PW-11-21-3043Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
813 NE 97TH ST, Miami Shores, FL 33138
Contacts
Issue Date: 12/03/2021
Parcel Number
1132060142590
Permit No.: PW-1 1 -21-3043
Permit Type: Public Works
Work Classifrcotion: Public Works
Permit Status: Approved
Expiration: 06/03/2022
STEPHANIE MARIOTTI Owner r2 builders inc Contractor
813 NE 97TH ST, Miami Shores, FL 33138 rodolfo rodriguez
Home: 7862620288 10750 NW 138TH STREET tf 5 NA, HIALEAH GARDENS, FL 33018
Business: 3052313113 r2_builders@yahoo.com
Description: REPLACE BROKEN SIDEWALK FLAGS 15.
Fees
Amount
Education Surcharge
$0.80
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$112.30
Ins ection Requests.
Valuation: $ 3,700.00 305-762-4949
Total Sq Feet: 375.00
Payments
Date Paid Amt Paid
Total Fees
$112.30
Credit Card
12/03/2021 $112.30
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 E ECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFID IT: I4ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constr ior�oying. Futhermore, I authorize the above named contractor to do the work stated.
CLDd o tLParLc -4-t
Authorized Sign r . Owner I Applicant / Contractor / Agent Date
December 03, 2021 Page 2 of 2
wlt
~�� Miami Shores Village ZZ07 V U
Public Works Department
(305)795-2210 ��y
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, L 1 8
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: 1 r , -11-�1-3/Va2
vi
rw- Ce-zz—la�q
Name of Applicant (if utility see below): ��Y11 P MLt�t(fl
Owner off the following described property:
Legal Description: Lot Block Subdivision
Folio #; 113 7, /YZ 570
Address: >P1-Z ,(llr- `91'k ,kfar",S) ej. R, 33139
UTILITY NAME
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
Email:
State:
ZIP:
Certificate of Competency#
CONTRACTOR NAME: LZ Q(�(IJ.&6 1 wC'
Qualifier/Authorized Agent: 110 do Iry (zocVia.wu�l
Address: NW S #
city: �W(Qjjr' % rpA� 0v<S State: L ZIP: "3�01k
Telephone: 30S—g45— rt331 Email: )IV 7y (a 12Z Ao &s Iwc- •CaNI
State Certification or Registration #: 15t 3 9(ol1 Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: in Q.
Type of Work: ❑ Paving ❑ Utility M/Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer
Address:
City: State:
Telephone: Email:
Registration #:
Value of Work for this Permit: $. r
012
Square/Lineal Footage of Work:
} rr•:. Fees
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $
Bonding Company's Name (if applicable):
Bonding Company's Address:
City:
State:
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 ( / '
Applicant or Authorized
The foregoing instrumewas acknowledged before
me this of day of nV 20Z;L, by
21EL— �cf nl ewho
is pe(sonally known to me or who has produced
VYI y2l >z �'I l'if4l g-p- as
identification.
NOTARY PUBLIC: /� ^n
Sign: p iv�,lD/ sANi-nu
p�
Print: 114e'l j 1 ir. Ni n u
SEAL:
APPROVE
Signature
Comp Utility Agent
The foregoin instrume t was acknowledged before
me this �j .14day of Av sT 20 Z'L by
12ododio Q o who
is personally known to me r who has produced
as
identification.
NOTARY PUB IC:
Sign: n� r
Print: �JJ) t154 1 M,�'4Z,
SEAL:
JULISSA RODRIGUEZ
%MERLINE CHERY : Notary Poetic - State of F:orioa
1 Commission > HH 225502
MYCOMMISSICNAHH252206
9;'P?..,ar n,..' My Comm. Expires Mar 5. 2025
?� ry° • EXPMB:APr# 1Z 2026 Sabed through National Notary Assn.
D BY:�`7 /!�Z Public Works Director, or Designee
2017-04-15
Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available
from the building department,
10050 NE 2nd Ave., Miami Shores, FL 33138
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (hereby referred to as the owner) S Gnl e jj Ctn 04�
Of the following described property:
Legal Description: Lot Block Subdivision Folio q;
CFN 2021ROB57499
OR SK 32851 Ps 235E (Ifts)
RECORDED 11/16/2021 10:58:49
HARVEY RUVINr CLERK OF COURT
MIAMI-DADE COUNTYr FLORIDA
Address: O i 7 .R/L /7 Utr NIIOCItI tl/'Vf�J�7�r JJ/�/)
.
Requests permission to install (describe work, attach separate page if necessary) In the adjoining right of way:
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 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 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 obligation has been
cancelled by an affidavit fil in the P blic Records of Miami -Dade County, Florida by the Village Manager of Miami Shores
Village (or his fully aut on d repre ntative).
Signature
Owner or Authorized ent
State of E C7Lr-c CLGI.
Countyof Mcod%Q" The foregoing instrument was acknowledged before me this -�� J & day of NO t� 20 a 1 • by
�l g+a n x� YL2CAW _A i who is personally known to me or who has produced
L� L as identification.
