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PW-19-1415Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1345 NE 105TH ST, Miami Shores, FL 33138 rnntnrtc dab � lilll Issue Date: 06/28/2019 Parcel Number 1122320270080 Permit NO.: PW-06-19-1416 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Expiration: 12/25/2019 1345 NE 105 STREET LLC Owner G & G EQUIPMENT RENTALS INC Contractor 271 NE 101 ST WILKIN HERNANDEZ 8311 NW 70 ST, MIAMI, FL 33166 Business: 3057163311 Description: 1" OVERLAY OF ASPHALT ON APPROACH Valuation: $ 4,250.00 Inspection Requests: 305-62-4949 Total Sq Feet: 1,850.00 1 —j Fees Amount Education Surcharge $1.00 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $106.50 Building Department Copy Payments Date Paid Amt Paid Total Fees $106.50 Credit Card 06/28/2019 $106.50 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. that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws . Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date June 28, 2019 Page 2 of 2 RECEIVED JUJ 2 0 2019 -may+ Miami Shores Village $Y: 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#:'PS- No- (6)' 1 -316 PVTOC 77-1yi5 Name of Applicant (if utility see below): 14 Irk QYlU A �—�+��✓ Owner off the following described property: )3L45 I E 1 D!S t-j►G?mi S�� 3 Legal Description: Lot Block Subdivision Folio#; 11- 09-7- ocs'= Address: 130IG NE I( _D -!E�;.1. 1110ryit ��l-�O✓ �, -h �31?�S3 UTILITY NAME: Qualifier/Authorized Agent: Wi )&-*n �'ii1G►'� iAZ Address: City: Telephone: Email: State: ZIP: State Certification or Registration #: Certificate of Competency # CONTRACTOR NAME: W11 0 -F{t4loy1dfz.•G EQyI'N ," NT (\L-S Qualifier/Authorized Agent: Address: 2 S 45 N W Vt City: State: to - ZIP: Telephone: ~7�4 953mail: State Certification or Registration #: Certificate of Competency #: Requests �ermissi n to install (describe work, attach separate page if necessary) in the adjoining right of way: 1 ' D IlC7a,; of- v.-1-+ Type of Work: [A Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: ,:�`'' :,� • JA City: State: Telephone: Email: Registration #: . • Y M Value of Work for this Permit: $ "� D, Squc*e/Cineal,Footageof Wcgr`k- **:** Fees Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ Bond $ (if required) Total Fee Now Due $ 0A • 5() 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 -I' ; tG`i - Signature Ap ocant or Authorized Agent Company/Utility Agent The foregoing instrument was acknowledged_'before The foregoing instrument was acknowledged before Ame thi Lt dayy of c 20 ! r . by me this 7 day of J Lt N 20 19 by An r J who &JiLJ�IiV C, who ikersonally fnown to me or who has produced is personally known to me or who has produced „ I1ttY't_ t VuVI :J"-_ as as identificat o identification. %RLI IL _ f Sign. `\\\\ Nflflbtf/1/rjj Sign: 1%?} Print: �+' 'N • O % Print: SEAL: , 2 A = SEAL: +.• s * • # _ - qt►i RAYZALEON MY COMMISSION ft GG IS= mN .�r (.�; Boded EXPIRES: 10 2dt1 �•�.,iI;-?+ybUnd�tf;:�Q'`� ,a. yF'�— PubAcUndawrlMrs di xv at*I 11 n �1�`stsstwt ehv *rx�y*ss*��s*ssr** APPROVED BY: _ `� \Q Public Works Director, or Designee KIRA415M Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (306) 756.8972 C-FN '2019RC-1z3621 F4- OR BK. 31478 Ps 2340 (1F'ss) RECORDED -16/11/2014' 1�1:1b:4 r HARVE'r RUVIN, CLERK. OF COURT MIAMI—DADE COUNTYP FLORIDA STATE OF FLORIDA, COUNTY OF MIAMI-DADE I HEREBY CERTIFY that this is a true copy of the original filed in is en_ ____day of tl Itu I s_) It_ _ AD zo d and f ial Seal. COVENANT OF CONSTRUCTION WITHIN RIG , 1 It and County Courts may, / ,.�� Whereas, (owner)D.C. 12�c ►� (1✓ "�t.'1 NEWT #31 hereinafter referred to as the owner of the following described property (address): Ns✓ iDS f�* - kI mi Legal Description: Lot Block Subdivision Folio # I (-'��`�- ©�'y- �� Requests permission to install (describe work): 0Ve✓1 CZu gE �` Kai ©� &05PVCCAOL Within the public right of way of (address) 1--�45 Ne Ii7 1-�� q ✓rl� �D ems, rtL, 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 andfor 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 Records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). Signature. Owner or Agent State of Florida County of Miami Dade he fore ing instrument was acknowledged before me this �� day of Aunu , 20 11 , by un rA 5.e r who is personally known to me or who has pro ced r;vw 1 i C�Kg-' 0011111111111101 as identification. to 11/// NO AR UBLIC, Sign. Tint: ti m 't SEAL: ••• #C4 2e1255 A >4nde