PW-19-1287Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
9707 NE 5TH AVENUE RD, Miami Shores, FL 33138
Contacts
Issue Date: 06/17/2019
Parcel Number
1132060180030
Permit NO.: PW-06-19-1287
Permit Type: Public Works
Work Classification: Public Works
Permit Status: Approved
Expiration: 12/ 16/2019
OLIVER & MARZIA DI PIETRO Owner ABI DEVELOPMENT INC Contractor
336 NE 98 ST, MIAMI SHORES, FL 33138 ARISTOTLE PAPASTAVROS
2370 SW 131 TER, DAVIE, FL 33325
Business: 9546088334
Description: SIDEWALK & DRIVEWAY APPROACH . Valuation: $ 1,200.00 Requests:
Inspection tion Re Re
762-4949
TotalSq Feet: 500.00 11
Fees
Amount
Education Surcharge
$0.40
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$111.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$211.90
Check # 3084
06/17/2019 $111.90
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, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AF IDAVIT: I fortify hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating�t�uct� ion andlzoni . Futhermore, f autrrize the above named contractor to do the work stated.
1 /I 1
Contractor / Agent
Date
June 17, 2019 Page 2 of 2
%_-, 1' 41 V� Co,"
J5429
�. Miami Shores Village BY:
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#: Tw _Q l — (9 — 1`8�f
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot Block Subdivision ry 1� u ► v•GS
Folio#; I\- 3L.bc. "UlK (7b30
Address: q _40 4 11.7(= S-
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone:
State Certification or Registration #:
Email:
State:
ZIP:
Certificate of Competency #
CONTRACTOR NAME: Pit j D, l,'un AC_
Qualifier/Authorized Agent: , i�f� c r � pa-Wv-. no
Address: 5c.,.w
City: State: ZIP: 353 Z
Telephone:',�_y' (,0)-b33tj Email: kfe 1 M
State Certification or Registration #:eloC_ 6303I Certificate of Cor4etency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: SCG��. u,\�� �v;. c_►,.u� ►� [�w
Type of Work: EV/Paving ❑ Utility Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
Citv:
Telephone:
Registration #:
State:
Email:
iM
Value of Work for this Permit: $ 120 Square/Lineal Footage of Work:15od
*****Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ 1 ` � .!M
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
AplIllicantorAuthorirtMAgApt
The foregoi in rument wad cknowledge efore
me this 2 day of 204-1 by
6D, who
is personally known to me or who has produced
as
identification.
Signature
Company/Utilit'y Agent /
The foregoing instrument w s acknowledged before
me this 21 day of Ahoik 20(' , by
n)�, "Q'' jp b.� t/y � who
is personally known to m�who has produced
as
identification.
NOTARY PUBLIC:
NOTARY PUBLIC:
Sign: •' MICH "'•,
Sign:
�hpQ •••Y••��y��
Print:
Print:
SEAL: o ; REG # GG 157200 : m :
NOTARY PUBLIC
SEAL:Teir
v : MY COMMISSION: N :
STATE OF FLORIDA
• '• EXPIRES :•
•' cD> ••.• 11/0112021.-- <Z�;'
Comm* GG235687
Expires 8/30/2022
2F•OF V:v
APPROVED BY:
Q , Public Works Director, or Designee
2017-04-15
I 7
Development
05/22/2019
STATE OF FLORIDA
COUNTY OF DADE
{t+i4�y�BRgT��6++*r
x x x
'-Z
+}{{xxxxt++
BEFORE ME THIS DAY PERSONALLY APPEARED WHO, BEING DULY
SWORN, DISPOSES SAYS:
THAT HE OR SHE WILL BE THE ONLY PERSON WORKING ON THE PROJECT LOCATED AT:
CONTRACTOR SIGNATURE
SWORN TO (OR AFFIRMED) AND SUBSCRIBED BEFORE ME THISf?—DAY OF 20A
BY A f*� � -i,
PERSONALLY KNOW
OR PRODUCED IDENTIFICATION
TYPE OF IDENTIFICATION PRODUC
K.4REN RODRIGUEZ
Notary Public - State of Florida
r....,miccioo k GG 304504_^
2370 S.W. 131 Terrace • Davie, FL 33325 • Phone:
email: infoeabidevelopmentinc.com • web:
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNINGLOW YOU ACKNOW� THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of
County of Miami -Dade
The foregoing was acknowledge before me this day of AP"'i) , 20J"N .
By (9 �,' / Lf � I-6)'((2 who is personally known to me or has produced
as:iden.`fohli%ACHAF4
Notary:0 :OR NOTAR0Y•••'••�'Y�%Z
L pUgIIC
# GG 157200 • m
SEAL: : _ ;MY COMMISS►ON . N
E
CFN: 20190342780 BOOK 31467 PAGE 3639
DATE:06/03/2019 02:50:55 PM
Miami Shores Village
ffn..M Building Department
10050 N.E.2nd Avenue
r Miami Shores, Florida 33138
Tel: (306) 796.2204
Fax: (306) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner)_ Q1;��_ �; Qr t,�rrt,
hereinafter referred to as the owner of the following described
property (address): °I�bl ue. SV' A..- - lad .
Legal Description: Lot _L_ Block qff Subdivision
Folio #
Requests permission to install (describe work): ode k 9011urs CbJ
Aaroo«k'.