NOT LIC: ZOO
ofFM�WaSign: cc Print:�A06:i SEAL:
Documents are recorded at the Clerk of the Courts,
MIAMI-DADE COUNTY RECORDER, COURTHOURSE EAST,
22 N.W. First Street, 1st Floor, Miami, FL 33128.
2017-04-11
tn..__, Oco n,--- � ,.a e
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: (305) 762-4949
BUILDING
PERMIT APPLICATION
®BUILDING ❑ ELECTRIC ❑ ROOFING
RE' CF'IVED
BY: L
{F�BC20 aoi-4 Il
Master Permit No, r j
Sub Permit No. J
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL DPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
n
JOB ADDRESS: 8
15 IU E
q
{�4 ST
City: Miami
Shores
County:
Miami Dade
G
zip, 33 1 6
Folio/Parcel#:
is the Building Historically Designated: Yes NO .x
Occupancy Type:
Load:
Construction Type:
Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
204113-'°Pl—ANrj%
''JIPQ-10\1\
Phone#:q9�O�Z�2�O2��
Address: Q
\3 PC q'�-s
i
City: m mA Ai
'; \&O c'
State:
1
Zip: 3 3 32
Tenant/Lessee Name: U k Phone#:
Email: Tep1 Ak�?C •L- .A1110I0-TTi (�p6/O4vl
1r,�"L , (
CONTRACTOR: Company Name: `-/ t/ \ `vim!' ' W L Phone#: �i 05 ��5 /✓ 3 31
Address: ) 0 ' .r o N uJ I S-( *F s
City: tt\[>Wclv1 UPSLU fr
Qualifier Name: (10t�
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
15 \-,>
11
Zip: 330 18
soy- `l �6-&33)
of Competency #:
State: Zip:
Value of Work for this Permit: $ t� 00 Square/Linear Footage of Work: 5 5 F—
Type of Work: ❑ Addition El Alteration El New �7 ® Repair/Replace ❑ Demolition
r
Description of Work: `4piraC.� P,R-0 U, C i.,C& WbliL rit',(y ( Sx .
Specify color of color thru
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $ CCF $_
Radon Fee $ DBPR $
Training/Education Fee $
CO/CC $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ \ I Z - 36
Bonding Company's Name (if applicable) V A -
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
ca,mmenced 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,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S 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.
"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 law 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 after the building permit is issued in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
�W`NER or AGiINT CON RACTOR
The foregoing instrument was acknowledged before me this
27VX day of GJ 6 ~ 61-N . 20 Z ( . by
4c&D" �A 1440�t , who is personally known to
me or who has produced
'D L✓ as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: -10
Seal:
APPROVED BY
t: Notary Public -- State of Florida
PCommission N GG 1M2910
My Comm. Ex fsires M rr 5, 2022
Rundc►d through Natirmml Notary Assn.
The foregoing instrument was acknowledged before me this
day of W f9-0,41 q�l . 20 �i s! , by
Wog W°I"SAS! . who is personally known to
me or who has produced L as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: cW1v
Q/U
Print:
;�++ii;;
Seal:�'� *
'
JULISSA RODRIGUEZ
Notary public - State of Florida
Curttm Wun N GG 182910
i, ,,,
My Curtin, EKplres Mar 5, 2022
IluntIol
through Ntiliun,rl Notary Assn.
Plans Examiner
Structural Review
Zoning
Clerk
(Revisedo2/24/2014)
Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available
from the building department,
10050 NE 2nd Ave., Miami Shores, FL 33138
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (hereby referred to as the owner) S ail e cLo 04)
Of the following described property:
Legal Description: Lot Block Subdivision Folio #;
CFH 2021RrOB57499
OR BY. 32851 Pa 2358 OF'ss)
RECORDED 11/16/2021 10:58: `,
HARVEY RUVINr CLERK OF COURT
MIANI-DADS COUNT}', FLORIDA.
Address: () 7 e 26 3" A, ICI f / m (^ t1 HV ve!D , 9,, 313 .
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way:
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 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 obligation has been
cancelled by an affidavit fil din the P blic Records of Miami -Dade County, Florida by the Village Manager of Miami Shores
Village (or his fully aut on d repre ntative). STATE OF
HERESY r. ..
original IDlc
N(IV 7�5 2o2i .A92o
Signature-_ . p`c,al Seal.
Owner or Authorized A ent H
RVE C erk it d and Coun Courts \ /
y B tdd D.C.
State of L CLV- �U. 1 tt7 . Q3 _
County of Zc%cl @i
The foregoing instrument was acknowledged before me this -I& day f N Q V 20 2 (• by
gl�l�a n X?. who is personally known to me or who has produced
L as identification.
NOT LIC:
Fr_A, y��ry. 11oyAx'Fq�'-� °fr0oitd�
Sign: 131986
Print: SEAL:
Documents are recorded at the Clerk of the Courts,
MIAMI-DADE COUNTY RECORDER, COURTHOURSE EAST,
22 N.W. First Street, 1st Floor, Miami, FL 33128.
2017-04-11
W CAP 4 _
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LOT- 13 A-C
BLOCK - 73
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LOT - 14
LOT- 15
BLOCK - 73
BLOCK - 73
ONE STORY
RES. 9 813
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Uulvi.nct;
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N LEI r
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i NO CAP
ON PL
LOT 15
0.10, BLOCK 73
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NO CAP NO CAP Ic t5,y\c- KWntIL ��PC/S
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SURVEYORS NOT 1'
VILLAGE
9) Asphalt Drive Rrnon li'ncp e'hurg nano Righl „L „I, '-'
8)Aaphnh Drive&Hood Fer,t fnrroaehfati jt.
lw-,J 'Fjtil. tl -W R'KS REVIE
L')ilns}JOr tJ7icnrlly r.ncJ'onrhtm ono, SStLjvr t 1 r party""�" ('1� DATE
1
'. AP1�RCVED ll
ilecorAo mt shown an thin Survey.
uw:d 2rr
Tltle la"rance and Puwncing. and should not he Cun,tnu bou Pr Pvsr