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DS-09-22-2346 & PW-09-22-2348
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-09-22-2346 Permit Type: Driveways/Walkways/Slabs Work Classification: New Permit Status: Approved Issue Date: 10/31/2022 Expiration: 05/01/2023 Location Address Parcel Number 19 NW 109TH ST, Miami Shores, FL 33168 1121360030310 Contacts MIAMI SHORES 109 LLC Owner GLOGOZ CONSTRUCTION COMPANY Contractor ANDREA GREENWALD GLORIA STELLA RAMIREZ 19 NW 109 ST, MIAMI SHORES, FL 33138 12255 SW 129 CT, MIAMI, FL 33186 Business: 7864478129 david@concretelux.com Description: NEW CONCRETE DRIVEWAY 4" THICK ATTHE BACK Valuation: $9,000.00 Inspection Requests: 305-762-4949 OF THE PROPERTY AND A CONCRETE SLAB 4" THICK BY THE MAIN ENTRANCE Total Sq Feet: 863.00 L d Fees Amount Application Fee - Other $50.00 CF $5.40 Concrete/asphalt/pavers, slabs, dways, $75.00 swalks DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $2.70 Planning and Zoning Review Fee $70.00 Scanning Fee $9.00 Technology Fee $12.50 Total: $228.60 Payments Date Paid Amt Paid Total Fees $228.60 Credit Card 09/14/2022 $50.00 Credit Card 10/31/2022 $178.60 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I uthorize a above named contractor to do the work stated. �yr-6 ,gjb��7 /0&/Z2 Authorized Signature: Owner / Appli nt I Clorliractor / Agent Date October 31, 2022 Page 2 of 2 ENTERED BUILDING PERMIT APPLICATION ©BUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 Master Permit SEP 14 2022 BY: FBC 20 )S-U9-22 - Z3Nb Sub Permit No. oqW - 15l - 2Z - 23 4$ ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS -S-F City: Miami Shores County: ' Miami Dade zim 331bF Folio/Parcel#: l l -,2L3ro -003 -0310 is the Building Historically Designated: Yes NO K Occupancy Type: 1 T � Load: Construction Type: fFK Flood Zone: BFE: FFE: V4"6twu S(ccii±S OWNER: Name (Fee Simple Titleholder): 4v-d'VO- G/eeA W0.1oL - 1 `O � g LLC- Phone#: i -ZS / 6M 2 Address: 6Z8 Nofft, FGJU-CL( #W Y 4f zi06 city: T+. toji lir'do-L state: T zip: 33308 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: 14Z.S% SW 12-9 C1- P-WOLU-S 5- 33186 Email: -IaV1d P00NC*t.}}I W- COL4, Qualifier Name: State Certification or Registration #: C� lS 1327A Certificate of Competency#: DESIGNER: Architect/Engineer: Phone -?F6 32}YS12 % yyY - 8/2-17 State: _Zip: Value of Work for this Permit: $ 1000 Square/Unear Footage of Work: _ lais Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ,F n ��11"-'_❑ Demolition Description of Work: i1 kw C0y?c"P* 'n/�1Mt/eLM4, /r/' -ilyGk p.,-F fl-L back attd a CDr,ctiotc. Slab 4'r -t c-k by -tke Yvia� . 2tn-4igvtce Specify color of color thru Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Sunning Fee $ Technology Fee Structural Reviews $ DCA Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ P&Z Review$ Bond$ TOTAL FEE NOW DUE $ (Rewsed04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's AddressCity _. State Application is hereby made to obtain a permit to do the work 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 regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, R IRNACFS. BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information