PW-09-20-2114, 549 NE 106th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
549 NE 106TH ST, Miami Shores, FL 33138 1122310140130
Contacts
whalen group Ilc Owner MIRAN CONSTRUCTION, LLC Contractor
Michael Whalen JULIO M MIRANDA
250 ne 91st 250 ne 91st, Miami Shores, FL 33138 750 GREENBRIAR AVE, DAVIE, FL 33325
Business:3057106801 whalengroupllc@gmail.com Business:7869250084 miranconstructionllc@gmail.com
Mobile: 3057106801
Inspection Requests:
Description: 3V FLAGS REPAIR/REPLACE SIDEWALK Valuation: $ 450.00
Total Sq Feet: 15.000'M'1'1`11"'—W'�"'0W
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
09/18/2020 $50.00
Credit Card
12/22/2020 $61.70
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 ar required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDA I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regµlating construct, n nd zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authol�ed Signature: Owner / Applicant / Contractor / Agent Date
December 22, 2020 Page 2 of 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
549 NE 106TH ST, Miami Shores, FL 33138 1122310140130
Contacts
whalen group Ilc Owner MIRAN CONSTRUCTION, LLC Contractor
Michael Whalen JULIO M MIRANDA
250 ne 91st 250 ne 91st, Miami Shores, FL 33138 750 GREENBRIAR AVE, DAVIE, FL 33325
Business:3057106801 whalengroupllc@gmail.com Business:7869250084 miranconstructionllc@gmail.com
Mobile: 3057106801
Ins ection Requests:
Description: 3V FLAGS REPAIR/REPLACE SIDEWALK Valuation: $ 450.00 , �
15.00M-''Total Sq Feet:aRE
Fees
Amount
Education Surcharge
$0.20
Public Works Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$111.70
Applicant Copy
Payments
Date Paid Amt Paid
Total Fees
$111.70
Credit Card
09/18/2020 $50.00
Credit Card
12/22/2020 $61.70
Amount Due:
$0.00
For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
December 22, 2020 Page 1 of 2
�( ^� Miami Shores Village v�
\ \ \CP Public Works Department 'SEP /
(305)795-2210 pp �Ir'
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL4Y48
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade PPropeerrt
r
Permit#j�S'o5 - ,zo - 10 (:) 2—
Name of Applicant (if utility see below): 0 W 01 �'7 earep Ile
Owner off the following described property:
Legal Description: Lot 1 Block /G, Subdivision &�tz_PL U&1..��,;
Folio #; 471.
Address:.CV4- iU,;C- le 14'
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
State:
ZIP:
Telephone: Email:
State Certification or Registration #: Certificate of Competency #
CONTRACTOR NAME: IUlt rC. Ce „A ev
Qualifier/Authorized Agent:
Address: 7f. 4.10 O
City: State: L ZIP:
Telephone: Email:
State Certification or Registration #: "LS rtificate of Competency #:
Requ
way:
Type of Work: ❑ Paving ❑ Utility
❑ Landscape ❑ Antenna
DESIGNER: Architect/Engineer:
Address:
F
idewalk
❑ Other: _
City: State:
Telephone: Email:
Registration #:
es..t.ecissaryin t4 tdjoining right of
❑ Electric ❑ Irrigation
_ ZIP:
Value of Work for this Permit: $ 141$[7 Square/Lineal Footage of Work: IS'LP
***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ r
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.
Signature Signature
Applicant or Authorized Agent mpany/Utility Agent
The foregoing instrumWt was acknowledged before The foregoing instrument was cknowledged before
me this ( 9 ,thy of �Z Eli 20 ZO, by me this / day of Jet 20 ?D , by
It NI I cadpz- ��' cx J V{.*L Co who ` ` who
is personally known to me or who has produced s pers ally known to me or who has produced
S=!., ,UE(L U�CEN S� as as
identification. identification.
NOTARY BLIC: NOTARY PUBLIC:
Sign: Sign:
Print: S��t1�� AW P Print: QX%*J ►*VJ- WhA1.0%
SEAL: SEAL: Coft ntai
ss alen
SINDIA ALVAREZ =iCSSIQH
r:+.Y conati�Isslopa O GG 238273 +� EXPIRES: JUIy 16,1021
gIFQ P ,' EXPIRES: tars Public
3, 2022 B&d � Aw Nfty
Bonded 7hru Notary Public Underwriters
APPROVED BY:
2017-04-15
Public Works Director, or Designee
si
. : Proudly Serving
p �'�s gip'AV-
the Florida heal.
ME LAND AROLAA3D
\ p Estate i atT mul ?�
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• • • • • • • 75' TOTAL RIGHT-OF—WAY
N.E. 106th STREET
• MIAMI SHORES V1LLAG"\
Accepted By:
Property Address: Q Q(d
549 N.E. 10Street ' `PPt/ - L V t, DATEE /l(�
Miami Shores, FLORIDA 33138
SURVEYOR'S GERT.IGATIG•:IHERBY THAT THIS BOUNDARY SURVEY M ATRUE AND
CORR�TREPRESHNTATKW OF ED UNDER MY DIRECTION. THIS COMPLIES
WITH THE MINIMUM TECHNIC FORTH BYTHESTATEOF FLORIDASOAROOF
M.E. Land Surveying, Inc.
y 9� "
10665 SW 190th Street '
PROFESSIONAL LANOSUR
17- THROUGH 5FI7.OQ FLORIDA
ADMINISTRATIVE CODE PUR
ATUEs.
Suite 3110
SIGNED 9
W FOR THE FIRM
Miami, FL 33157ME
LAND
EFRAIN LOP F;_ ff A
STATE OF FIL P.S.M. No. 6792
Phone: (305) 740-3319e
"
*IC
Fax: (305) 669-3190
THEN
NOT VALID WITHOUT ANDAl1THEN
o
RE
LB#: 7969
„y
ELECTRONIC SEALANINORTHISMAPIS
RAISED SEAL OF A UCE NSLD SURVEYOR AND
VALID WITHOUT THE SKMTUREAND THE ORIGINAL
MAPPER.
Survey #:B-36850
Client File #: TG181529: Survey w Elevation
Page 1 of 2 Not valid without all pages