si hah against the above do.scdbqd property until paid,
I The ovmor does hereby agree to indemnify and hold Miami Stwes Village or r)aft
County harmless from any and all liability, which may rise by virtue of permittlog the
installation of theiseltempmftwn the public right -of way.
3. The Owner doeshereby agree to remove or relocate the fadlWO at their own expense,.
within 60 days notice by the Wage to do so., Failure to -compl y - with this notice. will result
in the V10946 Causing the items) to 09 removed and lion being plated ' property and a 4* On the rop
'ArKVor asses
sed against the Owner for.all costs incurred in the removal and disposal of
the Item(s).
4. The undersigned further
, . or agrees that these conditions shalt be deemed a covenant
running with this land and shall. remain in 11u11 force and ailed and be Ondinon the
undersigned, their hairs an
1 0 assigns, until such time as this obligaitions has been
canceled by an affidavit filed in the Public Re.wrdsof Dodo C lofid by the
ouinty, F a
\r1flage -agar of Mia * Sho 4VIIII his full gft urized mpres9nf!gttv4
y
signature
6wn6ror Agent
he f6reodrig. InstruffliantWas acknowledged before me(this. by*
20
4m" (*DWt4b_ who Is poftonailyUown to meorwho has-produoed.771- Der
as,ilderMcation and who did .take an oath.
NOTARY
sign:
hint: &A
My corriff
PARA XL AGULAR
Notary Public - SW of Florida
COMIMAIM J'GG 146536
My Comm. Expires Aug 7, 1022
0 thm* "atiomil mm" Am.