PW-19-698Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 04/09/2019
Parcel Number
574 NE 102ND ST, Miami Shores, FL 33138 1132060171030
Contacts
Permit NO.: PW-04-19-698
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 09/30/2019
Carlos Goncalves Owner
574 102
DECO CONCRETE INC Contractor
JOSE MONNAR
10773 NW 58 St #161, MIAMI, FL 33178
Business: 3058285158
Other:3053454740
Description: REPLACE EXISTING SIDEWALK, ADD NEW Valuation: $ 6,300.00 Inspection Requests:
STAMPPED CONCRETE, SWALE /APPROACH 10x20 305-762 4949
TotalSq Feet: 200.00
�j
Fees
Amount
Education Surcharge
$1.40
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$112.90
Payments
Date Paid Amt Paid
Total Fees
$112.90
Credit Card
04/09/2019 $112.90
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 for5LECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS ;AFrFT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating n and zoning. Ferrnore, I authorize the above named contractor to do the work stated.
`J per'
Signature: Owner / Applicant / Contractor / Agent
Date
April 09, 2019 Page 2 of 2
FZECE `�
PR 0 2 2011
�.. Miami Shores Village BY:
* Public Works Department
(305)795-2210
Public works forms are available fro±n 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
nnP��roperrtty
Permit#: V V— — 11
J 08
Name of Applicant (if utility see below): �/� 2lQS �ON�Q ✓LS
Owner off the following described property -
Legal
/` /
Legal Description: Lot _ 2 Block Subdivision � A J SMV C41
Folio #; _
Address: 5q N�
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City: State: ZIP:
Telephone: Email:
State Certification or Registrationl #: Certificate of Competency #
CONTRACTOR NAME: '/ eL 0 OWCCq-7T ,TAZ.
Qua lifier/A tei2� rued Age i1il►)�--
Address:Fox q
City: _ i _ State: ZIP:
Telephone: Email: I"IE5 e0Vl%!/7Co.
State Certification or Registration M (5 i2/7 —? _ Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: �t�/G �,t'iy Si` �� w� 1 /L flD/� /✓fic/�rr/D� 4� �yit/�IL�T�,
Type of Work: ❑
Paving
Utility
R'*Sidewalk ❑ Electric ❑ Irrigation
❑
Landscape
Antenna
p- Other: Sc!/�L /Q,2Q,9zli ' �✓��
!C)X L�
DESIGNER: Architect/Engineer:
Address:
City: State:
Telephone: Email-
Registration #:
ZIP:
Value of Work for this Permit: r111F-S06 Square/Lineal Footage of Work:
***** Fees*****
Permit Fee $ 100.00 °
Notary $ Training/Ei'ucation $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required), Total Fee Now Due $
Bonding Co m ny's Na a (if applicable).
Bonding Comp% 's Addr s:
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 IMPPOVEMENTS TO THE RIGHT-OF-WAY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YG`JR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a conditon 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 brochiire will be delivered to the person whose property is subject to the
attachment. Also, a certified co:: y 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, ,,he inspection will not be approved and a reinspection will be charged.
Signature/
pplicant or Autho: zed Agent
The fstrument was act t iowledged before
me tay of 20-f- ( by
who
is p sonally known me or who ias produced
identification.
NOTARY PUBLIC:
Sign:��--
Print: ':�rx)Z��
SEAL:
Signature
CompalMqility Agent
The foregoing instrument wal acknowledged before
me this da'x �of 20� by
1F� _J r�D4px— who
Wally know me or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
Print: ZJ'L� "Affifilm
SEAL: s'pr"rya:, MAM AGUILAR
Notary Public - State of Florida
Commission a GG 246536
My Comm. Expires Aug 7, 2022
�y`P� , f aw Bonded through National Notary Assn.
MY
APPROVED
BY: Public Works Director, or Designee
2017-04-15
CFN: 20190198143 BOOK 31384 PAGE 927
DAT.E:03/29/2019 08:34:26 AM
HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY
Miami Shores Village
Building Department
10050 N.E:2nd Avenue
s Miami Shores, Florlda 33138
Tel. (305) 795.2204
Fax: (305) 756.8972
COVENANT' OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) LA•ktgic CAD G4.("
owner of the followin described property address): _
Legal Description tion 15-Y . Lot Block
Follo # w ry' - Up
Requests permission to install 4describe work):
Within the publif right of way ')f (address)
IN CONSIDERATION of the approval of this permit by
hereinafter referred to as the
Subdivision-�Xvrt�j_33/j�j
57 ,z,%�� �no�✓C2r ik �,,AV f
e 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 mantain 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 fawner
or shaltconstitute a tie>r 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 iterns.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 todo so. Failure to comply with this notice will result
in the Village causing Me item(s) to be removed and a lien being placed on the property
and/or assessed against the Owner for all costsincurred 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 hens and assigns, until such time as this obligations has been
canceled by an 'affida 41 filed in the Public Records of Dade County, Florida by the
Village M r of Mtati'Tni Shores Village (or his fully authorized representative).
Owner or Agent
The fo otng instrument was acknowledged before me this 1 �'�day of Mid- .
c X 1„- s who is personally known to me or who has produced. 2L. ' 20 �' by
v a-v 3 L.
as identification and who did take an oath.
NOT PUB,�lC
Sign. 64
Print: s.,,
My Commission Expires:
y pubM. > VbK
1lW cflmuW1 + �rwar+l
LEGAL DESCRIPTION:
3
Block: 94
Subdivision: Amended Plat Of Miami Shores Section No
According to the Plat thereof as recorded In
Plat Book: 15 Page: 14
Public Records of MIAMI-DADE County. Florida. .�
ADDRESS:
574 NE 102 STREET
MIAMI SHORES, FL 33138
Encroachments Noted: OJE`
LOCATION
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THOMAS J. KELLY, INC.
L.B. #6486
JOSS A: PEREA, P.SI& M. $W56
SURVEYORS -MAPPERS -LAND PLANNERS
N"tea D�
NOY VALID IAV0.P1lfi TH WIAN
333 PALERMO AVENUE CORAL 6ABLE5, FLORIDA 93134
(• MAIVlYORPs7f
NaTes, EAL
Norta
OM 444-7692 DADE (954) 779-3288 BRWO
I v ANO"' tURtW AK TO AN AUT #40
metWIN M PLAT)
(305) 441-6494 -DADE FAX (954) 779-3260 BRWD FAX
2 If sw"- 61VA_n0P% ARE f1lfeWD N.6 V D I$"
Tl+ts Is A �OIMDApY awV(Y
DATE FIELD WORK
11/14/2001
SCALE
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SURVEY NO.
1 1" =
01-4843