applicable laws regulating construction and zoning. is accurate and that all work will be done in compliance with all "WARNING TO OWNER: YOUR FAILURE -TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, 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 building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien low brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days afte a building permit is issued. /n the absence of such posted notice, the inspection will not be approved and a reinspection fee wu b charged. ` OWNER or AGENT The foregoing instrument was acknowledged before me this -"jI—dayof4l)t:�� ''20 t2 by G �� ✓P(� ippr,WC,� who is personally known to me or who has produced DL as identification and who did take an oath. NOTARY PUBLIC: sign Print: 0 Signature AACONTRACTOR The foregoing instrument was acknowledged before me this _ 0 day of 120 v! CL • by (gl9 /Ltk who is personally known to me or who has produced F/- J) /__ • as Identification and who did take an oath. NOTARY PUBLIC: Sign,L}�� Print: <&y,2 K E 10 QIZOnN.$�v Seal: Seal: r:,,ERICDISANTO State Commission#HH090f22 Ref. Carmaary PublicaoroplFlorida rcarmen missile HH 135 �•t" `�H"•' Expiresftchl,20 y My Commission HH 135022 # s#r#r#rr rrrrrrrrr rrrrrrrrriswssssfl"�F4Y�$Y�iy16g' : a* ##-ss ass####s######## Jb ti </ ZZ Zoning APPROVED BY Plans Examiner Structural Review Clerk (Reviseda4/05/2022) OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-003-0310 Property Address: 19 NW 109 ST Miami Shores, FL 331684314 Owner MIAMI SHORES 109 LLC Melling Address 6278 NORTH FEDERAL HWY UNIT 406 FORT LAUDERDALE, FL 33308 USA PA Primary Zone 0800 SGL FAMILY-1701-1900 SQ Primary Land Use 0081 VACANT RESIDENTIAL: VACANT LAND Beds I Baths I Half 0 / 010 Floors 0 Living Units 0 Actual Area 0 Sq.Ft Living Area 0 Sq.Ft Adjusted Area 0Sq.Ft Lot Size 9,150 Sq.Ft Year Built 0 Assessment Information Year 2022 2021 2020 Land Value $274,313 $227.119 $206,472 Building Value $0 $43,486 $43,486 XF Value $0 $1.027 $1.040 Market Value $274.313 $271,632 $250,998 Assessed Value $274,313 $271,632 $250,998 Benefits Information Benefit Type 2022 2021 2020 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). IShort Legal Description I MIAMI SHORES EXT PB 4340 31 BLK219 SIZE 75.000 X 122 18053-0873 0498 1 24338-3396 02 2006 4 Generated On : 9/72022 Taxable Value Information 2022 2021 2020 County Exemption Value $0 $0 $0 Taxable Value $274,313 $271,632 $250,998 School Board Exemption Value $0 $0 $0 Taxable Value 1 $274,3131 $271,6321 $250,998 city Exemption Value $0 $0 $0 Taxable Value 1 $274,313 $271,632 $250.998 Regional Exemption Value $0 $01 $0 Taxable Value 1 $274,313 $271,6321 $250,998 Sales Information Previous Price OR Book- Qualification Description Sale Page 11/172021 $475,000 32879-2036 Qua] by exam of deed 12/012020 $225,000 32234-3751 Atypical exposure to market; atypical motivation 06232020 $344,500 32009-3874 Financial inst or "in Lieu of Forclosure" stated 081062018 $350,000 311234803 Atypical exposure to market; atypical motvation The Once of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/Aw.miamidede.govfjnfo/disdaimer.asp Version: DIVISION OF Ci ORFORATIONS W-Org !m ��i�ria! .