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PW-03-19-660 � ��� 1 �`��Z t��\��.s�ti�2 ltti�l�'\i�ti\� i�1\�`�����. \����4�� tiJ`.��.�`���\�Zt�� z \\�t�\�����`���,\`�� �\ �i ����\� �`Z � . l��. � f�;� , l,:'�t t i�a�������\t t���i ��,1i`\��'s�����.\\t}�,'�`����;��{��1t�\,�.1 , �.��� } t� � �`,��1C�4����� \ �\ .;rt`�.� C ts��,\ti 1 �,��'2"l'l \s � 11 ������� t�.,.�`�;,w�\5� s i1��Z�\t`��4i�i`\. �t�`��O`3fi.�° �`�.\��i��s��\�l'�5���:���f�:,..�,\A � ll� ti�..'. .�ti �4�.�Z��ti.. g"� �^•��' �\ .�ti�����1� ����:���ri ���\\S�\\�.�. � �\\��`�� ���?�`,�`�t��t:.`�'����.,,t���: � �C,�ti,, §}��.�s�,.\:�r 0 � 1�1'TtI SItOf�S VIII� � � n�, ,, ���\�7��t����\�`�z�������� ����,t}�������1`}������ti ys `,;,�\,���,s�t,����i�a�tf ���`� r� � ��\ � ��k �����} \ ,.. 4� �� \� �� ��\l t�if,�,�� ' i � � �� � �: �.��rJ�}h}E�1�VE: >> ..ti� � �: �� �?, �? tr \ z1�������;��,i\��1��t\�t?;��1���3Z��{��� �U` ��'� ti� �� �.�. �#_ �� � ���� �\� ��� � \ � ��\�'���s\� ,`��4���0\\ � � �`;���i � ` � ��: � ' � �� �� S; �� �� �\ �4 S � �.\ \ � '� MiamiShoresFL33138 ,�� �\ Z�`; �,� �� �� ,4;� � `� ����\3\��e��Z����`z,..� �1ti`�.�:� ti�;\��j�� �����; .. r��v,��..\�i��SS 4>`,�,:'1\}j'.rt L1:11:.t4 s,;��2�,Z\ �}\�`�� t ��j 1t\��t l.�`,.�.,�"���`�\���z 3��.�yt„��\Sl�y�?,,. \��!a,8`,,.�".?x �...,..�. .. � 305-795-22Q4 `}����;��4'����}���'�i`��.,����;�`}`���\ '\�t�iti����s;��'���1��`��'��t>����`�> � �. ,� �`�'�r���t13`�'t3�' �t�.��t1�` ��'���4���ti�',�.���1S�1�,����`�k'�����5�`,1\��`��,���.'':t�l��}�`a����lt.>��',1`� �`,,:��:',,.�4�,'„l1\ 4 ,r���u,i��< � ��������,\�� y �\� i.���0�7 �� , F ��tc � �`�4��? i`� �� i � 3 c � ��R1V� �� s�\1����;��\``�\�z�A��§c��������,�'�1 c� Zti'}� � � . �3�����°�����y;;����, ` � °�� ; , ��:� �}t�FErat'IOCt� {)9j2f3;�2020 \�tik,�„y�Z� �,�;£\,����„�.�.;`� \ ,��, ,..��,�. .�„<�l, . L�cati�n Addr�ss Parcel iUumber �:�.�.��.b ���, .�.�.�.�,�.��.r� .�.�.�.��� ��w,.��.�R������ ��ttm��,� �..� ��.�..�� 91�Q NW 2ST A�E,Miami Sh�res,Ft,33150 113101016Q060 C�ant�cts . . __.�.._...�.. � �PRESCl�i.t�REYES C1wn�r PRISCILLA REYES Cantractor _.,�,�.���.�.w.�.��ze.,��,.�_�_�,.�.��a,�m.�.��.��..�.�.�.�_.�....���.��_am���.,�,�.��.a�_..�N�.e����.�.�� � 91Q4 1 9100 1 � 9 ,�r�_.... ��.�,��.�.�.�v_.,�,_.�.�.�.....,m��.�.�.._.��_.....__�...�Wm.�.�.. . �._,..����,._�.,. _._mw��..n..�. � 6ns �ctron Re ueS4s � DusCriptlon:EXTEND HEDt"..,E LlNE TO PUBIIC TREES (SEE VaEuBtit�rt: §O.t)0 �t ������������t �t �������1�� ,��� �,� < � ATTACHE€)DIAGRAMS�FQft PR(VACY AND CQEVFOR(V1�1TY � � �� 7•� �������?�ti�\V"����V���;�,`�1���\��i� t,� � �c�2t � ti �\Z��1,.,ll���V�. � WlTM AREA. ; Totdl Sq Feet: Q.QO `z����,��3��`,��\�`�i � ������ ��°z`�a ?