PW-19-2814Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:12/03/2019
Parcel Number
1077 NE 98TH ST, Miami Shores, FL 33138 1132050180240
Contacts
Permit NO.: PW-1 1 -19-2814
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 06/01/2020
ONE POTATO TWO POTATO LLC Owner DECO CONCRETE INC Contractor
107798 JOSE MONNAR
Business: 3058285158 10773 NW 58 St #161, MIAMI, FL 33178
Business:3058285158 m.aguilar@decoconcreteinc.com
Other:3053454740
Description: BRICK PAVER DRIVEWAY Valuation: $ 1,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Education Surcharge
$0.20
Public Works Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$105.70
Payments
Date Paid Amt Paid
Total Fees
$105.70
Credit Card
12/03/2019 $105.70
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.,Y,at all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named con or to do the work stated.
Authorized Signature: Owner / Applicant /
December 03, 2019
Agent
Date
Page 2 of 2
�r Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: — I I^t 1 CIO 1 �
1�)S-- o',r- ICA=!�r1
Name of Applicant (if utility see below):
Owner off the following described prope;t—�
Legal Description: Lot_ Block �'R Subdivision
Folio #; i 32 ' �/� • oa 7p
Address I1lE I :�3f/nfie-'s �9 1; /�3t
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
Email:
State:
CONTRACTOR NAME: DECO CONCRETE, INC
ZIP:
Certificate of Competency #
Qualifier/Authorized Agent: JOSE MONNAR
Address: PO BOX 720067
City: MIAMI State: FLORIDA Zip: 33172
Telephone: 305-828-5158 Email: jgtorres(rDdecoconcreteinc.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 #:
Value of Work for this Permit: $
Permit Fee $100.00
Notary $
Bond $
State:
Email:
ZIP:
Square/Lineal Footage of Work:
***** Fees*****
Training/Education $ 0.20 Technology Fee $ 0.80 Scanni
(if required) Total Fee Now Due $ u _
--d
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
Applicant o uu ized Agent
The foregoing instrumen was ackn wledged before
me this � day of 20� by
who
is personal) wn to me or who has produced
as
identification.
NOTARY PUQ_LS;
:titer Pii
MARIA M. AGUILAR
Notary Public State Florida
of
Commission # GG 246536
�? of rti
My Comm. Expires Aug 7. 2022
Bonded through National Notary Assn.
APPROVED BY:
2017-04-15
**
Signature
V-struoment
mpany/Utility Agent
The foregoin was acknowledged before
me this ,day of uJv9tt/20 P_t , by
?Alyj a- dTf who
Is p onally known to, or who has produced
identification.
;,"P P� MARIA M. AGUILAR
;i°��`. Notary Public - State of Florida
_�y"o: Commissior = GG 246536
�16F My Comm. Expires Aug 7, 2022
Bonded through National Notary Assn.
******* * * * * *
Public Works Director, or Designee
CFN: 20190534106 BOOK 31581 PAGE 3033
DATE:08/23/2019 1.0:02:39 AM
HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY
Miami Shores VIIIagP
Building 13apar6ent
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner )/� JI r •! • D' hereinafter referred to as the
owner of the following scribed Property (address):
Legal Description o6/ % sHa ko��_ Block Subdivision
Folio # //
Requests permission to install (describe work): �/1P1GtM .
Within the public right of way of
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. q?m
3. The Owner does hereby agree to remove or relocate their facliities'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 In affidavit filed in the Public Records of Dade County, Florida by the
Village na er of Miami Shores Village (or his fully authorized representative).
A
V er or Agent 6 M' J�--
The foregoin instru e t was acknowledged before me this day of , 20�by
who is personally known to me or who has produced
Identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expi _
AAAfA M. AGUILAR
? : y� Y•? . Notary Publk - state of f lorida
. � Commission 0 GG 246536
MYCanm.&PtMAug7,2022
Bonded through'
Notary Assn.