PW-09-20-2091, 1100 NE 91st TerMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1100 NE 91ST TER, Miami Shores, FL 33138 1132050010390
Contacts
KATHY LAFRENIERE Owner r2 builders inc Contractor
1100 NE 91 TER, MIAMI SHORES, FL 331383404 rodolfo rodriguez
10750 NW 138TH STREET # 5 NA, HIALEAH GARDENS, FL 33018
Business: 3052313113 r2_builders@yahoo.com
Inspection Requests:
Description: REPLACE PAVERS DRIVEWAY APPROACH FOR 6" Valuation: $ 1,000.00�
CONCRETE SLAB � �,
� � e �yF
Total Sq Feet: 280.00 , ,
Fees
Amount
Education Surcharge
$0.20
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$111.70
Payments
Date Paid Amt Paid
Total Fees
$111.70
Credit Card
09/30/2020 $111.70
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 infdrm t n is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize tM ve named contractor to do the work stated.
Authorized Signature: Owner / Applicant / kntraqtor / Agent Date
September 30, 2020 Page 2 of 2
0
JEC,EIVr
Miami Shores Village
Public Works Department B
(305)795-2210
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, 33138
PUBLIC WORKS PERMIT APPLICATION
/� �►`� Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#: -?W, b (—n'r%
Name of Applicant (if utility see below):
Owner off the following described property:
Legal Description: Lot I2 Block 7i Subdivision
Folio#; // -- 3205- 00c - 03 4Q
Address: /l00 it,/0 RI T-CRlzAc._
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
Email:
State:
rnK]TRArTnP NAMF• 2z VUI(jup LIVC_
ZIP:
Certificate of Competency #
Qualifier/Authorized Agent: 110&1 W too &Vic vL
Address: 10150 PW / 38 -*
City: � v State: L ZIP: 33 0 /e
Telephone: 386^ q:4S-fl3'21 Email: Iw �V �'d iZ2 Lt/Aes Ive- • CoN/
State Certification or Registration #: Certificate of Competency #:
Requests ermission to install (describe work, attach separate page if nece,j� sary) in the adjoininright of
way: o A p S (Lt 2d/►c/"! �o
i _D. S 1A 3 ADDVrj0 A
Type of Work: 9 Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ Jrc
Permit Fee $ 100.00
Notary $
Bond $
ZIP:
Square/Lineal Footage of Work:�� Sf—'
*****Fees*****
Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
(if required) Total Fee Now Due $ 1 ` 1 —45
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.
t
Signatur
Applican or A horized Agent
The foregoing instrument was acknowledged before
me this / �'{Fday of 20 20 , by
Y—!Ea L44G24tJ14A.dL who
is personally known to me or who has produced
as
identification.
NOTARY PUBLIC:.
Signature
Compan / tility Agent
The foregoing instrument was acknowledged before
me this 4 wday of 20 ZO , by
who
is personally known to me 'Ao produced
(,i as
identification.
N OTi
Sign: IAACY IV Sign:
Print: Print:
1111j SEAL:
SEAL:
, , Nutsry Publit - Stott,. of Florida
�! Cutntnihiun N GG 182910
" ,. My (0111 tl, Expires Mar or
2022
si M th= h National Notary Assn.
** * * *** ****** ************************
APPROVED BY: ?A�Public Works Director, or Designee
2017-04-15
Local Business Tax Receipt
Miami —Dade County, State of Florida
—THIS IS NOT A BILL — DO NOT PAY
6095475 RECEIPT NO.
RENEWAL
BUSINESS NAME/LOCATION 6358097
R2 BUILDERS INC
10750 NW 138 ST UNIT #5
HIALEAH GARDENS, FL 33018
EXPIRES
SEPTEMBER 30, 2021
Must be displayed at place of business
Pursuant to County Code
Chapter 8A- Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS
PAYMENT RECEIVED
R2 BUILDERS INC 196 GENERAL BUILDING BY TAX COLLECTOR
CONTRACTOR 45.00 07/06/2020
Worker(s) 1 CGC1513969 ECHECK-20-228298
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
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 8a-276.
®D For more information, visit www.miamidade.00vAaxcollector
TYPICAL
ti RIRON/ALUMINUN
l MONUMENT E
CENTERLW '
PROPERTY UNE
1 9
eMo �XI,57w-j4 rs.- -2,e-Q pro" 2q "LiFi—,
)C4
N.E. 91sl TERRACE
50' TOTAL RIGHT-OF-WAY
28' ASPHALT PAVEMENT
o
i c
uSN*07'00*E 75000' an 6' PARKWAY
F.I.P. T/2"
(No I D
ary
U-
11 z
LOT 12,
BLOCK 2 tg
MI SHORAI-A
IBLIC WORKS R
,OVED Po, D)
0_4'
5' CONCRETE SIDEW&Ke
7 F
00 9 9 1.
0 RRICI9
00 00 44 0 O'd 0,
COL UMN:O*,**:
rl- I �610 *I
(TYPICAL)''
POOL d
le
... cj I I-OT 13,
THE WEST
CZ i
BLOCK 2 OF LOT 14,
_d 11 BLOCK 2
:�� ,
Ll
NIM
28.80' b,
=AIR CONDITIONER
FLORIDA
LIGHT BPOWER OX
',
co
LWUJ
POOL
TWO STORY mi
=9ELLSOUTH Box
66
HANDICAP SPACE
z
'Um"
5 0
RESIDENCE 0':)u
-CABLE BOX
-INLET
-
rl N' 1100 CD, 0
0' 7�O
-C
-CATCH BASIN
=UGHT POLE
Z.75
VALVE BOX
METAL LIGHT POLE
io
c4 TERRACE
FCT 'R!C Box
-SANITARY MAWiOLE
cq
=EICTRIC METER
=SATELLITE DISH
3.3"
28.80' . . . . . . .
I r�AC I
-UCTRIC SERVICE BOX
-WATER METER
- RICK AC]
=�_cs-,MG ELEVATIms
-WATER VALVE
25,
HYDRANT
ra,
-WOOD POLE
...
='JMSTER
=LIGHT POLE
F.I.P.172'
(No I.D.)
'6
'44
(61
N89107 00 W 75.W
-
PLAT LIMITS
-------------
---------- ==z
--------- --
►
17' ASPHALT
PAVEMENT— AMENDED PLAT OF BISCAYNE PINES 7 7
IT
36,:Rc- E
N.E. 91st STREET