�uuN uJFLvirla n'rtnirr p&partment of State / Division of Corpgcaj&na / Search Records / Searchpy-Eplity = / Detail by Entity Name Florida Limited Liability Company MIAMI SHORES 109 LLC EWng Information Document Number L21000478948 FEI/EIN Number 87-3542404 Date Filed 11/04/2021 Effective Date 11/04/2021 State FL Status ACTIVE Principal Address 6278 NORTH FEDERAL HIGHWAY UNIT 406 FORT LAUDERDALE, FL 33308 Mailing Address 6278 NORTH FEDERAL HIGHWAY UNIT 406 FORT LAUDERDALE, FL 33308 &gistered Agent Name & Address GREENWALD,ANDREA 6278 NORTH FEDERAL HIGHWAY UNIT 406 FORT LAUDERDALE, FL 33308 Authorized Person(50 Detail Name & Address agiCfu[e]C7 GREENWALD,ANDREA 6278 NORTH FEDERAL HIGHWAY, UNIT 406 FORT LAUDERDALE, FL 33308 ReportYear Filed Date 2022 05/06/2022 Document fmaggg ENTER ED CITY � 20 By:.1 U4,$¢CIkk T0.J1� 122.52' (CALC) 0 FIR "' 122.4rY' (P1WOOD �� ' CONCCRETEBY pm9•'o, (5/8') W000 FENCE OWN TIN 8Y - FB/PO FIELD BOOK AND PAGE IP SIR SET IRON ROD B CAP /6N8 q (1 2-) INC: SET HAIL AND CAP /64,18 V - TO FOUND IRON ROD /Om C NC Off_ 45.5, n V! FIP FOUND IRON PIPE `\\TV I lI s THE ,WHO NAIL AND CAP ,g °s0 J .o a sow L1 'm i FsF AND FOUND NAIL k DISC pm ry i BUILDING UNDER is r1 P.B. PUT BOOK s o - CONSTRUCTION u( K -CC N/O.C.R. MMMI/DADE COUNTY RECORDS v z n -K- CHAIN UNK/ WOOD FENCE C 5.7' 22.1' x o ELEV ELEVATION rail CBS CONCRETE BLOCK STRUCTURE O 4D V .� y A S im i s -E- OVERHEAD UnuTY WIRES i m n q A/C AIR CONDITIONER a OO w u cT ♦ pyo� .°� C11 �n < 25.5' til NOTEBI M n 31.9' �`I n o rnN 8.4 39.0 D 1. NOT VALD WITHOUT THE SIGNATURE AND THE OWGINAL S USED SEAL OF A FLORIDA LICENSED SURVEYOR AND ti sJ �ICLD �1 W µRIK b127tAA'cK �S lnm 2. UNDSR RSHOWN HEREON WERE NOT ABSTRACTED FOR f ELEVATION ON SLAB=12.50' w o y RIGHTB-OF-WAY, EASEMENTS, OWNERSHIP, OR OTHER a - TIE BEAM ELEVATION=22.70' z 'q INSTRuuENTs of RECORD. Lg/ '°s 3. THIS SURVEY WAS DONE SOLELY FOR BOUNDARY gb PURPOSES AND DOES NOT DEPICT THE JURISDICTION OF of 9 YIA ANY MUNICIPAL. STATE. FEDERAL OR OTHER ENTRIES. aF fi5.2' t. THE LAND DESCRIPTION SHOWN HEREON WAS PROWOED 31 9' BY THE CLIENT. UNDEWROUND IMPROVEMENTS NOT SHOWN. 8. ELEVATIONS SHOWN HEREON ARE BASED ON THE WATER NATIONAL GEODETIC VERTICAL DATUM OF 1929 (NCV029). y 7. BENCHMARK REFERENCE: MIAMI/DAOE COUNTY BENCHMARK L Qom r CHAIN UNK FENCE METER. # N-586 EUNATION=10.78' ("DVD29) 'pm?� SNC o J .5' e N 122.83' (CALC) WOOD FENCE c o IR o� o b g 122.53' (PLAIT) CON4'ete- S 6�?s a 1 1 3-�M PSi W/tWt CGNJULFM S(Aa-c neslA 4'I RA eK wy rw -SXLt IN PROP"�ERTY R RUE AND COTHAT RRECT TO BETCH E BEST OF MY KNOWLEDGE HEREONDESCRIBED ND RREEBL r AS SIIRJEYED IN BE FEW UNDER MY DIRECTION IN JUNE, 20n. I MOTHER COMFY THAT THIS SURVEY MEETS BE STANDARD OF PRACTICE FOR SURVEYING r U.1 WIrE'_ IN THE STALE OF FIDRIDA ACCORDING TO CHAPTER 54-17 OF THE RORIDA ADMINISTRATIVE CORE. PURSUANT TO SECTION 472.027. FLUMDA STATUTES. THERE ARE NO ABOVE SUBJECT TO BE WAUFKATIIONSCNOTED HE EON.T"AN THOSE SHOWN HEREON, WID DESCRIPTION: • • LOT 31, BLOCK COTS OF 'MIAMI SHORES 3. PACE AD OF THE NC TO THE PUT THEREOF, AS RECORDED IN PUT BOON 13, PACE t0 OF THE PUBLIC RECORDS Of SKETCH 0 F SURVEY FOR ME FIRM, BY: RICHARD E COUSINS MIAMI/GAGE (AUNTY, FLORIDA. PROFESSIONAL PROFESSIONAL SURVEYOR AND MAPPER DATE: 06/18/22 FLORIDA RMSTRARON NO. 4138 COUSINS SURVEYORS & ASSOCIATES, INC. 3921 SW 47TH AVENUE, SUITE 1011 DAVIE. FLORIDA 33314 CERTIFICATE OF AUTHORI PHONE (954)669-7766 FA%l a(95.4 6h9f7799. \ PROJECT NUMBER : 9421-20, CLIENT HEICA CON REVISIONS I DATE I Fri PG I DWN I CKD FLOOD ZONE INFORMATION PROPERTY ADDRESS : 19 NW 109TH STREET BOUNDARY R IMPROVEMENTS SURVEY 12/28/3 SKETCH AN REC COMMUNITY NUMBER IROfi52 UPDATE/FOUNOATION SURVEY 5/ne2j SKETCH JO NEC PANEL NUMBER 0139 L SCALE: 1"= 16' TIE BEAM SURVEY 8/18/2 SKETCH JD REO ZONE x BASE ROOD ELEV N SHEET 1 OF 1 EFFECTIVE DATE 09/ 1/0 Zoning Dept. Date 0 Z Building Dept. Da Subject to compliance all Fed ral State and County rules and regulations. Permit# w ..E CITY .. Amv upt. Date J 3Ut. Date r o comdlldht f? with all Federal. LAND DESCRIPTION: 07 -ZZ - 1-7349 LOT 31. BLOCK 219 OF *WAMI SNORES EXTENSION", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43, PAGE 40 OF THE PUBUC RECORDS OF MIAMI/DADE COUNTY, FLORID, COUSINS SURVEYORS & ASSOCIATES, INC. S47AVENUE. SUETE 1011 DAVI FLORIDADAVIE, A 33314 CERTIFICATE OF AUTHORIZATION : LB / 6448 PHONE (954)689-7766 FAX (954)689-7799 SKETCH OF SURVEY PROJECT NUMBER : 9421-20 CLIENT I HEICA CON 2 ENTU-IED SEPI4_:?g BY:-GQ LEGEND: CKD CHECKED BY CONC CONCRETE OWN DRAWN BY FB/PG FIELD BOOK AND PACE SIR SET IRON ROD A CAP JR BNC SET NAIL AND UP JSW RR FOUND IRON ROD FTP FOUND IRON PIPE I'M FOUND NAIL 00 CAP MD FOUND NML B DISC P.B, PEAT BOOK M/D.C.R. MMMI/DARE COUNTY RECORDS -X- CHAIN LNX/ WOOD FENCE RILEY ELEVATION CSS CONCRETE BLOCK STRUCTURE -E- OVERHEAD UTILITY WIRES A/C AIR CONDITIONER NOTES, 1. NOT VAUD WITHOUT THE SIGNATURE AND THE ORIGINAL USED REAL OF A FLORIDA LICENSED SURVEYOR AND YAPPER. 2. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS -OF -WAY, EASEMENTS, OWNERSHIP, OR OTHER 96TRVIIENTS OF RECORD. 3. THIS SURVEY WAS DONE SOLELY FOR BOUNDARY PURPOSES AND DOES NOT DEPICT THE JURISDICTION OF ANY MUNICIPAL, STATE, FEDERAL OR OTHER ENTRIES 4. THE LAND DCSCRHTON SHOWN HEREON WAS PROVIDED BY THE CUENT. S. UNDERGROUND IMPROVEMENTS NOT SHOWN. 0. ELE.VATONS SHOWN HEREON ARC BASED ON THE NATIONAL GEODETIC VERTICAL DATUM OF 1929 (NGVD29). 7. BENCHMARK REFERENCE: IIUAII/DADE COUNTY BENCHMARK / N-556 ELEVATION=10.76' (HOV029) IF I HEREBY CERTIFY THAT ME 'SKETCH OF SURVEY" OF THE HEREON DESCRIBED PROPERTY 0 TRUE AND CORRECT TO LIE REST OF W KNOWLEDGE AND BOJEF AR SURVEYED IN THE FEID UNDER W DIRECTION IN JUNE, 2022. I TURTNER CERTIFY THAT "IS SURVEY MEETS THE STANDARD OF PRACTICE FOR SURVEYING M ME STALE OF FLORIDA ACCORDING TO CHAPTER SJ-17 OF TIE FLORIDA AO9NISTRATWE CODE PURSUANT TO SECTION 47=7. FIDWDA STATUTES. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN HEREON, SUBJECT TO THE QUALIFICATIONS NOTED HEREON FOR TIE RRM, BY. U]G_=_- �!v! a RIHARD E COUSINS PROFESSIONAL RUMOR AND YAPPER SUM DATE: 06/1R/22 FLORIDA RE(HMT1DN NO. 41M 10 NW 109TH STREET SCALE: 1"= 16' SHEET 1 OF 1 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 10/31/2022 Location Address Parcel Number 19 NW 109TH ST, Miami Shores, FL 33168 1121360030310 Contacts Permit NO.: PW-09-22-2348 Permit Type: Public Works Work Classification: Public Works Permit status: Approved Expiration: 05/01/2023 MIAMI SHORES 109 LLC Owner GLOGOZ CONSTRUCTION COMPANY Contractor ANDREA GREENWALD GLORIA STELLA RAMIREZ 19 NW 109 ST, MIAMI SHORES, FL 33138 12255 SW 129 CT, MIAMI, FL 33186 Business: 7864478129 david@concretelux.com Description: CONCRETE APPROACH 6" THICK Valuation: $ 450.00 Inspection Requests: 305-762-4949 Total Sq Feet: 50.00 Dees Amount Lducadon Surcharge $0.30 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $30.00 Total: $113.30 Payments Date Paid Amt Paid Total Fees $113.30 Credit Card 10/31/2022 $113.30 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 POOLwork. 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 construction and zoning. Futhermor I than a the above named contractor to do the work stated. .6av,J F/�7W/I,77 # %122 Authorized Signature: Owner / A�plicanY Contractor / Agent Date October 31, 2022 Page 2 of 2 ENTERED -� Miami Shores Village Public Works Department F I' 14 (305)795-2210 Public works forms are available from the building department,10050 NE 2nd Ave., Miami Shores, F�-jV138 PUBLIC WORKS PERMIT APPLICATION Permit Type: Work in the Right -of -Way an Miami Shores Village or Miami -Dade Property Permit#: 1oV1'6 q- Zz- ZZga Name of Applicant (if utility see below): Ahdrvect IsrewwLllc_ - )"( iawu *00,S (CTi CLC'_ Owner off the following described property: Legal Description: Lot 31 Block a19 Subdivision Folio#; 1i2t360o3O310 Address: t9 NW 104 S+ F_ 331(v8 UTILITY NAME: Qualifier/Authorized Agent Address: _ City: Telephone: State Certification or Registration #: CONTRACTOR NAME: C57 Qualifier/Authorized Agent: Address: I ZZ!% SW Email: City: M:a kk Telephone: afro i4i 2- Email: State Certification or Registration Requests permission to install (describe way: CotAolmtC AW-Mach G State: 912 Certificate of Competency # State: tt- ZIP: of Competency attach separate page if necessary) in the adjoining right of Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Landscape ❑ Antenna ❑ Other. DESIGNER: Architect/Engineer: Address: City: Telephone: Email: Registration #: ZIP: ❑ Irrigation Value of Work for this Permit: $ kS1J Square/Lineal Footage of Work: co sq 9- ***** Fees *•*** Permit Fee $1 0.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning Bontl $ (if required) I otal Fee Now Uue $ i i 3.3u 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 afterthe public works permit is issued. In the absence of such posted notice, the inspection wil of be approved and a reinspection will be charged. Signature X Signature 4AE Applicant or Authorized Agent Company/Utl Ity Agent The foregoing instrument was acknowledged before The foregoin instrument was acknowledged before me is � day of AU o) 1 20 7Z� by me this C- day of 7 .20� by A-A(Pa r,/SRwho CS(IDA`C: (%lWti Z_ who is personally kkn�own to me or who has produced is per�lly known to me or o has produced fL S.� as rG D L as identification. identification. NOTARY PUBLINOTARY PPUBLIC�: e4' Signt Sign:y�� T r Print 1 G S(71,{ Print. (?W''01"Fo O `egpescL-- SEAL: SEAL, �y=1Z ete of Fy9OropaeNevvve ERICDISNJTO HH I325 Commission # RH 099122� m. Expires March 1, 2025 APPROVED BY __.. —f9-I ! ?