PW-07-19-1672, 9990 NE 2nd AveMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9990 NE 2ND AVE, Miami Shores, FL 33138 1132060132080
Contacts
MIAMI SHORES VILLAGE Owner AUM CONSTRUCTION INC. Contractor
MIAMI SHORES VILLAGE HUMBERTO ORTIZ
10050 NE 2 AVE, MIAMI SHORES, FL 331382304 278 ATLANTIC AVE, SUNNY ISLES, FL 33160
Other: 3057511271 Business: 3054564848
Description: INSTALLATION OF LICENSE PLATES RECOGNITION Valuation: $ 1,000.00 Inspection Requests:
CAMERAS WITHIN THE PUBLIC RIGHT OF WAY
Total Sq Feet: 0.00
Fees
Amount
Education Surcharge (Manual)
$0.20
Permit Fee (Manual)
$100.00
Scanning Fee (Manual)
$3.00
Technology Fee (Manual)
$2.50
Total:
$105.70
Payments
Date Paid Amt Paid
Total Fees
$105.70
Deposit
09/17/2019 $105.70
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 constructio Ong. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
September 17, 2019 Page 2 of 2
Miami Shores Village
Public Works Department RECEJVF_r'
(305)795-2210
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 33138,JUL 2 2 j010,
PUBLIC WORKS PERMIT APPLICATION BY:
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: (60 )
Z
Name of Applicant (if utility see below): Miami Shores Village Police Department
Owner off the following described property:
Legal Description: Lot N/A Block N/A Subdivision N/A
Folio #; N/A
Address: Multiple Intersections
UTILITY NAME: N/A
Qualifier/Authorized Agent:
Address:
Citv:
Telephone:
State Certification or Registration #:
Email:
CONTRACTOR NAME: AUM Construction, Inc
Qualifier/Authorized Agent: Humberto Ortiz
Address: 895o NW 119 St
State:
ZIP:
Certificate of Competency #
City: Hialeah Gardens State: Florida ZIP: 33018
Telephone: 305-456-4848 Email: osmany@auminc.us
State Certification or Registration #: EC13006202 Certificate of Competency #: EC13006202
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way. Installation of License Plates Recognition Cameras within the public Right -of -Way.
Type of Work: ❑ Paving ❑ Utility
❑ Landscape ❑ Antenna
❑ Sidewalk ❑ Electric ❑ Irrigation
❑m Other: Installation of License Plates Recognition Cameras.
DESIGNER: Architect/Engineer: BCC Engineering LLC
Address: 6401 SW 87 Ave Suite 200
City: Miami State: Florida ZIP: 33173
Telephone: 305-670-2350 Email: aespinosa@bcceng.com
Registration #: 00007184
Value of Work for this Permit: $ 50,000.00 Square/Lineal Footage of Work: 20 Posts
***** Fees*****
Permit Fee $ 100.00
Notary $ 0� Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ Or (if required) Total Fee Now Due $ C05—
Bonding Company's Name (if applicable): N/A
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 Electrical work
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 &:Z?l a
Applicant or Authorized Agent
The foregoing instrument was acknowledged before
me this day of 201 Of , by
c who
is per y know a or who has produced
as
identification.
NOTARY PU
Sign:
Print:
SEAL:
Notary Public State of Florida
i""' Sydney Herrera
My Commission GG 343073
Expires 1010412023
Signature �t��J
y ility Agent
The foregoin instrument was acknowledged before
me t is day of J_ 20-L by
who
e me or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
,��/�
Print:
SEAL:
Notary Public State of Florida
Sydney Herrera
y1c. j� My Commission GG 343073
w� Expires 10/04/2023
********************l**Q***********************
APPROVED BY: 13 \Q Public Works Director, or Designee
2017-04-15
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9990 NE 2ND AVE, Miami Shores, FL 33138 1132060132080
Contacts
MIAMI SHORES VILLAGE Owner AUM CONSTRUCTION INC. Contractor
MIAMI SHORES VILLAGE HUMBERTO ORTIZ
10050 NE 2 AVE, MIAMI SHORES, FL 331382304 278 ATLANTIC AVE, SUNNY ISLES, FL 33160
Other:3057511271 Business:3054564848
Description: INSTALLATION OF LICENSE PLATES RECOGNITION Valuation: $ 1,000.00 Inspection Requests:
CAMERAS WITHIN THE PUBLIC RIGHT OF WAY
Total Sq Feet: 0.00
Fees Amount Payments Date Paid Amt Paid
Total Fees
Total:
Amount Due:
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 constr�tipn_nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
August 23, 2019 Page 2 of 2