Within the public right of way of (address)
VhztiM; S I rI 3313'r
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 items) 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 by an affidavit filed in
the Public R ords of Dade County, Florida by the Village Manager of Miami•,�orea,yillage
(or his ful auth rized representative). ,•.•��MICHAe,
:
•`pQ
.'�
I NOTAFtV'. � lip
~ ' PUBLIC
Signature i 'sEc#cuss+' m
ON
Owner or Agent �; YcomEXPREs IT ZZ
State of Florida %�s�q . ti�fatirz tloQLI
County of Miami Dade , �''�'•OF•F,.••`••,
g �r day of A i ��20 )�( , by
The foregoinginstrument was acknowledged before me this
bk, Idtf �i c-* ✓v who is personally known to me or who has produced
as, identification.
NOTARY
Sign:
Print:
vu 2 .
SEAL:
CTY
— -- — — — — - t�_ —f-
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TELEPHONE: (705J 1842660 ,
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PAGE 37, OF THE PUBLC RECORDS OF MIAMI-DARE COUNTY. FLORIDA.
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PROPERTYADDRESS:
9707 5
MIAMI SHORES.
S.. FF
L 33738
CERTIFICATIONS:
OLIVER Di PIETRO
FIRST AMERICAN TITLE WSURANCE COMPANY
GREENBERG TRAURIG, PA.
ar b D� m LOt -tpay 6
SUR:cY0 SNOTES:
LF'r ,6 I J. IF SHOWN, BEM", ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PUTT IN THE
LY- a� f 4e'f DESCMPT100,
OF THE PROPERTY. IF NOT, T.4EN HEARINGS ARE REFERRED TO COUNTY,
TOWNSHIP MAPS
cRNORTH ARROWBASED ON PLAT
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:i
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•'• 'I-/.L g • • • • • A,— -7 GEORGE IBARRA (DATE OF FIELD IMDRp -�.; • • • • • • • Pf:FESS/OVAL LAND SURVEYOR NO: 2534
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LOCATION SKETCH SC41*9o:N.T.S. .•••
LEGAL DESCRIPTION: • 0 • •
SURVEY OF LOT C, OF RESUSDIVISION OF BLOCK 98 AMENDED PLAT OF • • • • • • • • • •
MIAMI SHORES SECTION 4 • • • • •
ACCORDING TO THE PLAT THEREOF AS RECORDED IN THE PLAT BOOK 49, • • • • • • •
3.20 OL PAGE 37, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. • • •
c a' C•L'F' • • • •
3.20>CL • • •
PROPERTYADDRESS: •• • • ••
0.60'CL • • •
••••
9707 NE 5 AVE RD
MIAMI SHORES, FL 33138
CERTIFICATIONS:
OLIVER DI PIETRO
FIRST AMERICAN TITLE INSURANCE COMPANY
GREENBERG TRAURIG, P.A.
N
" p
A
SURVEYORS NOTES:
1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE
DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY,
TOWNSHIP MAPS.
yp NORTH ARROW BASED ON PLAT
2). ALL ELEVATIONS SHOWNARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929
MIAMI-DADE COUNTY BENCH MARK # N 603-R LOCATOR NO. 3250 SW.;
ELEVATION 8.05 FEET OF N.G. V.D. OF 1929
0,103). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT.
78.53.20"'
!HEREBY CERTIFY.• THAT THIS "BOUNDARY SURVEY" OF THE PROPERTY DESCRIBED HEREON,
AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM
TECHNICAL STANDARDS ASSET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND
SURVEYORS IN CHAPTER 61G17-6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,
FLORIDA STATUTES.
F.LP 3/a"
t4 CAP '
BY 0411WO13
c GEORGE /BARRA (DATE OF FIELD WORK)
n PROFESSIONAL LAND SURVEYOR NO.: 2534
STATE OF FLORIDA
FIRM L B. # 6044
O.A. . OVERHEAD
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R4. PN7PAR
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PRM. PERMANENT REFERENCE MONUNEHT.
P.L.S.- PROFESSIONAL LAND SURVEYOR.
R. RECORDED DISTANCE.
(VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE
ATTESTING LAND SURVEYOR).
REVISED ON: 01-09-2018 SURVEY & CONST ELEV
REVISED ON:
RR.- RAIL ROAD.
RES.� RESIDENCE,
R/W . RIGHT-OF-NWY.
R. P._ RADIUS POINT.
RGE.� RANGE.
SEC.- SECTION.
STY.- STORY.
SWK.- SIDEWALK.
S. Z.P.- SET IRON PIPE L.B. 46044
S.� SOUTA.
SECONDS
T' TANGENT.
TWP TOW.VSXIP.
UTIL.: UTILITY.
U.P. UTILITY POLE.
W.H. WATER METER.
W.F.- WOOD PENCE.
W. S. - NOOD SHED.
w WEST.
C CENTER LINE.
p - CENTRAL ANGLE.
•¢ ANGLE.
zl= . WOOD FENCE.
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Z� - C.B.S. WALL. (C. B.W. )
"0.00 - EXISTING ELEVATIONS.
PROPOSED ELEVATIONS.
�s TRAFFIC FLOW
DAALVAGB MY
SEAL