�������; Fe�s �4mount Payments ��te Paid Amt Pai�! Publie Yitorks Permit Fee $100.OE� TotaC Fees $1Q5.5�? Seanning F�e $3.Q0 Credit Card 03J31(2020 $1t35.5� TechnaEogy Fee $2.SQ AmDur�t Due: $O.Ot� Total: $1Q5.5E} ulldltl ��7►� �t1t �A �{ In c�nsidera�ion �f t#�e is�uan� to m� of thi� perrr�it, I agree to perf�rm the work covered hereunder in complianc��vith ail ordinanc�s �nd regulaticans pert�ining thereto and in strict eanformity with th� plans, drawing�, statements or �p�cifi�atians submitted to th� proper �uthrarities af Miami Shares Village. In accepting this permit I assum� respansibili@y for aIl wark don�by either mysel�, my agent, �ervants, or empioyes, ! und�rstar�d that sepaeate pe�nits are r�quired for EL�GTRICAL,P�E1PdIB(NG,MECHANICAL,WINDC�WS,D(?O�S, Rf�fJFING and SWEMMINC Pf?t?L wark. OWNERS �FFEDAVIT: I c�rtify tf�at all the foregoing information is aecurate �nd that alI work wi(I b� don� in compliance with alI applicable laws regulaTing eanstruction and aaning. Futhermore, E�uthcsriz�the aboue named contracfor tQ do the work stated. Authori��d Signature:Qwner 1 AppEicant t Cc�nCractor t Agent C�ate March 31,2�20 Pa��2 of 2 ��: � .�� �� � � �� ��� � � � � � ,. � Miami St�or�s ViElag� �� " ��� Public Woeks Department .� • (305)795-221Q � � ,�� Public works forrrts are available frc�m the building d�p�rtment, 1005C}NE 2"d Ave.,Miami Shares, FL 33238 �t� �� � °r �'��� PUB�.IC WORKS PERMIT APPL(GATIQR! +&�� Permit Type:Wark in th�Ri�ht-of-Way on Miami Sh�res Vil�a�e or Mi�mi-Dade Property P�emit#�. ��`���� �' ���_ f �' -���.��"�`" Narne t��Applicant{if utility se� below}; �f��C. E�� �`� Qwner aff the followin�described prap�rty: � L�gal [�escription; Lot �lack Subdivision �0.`�� ��.�`�'�..f'�,�� ��t�'.�� Fc�l ia#t; �i�- �-��� .. ti �ddress: � � �`�_ �/�ffi�� � at� �� ��.-- ���..�� UTI�ITY RIAME. Quaiifier�Authc�rized Agent: Address: City: State: �IP; Tel�phone: ��� �"M Email: Stat� �ertifica�ion or Registr�tion#: Certificate of Competency# GfJR1TRACTQR RIAME: �uaEifierJA�thorized A�ente Address: �ity: Stat�: ZIP: Telephone, Err�aiE. Stafi�C�rtification ar R��istr�tion#: Certifica�e�f�omp�tency#: Requests p�rmissia�t.�_�inst�ll (d�scrib�wt�rk, �tt�c�t s�parate pa�� if nec�ss�a ) in th� djeainin� r' ht way: ���€X � � ,t�. ���i� , - ,� �.. �� � � �� � Type af Work. ❑ P�vin� � tJti(ity ❑ Sidew�lk � El��tric � Irrigation Landscape (� Rr�tenn� � C?ther: DESEGNER: ArchitectJEngineer: Address: �ity: State: ZIP: Telephon�: Email: Re�istration#: Valu� af Work for fihis Feemit: $ Square/l.inea! Footage csf Work: ***** Fees ***** Permit Fee $ 1C1Q.00 �otary$ Tr�iningJEduc�tior� $ 0.20 Technolo�y F�e$0.8Q Scannin� $� Bond $ (if r�quir�d) l�atal Fee Now �ue $ C��-�� a " �"t� ��� ��:� e���� �=°� ,����►"� h.,._.�-��_� �°€���� � �e�ndin�Company`s Rtarete (if applicable}; t �c�nding CQmpany's Address: C�ty; State: ZIP: Qppli�atican is hereby mad�tc�abtair� a pubfic w�rks p�rmit tc� do the wark in th� ri�ht af way and installations�s indicated. 