PW-07-22-1700, 166 NW 98th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
166 NW 98TH ST, Miami Shores, FL 33150 1131010260040
Contacts
Julio Abarca Owner Julio Abarca Applicant
166 NW 98TH ST, Miami Shores, FL 33150 166 NW 98 Street, Miami shores, FL 33150
Other: 3057332893 julioa@nipromed.com
BRICK PAVER GROUP INC Contractor
JOSE FERNANDEZ
350 W. PARK DRIVE, #101, DORAL, FL 33172
Mobile:3055846570 NATHALIE@BRICKPAVERGRP.COM
__..-.-................ ....._...-....._............
Description: INSTALLATION OF PAVERS to replace
_._-..................__..........
Valuation:
_....................
$ 852.25
nspeconR
PW-7-18-1824
1305-762-4949quests:
Total Sq Feet:
532.00
Fees
Amount
Payments
Date Paid
Amt Paid
50% Renewal Fee
$50.00
Total Fees
$50.00
Total:
$50.00
Credit Card
07/15/2022
$50.00
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 authorize the above named contractor to do the work stated.
Authorized Signatur6: Owner / Applicant / Contractor / Agent `Date
July 15, 2022 Page 2 of 2
XTV T '10,11 a E D
JUL 0 6 NR
.. 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
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Name of Applicant (if utility see below): \xJlib %(,.e,
Owner off the following described property:
Legal Descri ion: Lot Block Subdivision
Folio#; It /v1C 'CcD 4 0
Address: ILA N 96 1
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone:
State Certification or Registration #:
CONTRACTOR NAME: LAMN 14
Qualifier/Authorized e .t:
Address:
City: Ntaml
Telephone: �jE SJ4-l. %
State Certification or Registration #:
State:
Email:
Permit#: T Ali~ ol-27- "11 Ux1
ZIP:
Certificate of Competency #
Email:
Certificate of Competency #: Eogwils,
Requests,permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: Cyff
)'4n4eu:(ZA 1;� PV-1-t9-1%ZLt
Type of Work: 2� Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City:
Telephone:
Registration #:
State:
Email:
ZIP:
Value of Work for this Permit: $ � o J15 Square/Lineal Footage of Work:
Permit Fee $ 100.00
Notary $
Bond $
*****Fees*****
_Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $� • C�'
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 an4a rei+pection will be charged.
Signature
Ap lica t or Authorized Agent
The foregoLng instru t was acknowledged before
me this _ _ day of t.Jl. 20 CT�, by
73�A%,o Ab0.rf`C Q� who
is personally known to me or who has produced
as
identification.
NOTARY PU
Sign:
g�
Print: ,
S WENDY SOTO
4�v P" '�
az ;Notary Public -State of Florida
Commission # HH 211893
My Commission Expires
Janu&Ly 12, 2026
APPROVED BY:
ility Agent
acknowledged before
-A : by
is personally known to me or who has produced
identification.
NOTARY PUB
Sign:
Print:
SEAL:
as
WENDY SOTO
Notary Public -State of Florida
# HH 211893
„�A`Commission
My Commission Expires
1
January 12, 2026
-
Public Works Director, or Designee
2017-04-15
ORf
Miami Shores Village
`5t!S
�h
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
L'FCORLDAy
Phone: (305)795-2204
Project Address
166 NW 98 Street
Miami Shores, FL
Parcel Number
1131010260040
Block: Lot:
Applicant
JULIO ABARCA
I
Owner Information Address Phone Cell
JULIO ABARCA 166 NW 98 Street (305)733-2893
MIAMI SHORES FL 33150-1739
Contractor(s) Phone Cell Phone
BRICK PAVERS GROUP (305)591-8700
Fees Due
Amount
CCF
$0.00
DBPR Fee
$0.00
DCA Fee
$0.00
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$0M
Total:
$104.00
Valuation: 852.25
Total Sq Feet: 532
Pay Date Pay Type Amt Paid Amt Due
Invoice # PW-7-18-68141
07/17/2018 Credit Card $ 54.00 $ 50.00
07/03/2018 Credit Card $ 50.00 $ 0.00
Available Inspections:
inspection Type:
Excavation
Review Public Works
Final Public \Alorks
-- --- a0i49
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in comp) ince with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the prol =r authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my ^ger", server' e r_^�, !c;== I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAi., WINDOWS, DOORS, ROOFING and SWIMMING POOL wor <.
OWNERS AFFIDAVIT: I certify that `all the foregoing information is accurate and that all work wil; be done in com )liance with all applicable laws regulating
construction a ni Ig> uthermorH,\I authorize the above-na�r
actor to do the work stated.
