PW-18-3655Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
45 NE 98TH ST, Miami Shores, FL 33138
Contacts
Issue bate: 03/119/201
Parcel Number
1132060131130
Permit No.: PW-12-18-3655
Permit Type: Public Works
Work Classification Public Works
Pem*.Sta rs: Approved
Expiration: 09/ 16/2019
JAVIER ZAYAS Owner ONE STOP PAVING Contractor
45 NE 98 ST, MIAMI SHORES, FL 33138 CARLOS M ACOSTA
Mobile: 3053186738 1463 NE 173 ST, N MIAMI BEACH, FL 33162
Business: 7862991354 carlosmarcia@yahoo.com
ctRe
Description: CONCRETE DRIVEWAY WITH SQUARES Valuation: $ 2,000.00 Requests:
3ti5 Inspection Re
Total Sq Feet: 300.00
Fees
A]nt
Education Surcharge
Public Works Permit Fee
$1Scanning
Fee
Technology Fee
Total:
$1
Payments
Date Paid Amt Paid
Total Fees
$105.90
Check # 2377
03/18/2019 $105.90
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 contruction zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: 047ner / Applicant / Contractor / Agent
Date
March 18, 2019 Page 2 of 2
4.
DOCUIVENT COVERPACTE
For those documents not providing the rbQ-aLed 3 x 3 inch
space on the first page, this co ter page must be atb hed.
An additional recording fee for this page must be remitted.
Document Title: I . 1 1 1
(Mortgage, Deed, FtD.)
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L_i%ST F'AGE
Miami Shores Village
Building Department
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) j6yie r 2g<das hereinafter referred to as the
owner of the following described prope y (address): 46 06 R8 ST- I.Q. Qho 5 .9)3136
Legal Description Lot 1(o Block 6 Subdivision a 5kores .
Folio # (1 3ot)(o o 13 t (3o
Requests permission to install (describe work): ?to- ✓' C-�, Acr�-i e D' �
LAJ I S % U O-rt S
Within the public right of way of (address) 4
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 y an affidavit filed in the Public Records of Dade County, Florida by the
Village M ager of Miami Shores Village (or his fuller I. authorizee�tive).
�:1AI E U ORIUA, TY
' HEREBY CERTIFY that thas is a true copy of the
Signs nrrolnar tired to Mx Off ce61 L i�T2n� stay of
20
airNESsinahandandorr.Owner or Agent
4ARVEY RUVIN, CLERK, o 1 n ty Courts
The foregoing instr ment was acknowledged before melhis P(o -day ; N
4avicr :?_a cus who is personally known to me or who has produ ed
as identificati n and who did take an oath. am-- .. -.
NOTARY PUB�
Sign:
Print:
My Commission
)D
oQ 5
- BARBARO SOBRINO
MY COMMISSION A FF 195634
EXPIRES: February 3, 2019
aonded TMu Notary Pubk Underwriters
L,
Miami Shores Village
Public Works Department
Public works forms are available from the building department, 10050 NE 2'd 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
RE"C'EIVED
DEC 111 zov
C " .
Permit#: Jam.- s 18 ` g(4S
fl(�u I - loSS
Name of Applicant (if utility see below): C.
o.
Owner off the following described property: ~
Legal Description: Lot 1 giock 8 Subdivision sCAA
Folio#;11 320(o gt3 (t 0
Address: [! N& -t S s't Z
UTILITY NAME:
Qualffier/Authorized Agent:
Address:
City: State:
Telephone: ZIP: Email:
State Certification or Registration #:
Certificate of Competency #
CONTRACTOR NAME: 1Z �G v� 9 1711C
Qualifier/Authorized Agent Go,� o s <
Address: IN Q. » z -
City: W • -c . 4.o, (^ Statg _T_L -
Telephone: -78(0 'Lqq 13 Sq Email: C.A�I.o s ZIP:
State Certification or Registration#: C6C 1St311 r'I
Certi
ficate of Competency
Requests permission tp install (describe work, attach separate page if necessary) in the adjoining right of
way: Co r+C vi ew-
w
Type of Work: ❑ Paving ❑ Utility
❑ Sidewalk ❑ Electric ❑ -irrigation
❑ Other. C` (n In /%,—c L.
DESIGNER: Architect/Engineer:
Address:
City' State: ZIP:
Telephone: Email:
Registration #:
❑ Landscape ❑ Antenna
Value of Work for this Permit: $ 'Z � v o Q
Square/Lineal Footage of Work: -.- 3 Qo s
Permit Fee $100*s*** Fees *::s*
.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $
14 1 os-9D
Bonding Company's Name (if applicable):
Bonding Company's Address:
Cam: 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.
If
The foregoing Instru ent was acknowledged before
me this Z day of Q),J by
who
is personally known to me or wh has produced
as
identification.
Signature -011-
Companyjutiiity Agent
The foregoing Instrument was acknowledOgel V b e
methis_�dayof Ab✓ 1 `6
,Y
a c t ` who
is Personally known to me or who has produced
identification. as
Sign:
Sign:
Q,ctt�
Print: ftIGS r t n p Print: � /p Q
SEAL: v r t n J
BARBARO SOBRINO SEAL:
.- MY COMMISSION 8 FF 195634 BARBARO SMINO
i EXPIUIES: February 3, 2019 •= MY COMMISSION N FF 195634
aye nxu wtxy Pubk unawwPoen Af, . � EXPIRRE& February 3, 2010
f 9on" Tin ►b W Pok ftwwd".
3 i�
APPROVED BY: Public Works Director, or Designee
2017-04-15