1 certify tha� n�work or installat��� has�ammenced prior to the issuanc� �f a permi�and�hat�1I wcark wilf be p�rforrv�ed tc� meet th�standards�f all laws, r�guEatic�n constructEon in this jurisdiction. I understand tha�sep�rat� p�rmits must b�s�cur�d fe�r APPLEC,�NT'S AFFIDAVIT"; 1 c�rtify that all the fore�oin�inf�emati�n is a�cur�t�and that�11 work will b� done in compliance with applicable laws re�ulatin� construetic�n �nd specifically c�ns�ructi�n in the ri�ht-ofgway. "WARE�ING TQ APRLICANT:YQUR FA(I.URE T't} RECOR�A NQTiCE C}F G�MMENCEMEf�T MAY RESULT !N YQUR PAYING TWICE F�R (MPRC}VEMENTS TQ THE RIGHT-C?F-WAY. IF YQEJ INTEIVI�TU�BT'AIN FINANCING, CC}NSULT WI�"F9 YQUR LENDER OR AN ATTORNEY �EFORE RECQRDINC;YC}�1R PVQTICE UF C�MMEN�EEVIEIVT.,, Nati�e t�Appiic�nt:As� condit�on to th� issuance c�f a pubGc works permit with an estim�ted valu� exce�din�$2,5C�C�,the app6icant rnust prc�mis� in �ood faith that� copy of th� notice of c�mmencem�nt and ce�ns�rcaetic�n li�n law br�chure w�ll be de(ivered to th� p�rsc�n vuhc�se praperty is ss�bj��t�er the att�chm�nt.,4ls�, a certified c�py c�f the recc�rd�d natice c�f camrr�encerr�ent must be pc�st�d at the job sit�f�r the first�r�sp�etic�n which �ccurs s�v�r� (7� days after the public works permit is issuede In th� absence of sueh posted notice,the inspection wilC r�c�t be appraved and a r�insp�ction will be ch�rgede € Si�nature Si�n�tur� Applicanfi or,Authariz A��nt Company/EJtility A�en� The for�going instrument was ackrso�ledg�d b�fc�r� The foregoin�instrur�ent w�s ackr�owl�d��d b�fore �this `� da crf ,2C} by m�this day of 20 , by t`���� ` p who wrh� is personalfy known to m�or who h�s pr�duc�d is p�rsc�naPfy known to m�ar wha has produced as as identi�ic��ion. ider�tification. NOTAR PU l.IC: �lOTARY PUBLIC: Si�n� Sign: Print: `-�'�'- ��i� ���F�.�� Pr�nt: `��� �� � ''� ` �;�� �. SEAL; E,AE: ��� :����:t�, �SINDtAALV � � ��-M;�`� - �� ,, AdY CCTt�1Ar1fSS60N#Cf3 23$273 ���, a. ., � i� � + �-'� . - � - � �o' E)fFIRES:Septemt�f 3�2Q22 -''as�` ,r „�., �,�t� , � � �� ��°��va, Bondad Thnt Nu�ry Put�ic Undenvritsra °"' � $ �f., � * ���* � ��:*�**���:��*������*:x���***� �,���� � � t�.� � � h „��t-��`�„,G f�;.�a �.3 �,f-k�.o `,�. i 4�*a APPROVED �Y: ��' �t Pub��e Work ,��r�ctc�r, or Designee 2Q27-C}4-15 � � � ��a�,�����es V�c�a�� �� ��� � � �� � � � ����� � � � � � � �� � � � t� � Pubfie WQeks Department �_ F��h�l �x�� �E��ma� �;�a�'�� �. (305}745-221Q ��� �'.p; �1'°� E'a� ���5�-:;���1 i��'��� � ��r� ��r� � � �_ : -��,% � ,r_ s -�:� � �,., �+�. .. . .,> ..,_ _s. _ , . , s i 1,. ; � ��""��'"'��' Pubiic warks fc�rms ar�availabl� - �',�,��� from tne buildin�dep�rtment, 1Q050 NE 2"�Av�., Miami Shor�s, Fl.3313� C�VENANT QF C�NST�UC'fl�►N WITtf1IV �I�HT�F WP►Y ` °~ c� Wt�ereas, (t��reby referred fica as the�wnerj��^�� � + ���� ����-�"�' � �tf Qf th�f�llowin�d�seeibed prop�rty: �t1����� �t;� Le�al E�eseription: [.ot �(�aek Subdivision ��"' ��1`� Foli��#, �� "` ���� E.'��� }...��.,,��� �f� �, � Addr�ss: ���i�%, .�i�I.�,i �� �t,�.� ���'E d��•�1 ���?.