Ik Ju 117,2018
Au t d?i2io ure wner \ / Applicant / Contractor / Agent Date
Building Department Copy
July 17, 2018 1
Miami Shores Village J L O
Public Works Department
(305)795-2210 BY:
Public works forms are available from the building department, 10050 NE 2"d Ave., Mia Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: S (U 2-3
Name of Applicant (if utility see below): 7j u V'k c, P �- c 4
Owner off the following described propertv: 1
Legal Description: Lot 4— Block Zt Subdivision
Folio #; It ` 3(0 I -o �G - oca
Address: iG6, VAJ q%':,:A .,MC-Au£ve-, VL 33/55
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
State:
ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: � r kc� �_�% U e t Gc c7 u i
Qualifier/AuthorizedA gent:
5o=�cv,dr�d� 2
Address: 3 5) W. ���c V _ `= , #
City: , a State: V L ZIP: '� 1 7 a
Telephone:,3os' Sq1 - 2700 Email: ,,e; e cif bvi eC c4 C P
State Certification or Registration #: CC Ck ii 5 Certificate of Compe ncy #: E06?00 1 1 y
Requests permission to istall (describe work, attach separate page if necessary) in the adjoining right of
way: 4 (�, S*1 r ��-
Type of Work: ® Paving ❑ Utility
❑ Landscape ❑ Antenna
DESIGNER: Architect/Engineer:
Address:
City:
Telephone:
Registration #:
❑
Sidewalk ❑
Electric ❑
Irrigation
❑
Other: 2r ,+c_
c2k � o +-\
ok vim: S .
State: ZIP:
Email:
Value of Work for this Permit: $ I &.If
Permit Fee $ 100.00
Notary $
Bond $
Square/Lineal. Footage of Work:-
***** Fees*****
_Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $
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 4rehrts ction will be charged.
Signature
A licant or Authorized Agent
The foregoing instr Vent was acknowledged before
me this 8 day of Fe b r LUL 20 by
.J ulr 0 -tb0 C—, who
is personally known to me or who has produced
as
identification.
NOTARY PURI 1 .
Sign: /� 14
Signature I I I ill .
Co pa Utility Agent
The foregoing instru ent as acknowledged before
me this i- day o � e vu,- c V . 20 1 , by
�O vc �1 �svland�z who
is p rc�y known to me or who has produced
as
identification.
NOTARY PUB
Sign:
Print: Print:
SEAL: E
+u,WENDYSOTO SEAL:
State of Florida -Notary Public hld�% WENDY SOTO
Commission # GG 172254 :W-0
AState of Florida -Notary Public
��= My Commission Expires Commission # GG 172254
�"`+ January 12, 2022 =�My Commission Expires
�'+�l%% January 12, 2022
APPROVED BY: 9 Public Works Director, or Designee
2017-04-15
iwf
,.`1Ait: co- T'l.1GMA, CA't:i4•1 Y OF DAp'c e r Miami Shores Village
of Ale g ' Building Department
aFXititSf tiiEdt tr r� Gfl —�--_ cff,J oI t,
AG�__ , ,� N 10050 N.E.2nd Avenue
;hES�kxrkwe�c
'Miami Shores, Florida 33138
HAmC-Y� �.�+�� � ,ems Tel: (305) 795.2204
I _ Fax: (305) 756.8972
VENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) hereinafter referred to as the
owner of the following described property (address):
Legal Description Bo i, Lot L!- Block —z- Subdivision
Folio#
Requests permission to install (describe work):
Within the public right of way of (address) i o r. it3 W 1-1,�;
1;�L -3 m3 i tso
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
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 Records of Dade County, Florida by the
Village Ma ger of Miami Shores Village (or his fully authorized representative).
Signature
Qe�Wner or Agent
The foregoing instrument was acknowledged before me this _ day of J rt; ► -r �,l, 20 Le , by
c who is personally known to moor who has produced as identification and who did take an oath.
NOTARY BlrlC`;'� l �,
Sign:
Print:
My Commission Expires: WENDY SOTO M1VP'
:State of Florida -Notary Public
Commission S GG 172254
My Commission Expires
°.`..".� January 12, 2022
DOCUMENT COVER PAGE
For those documents not providing the required 3 x 3 inch
space on the first page, this cover page must be attached.
An additional recording fee for this page must be remitted.
(Space above this line reserved for recording office use)
Document Title: Cov
(Mortgage, Deed, Etc.)
Return Document To / Prepared By:
Rule 2.520 (d) On all ... -documents prepared ...which are to be recorded in the public records of any county ... a 3 -inch by
3 - inch space at the top right-hand corner on the first page and a 1- inch by 3 - inch space at the top right-hand corner
oneach sub sequentpage shall be leftblank andreserved for use by the clerk of court.
CLK/CT 155 Rev. 08/16 Clerk's web address: www.miami-dadecierk.com