� Public Works Director, or Designee 2017-04-15 CFN: 20220701799 BOOK 33372 PAGE 2067 ' DATE:09/07/2022 03:53:55 PM HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Miami Shores Village Public Works Department (305)795-2210 Public works farms are available from the building department, 100S0 NE 2"° Ave., Miami Shores, FL 33138 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (hereby referred to as the owner) Avvk cek 6feeri%4" Of the following described property: Legal Description: Lot -- 31 Block 0? Subdivision Folfo#; 1I 21MOD3 0310 Address. ii MW 403Sf- M (-CtV,u. Skai;s �- 3111A Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: A CAncye- I`1 p can. V IIIUTL K 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 Miami -Dade County to make repairs or maintain said items within the public right of way including restoration of the 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 herby agree to indemnify and hold Miami Shores Village or Miami -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 14 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 alien 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 obligation has been cancelled by an affidavit filed In the Public Records of Miami -Dade County, Roride by the Village Manager of Miami Shores Village (or his fully authorized representative). Signature 4er or Authoilzed Agent State of ,IOV j JQ County of N1 , a M � i1C?� Q The foregoing instrument was acknowledged before me this 3i day of 20 2 by rQa e7t'Q2iQ�� who is personally known to me or who has produced :P I, .DV as identificaton. NOTARY PUBLIC: Via EPJCDISANTO Sign. Camndsslcn # kill 086122 Expires March 1, 2026 Print SEAL'o''�'� eam�ertomrrae Documents are recorded at the Clerk of the Courts, MIAMI-DADE COUNTY RECORDER, COURTHOURSE EAST, 22 N.W. First Street, 1st Floor, Mlamf, Ft 33128. 2017-04-11 Ron DeSan;is, Governor Melanie S. Griffin, Secretary dbr a p STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE GENERAL CONTRACTOR HEREINJ$-CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489;-FLORIDA STATUTES RAMIREZ,_GL I ST LLA GLOGOZ CONSTRUCTION COMPANY 11865 SW 26TH ST STE C43 #5 MIAMI FL 33175 LICENSE NUMBER. EXPIRATION HATE: AUGUST 31, 2024 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is ;our license. It is unlawful for anyone oi.her tl the licensee to use this document. Local Business Tax Receipt Miami —Dade County , State of Florida HIS IS NOT A BILL - DO NOT PAY 178843 RECEIPT NO. BtiSiiVESs NAME/LOCATION RENEWAL 7459(i51 EXPIRES GLC�GOZ CONSTRUCTION COMPANY SEPiEMCER 30, 2023 12255 SW 129TH CT Must be displayed at place of business r1�iiAMi, FL 33186-6442 �,'' 0 Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAY!"LlIENT RECEIVED 3i_OGOZ CONSTRUCTION 196 GENERAL BUILDING BY TAX COLLECTOR COMPANY CONTRACTOR 75.00 0819t3i2422 f".ft, C9l nRIA RAMIRF7 ni nr-. 7 Worker(s) 1 CGC 1518220 0205-22-003911 This Local Business Tax Receipt only confirms payment of the Local business Tax. The Receipt is not a liceaw permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles- Miami -Dade Code Sec .ht 5For more information, visit wvuw.lgjggLidgt(o,ggvltaxcollector