��°��� ��.� �� .�� � Reques�s p�rmission � dnst II {describe wark,attach�s� arate page i necessar ) in the a �a� in�ri�ht c� way: ° ' `° � ;� � �(�.s��i� `a"�� IN CONSI�ERATION c�f` �ap�raval c�f this permit by the villa�eR the c�wner a�r��s as followrs: , �!( � �Ri'.�� '� �. 1. To maintain and repair,when nec�ssary,the above-mentianed item(s) installed with�rr th�dedicated right of�way. If it beeomes nec�ssary for Miami Shores Villa�e c�r Miami-�ade County tQ mak� rep�irs ar maintain said items within th� public ri�ht of way ir�cluding restoration�f the street by reason of the�wner's failure t�a dc�so,such expens�shall be paid by th� C�wner esr shal!constitute a li�n againsC the abou�d�scribed prop�rty unt�l paid. . 2. Th�awner does herby a�ree to indemnify and hald Miami Shares Village ar Miami-D�de Gcaunty harmless fram any ar�d al[ li�bility,whi�h m�y ris�by virtue�af p�rmittin�th�inst�llation�f these items within the public ri�ht c�f way. 3. Th�Owner does h�reby agre�tc� r�mov�car reloc�t�their f�ciCities at the�r�wn�xp�r�se,within 24 days'ncrtic�by the Village to d�sa. Failure to csarriply with this natic�wili result in th�Vilfa�e causing the item(s}tc�b�r�maved �nd a lien beir��placed on the property�ndJor assess�ed a�ainst the E7wner fcar�ll eosts incurr�d in th� removal and dispcasal of th� it�m(s). 4. The und�rsign�d fiurth�r agrees that these ecanditicans shalE b�de�med �cov�nant rune�ing with the land ar�d shall remain in full force and efF�ct a�d be bindin�Qn fihe undersigned,their f�eirs and assigns until such time�s this�bEigation has b�en cance9Ped by an affidavit filed in th�Public R�cards of Miami-Dad�County, Florid� by fihe Villag�Mana�er c�f Miami Shares Villa�e(c�r his f ly�uth�riz�d repr�sen�ativ�). Si�nature � � Own r or,4utht�rized Ag� t Sfi�te of� County of �t .— _ Th�fare�oin�enstrument was acknawled�ed before m�this day of � �-1 , 20 �,, by ��.15�k who is persanally known tc�me�r virho has produced as identification. NOTAR P BLIC: ,� �. Si��: _. :., �. � � . .� -ns u �:k ` �`� (� ,��AYr� �'JINDiJ,RLV�Z ��� i � `-'�''.����" (��•.'�-�*����.=�� SEk1�: � �c= �tY Ct`�PAl4ttSS1C}N#�C�`2.i$273 ; Prir�t: �' �,��� � _`,: �XFIR�S:S�pi�m�3,2t322 � `'�«,��;t�'`� �nd�dTttroNofaryPublicUnd�rwdtars 4 1 �� 2017-04-11 LE�'rE'VD �w p e,�n�icnr�zx nci+�tat�m p ta-��zs � . � ABBREVIATIpNS: e�p� . �� �"r �� ���. ---------------------------_.._._-------------------- . . .. . _ _. . - , ..__ A=Attf.wSZftR�1`. �^iBC. � a.e a� G�� n rz.n�: 8308 MIGE.S GRIVE SUiTE 148,MlAMI, FL. 331$3 -'"� P1.P 12' �c ��owmec c�>�..a� arz� Tei: 305.767.88Q2 fJ� /� (l� +F /y �} ` MOCAF �. au� aR www.�urvs�Y-Pro�.com .`:� 4VT'(. LUT�y �� H 9P_S G L�AR.N� � t . / _.. _ �':__ __ ___. ____ _.__ !. / 4P ChNCR - 3�„K& . . , I - . ,_ _'_ '_ _ _ ._ � ` A `� _.-....a. '�� _.___ __ ._._____._ �_ F ' & 1 . 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