PW-10-20-2253Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
352 NE 98TH ST, Miami Shores, FL 33138 1132060135690
Contacts
RAUL NOBILI Owner VIP CONSTRUCTION GROUP LLC Contractor
35298 RICHARD OSPINA
5890 SW 19 ST, MIAMI, FL 33155
Business: 7865251739
Inspection Requests:
Description: WALKWAY PAVING Valuation: $ 400.00 s
I 305-7624,949 d
TotalSq Feet: 38.00
Fees
Amount
Education Surcharge
$0.20
Public Works Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$105.70
Payments
Date Paid Amt Paid
Total Fees
$105.70
Check # 9399
10/15/2020 $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 AFFIDAVjT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatirfg construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
z'
Authorized igAtuie" Qwner / Applicant / Contractor / Agent Date
October 15, 2020 Page 2 of 2
�TVEID
�.. Miami Shores Village O C _f 0 52020
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): Raul Nobili
Owner off the following described property:
Legal Description: Lot Block
Folio #; 11-3206-013-5690
Address: 352 NE 98 Street - Miami Shores, FL 33138
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City:
Telephone:
State Certification or Registration #:
Email:
Subdivision
State:
Permit#: PW-ID-2_0 - 2253
ZIP:
Certificate of Competency #
CONTRACTOR NAME: VIP Construction Group, LLC - (Richard F. Ospina)
Qualifier/Authorized Agent:
Address: 6890 SW 19 ST,
City: Miami State: FL ZIP: 33155
Telephone:786-525-1739 Email: al1richin@aol.com I IJv!)Si .iCtOLtd, (OVA
State Certification or Registration #:L15000000948 Certificate of Competency #:CGC1519571
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: Walk way paving - 38 Sqf. Detals and Measurement enclosed
Type of Work: M Paving ❑ Utility ❑ Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State:
Telephone: Email:
Registration #:
ZIP:
Value of Work for this Permit: $400 Square/Lineal Footage of Work: 38 Sqf
***** Fees *****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ Bond $ (if required) Total Fee Now Due $16 �
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 sgFh posted nAce, the inspection will not be approved and a reinspection will be charged.
Signature
ppcant or AuthoriziLd Agent
The foregor ment was acknowledged before
me this -vr day of 20 2- , by
.N& Vet tl who
is personally known to me or who has produced
FL t7t as
identification.
� ,A qu %Oc��ICI
NOTARY PU
Signature
—struan y Agent
The faregoin mstrumt m en as acknowledged before
me this 200P day of 0L , 20?A_, by
who
is personally known to me or who has produced
FL,.0 as
identification. 8 �� � C��
NOTARY PUBLIC/�/�
Sign: t Sign: ,/ t
Print: Print:
SEAL: �� %� •.. JOSE vun. SEAL: ter': •,,dh
NotaryPublic . State of Florida DOSE vi tlL
Commission # GG 934755 Notary Public State of Florida
My Comm. Expires Nov 25, 2023
I
•••..oFv 5r �' Commission x GG 934755
Bonded through National Notary AssnMy Comm. Expires Nov 25. 2023
Bonded through National Notary Assn.
**********************************************
APPROVED BY: Public Works Director, or Designee
MIAMI SHC-)RES VILLAGE
2017-04-15 P(.�I R I„�.( VVI R`S V;, 1
iv
r
ld
Miami Shores Village
Public Works Department
(305)795-2210
Public works forms are available
from the building department,
10050 NE 2"d Ave., Miami Shores, FL 33138
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
CFH 202OR0540028
OR Bk 32112 Pas 1139-1141 3 P9s
RECORDED 09/23/2020 10:47:12
HARVEY RUVINr CLERK OF COURT'
MIAMI-DADE COUNTY► FLORIDA
Whereas, (hereby referred to as the owner) Raul Nobili
Of the following described property:
Legal Description: Lot Block Subdivision Folio #; 11-3206-013-5690
Address: 352 NE 98 Street, Miami Shores FL55138
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way:
Paved walkway extension. From existing pedestrian paths to existing parking area Tot Sqf 38 See enclosed Detail
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 an affidavit filin the Public Records of Miami -Dade County, Florida by the Village Manager of Miami Shores
Village (or �t isf fully a4horijeh representative).
u
Signature
State of fifil'G/it�a� t<
County of�j�
Th regoing instrument
was acknowledged before me this _a day of 20 by
who is personally known to me or who has produced
tification.
NOTARY PUBLI
Sign: 11 A1.04112!1.
= MY COMMISS16N i GG 103 9
Print:
%'IA&IV EXPIRES: May 11, 2021 1 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
Notice to Owner - Workers' Com
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation Insurance Exemation
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNINI BELOW�OU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS. I
Signature:
State of Florida
County of Miami -Dade
The for 7
oing was ack
By q %
Notary:
SEAL:
r
before me this day of , 20,a-.
who is persona y known to me or has produced
as
t-ommiss& # GG 103959
EXPIRES: May 11, 2021
xi Thru Notsry Pubiia underwriters
VIP CONS—R"'
GRC-j'
wwwAipConstructionGrou
---P!COM
CON-fNACTOR PROPOSAL
I.W. 4 MCA I-519571
Date: September 25, 2020
State: Florida
County: Dade
Before me this day personally appeared Richard Ospina who being duly sworn,
Deposes and say:
That he will be the only person working on the project located at: 229 NE 98 ST, Miami Shores,
Fl 33139,md 352 NE 98 ST--
Sworn to and suscribed before me, this _3p7'day of her 2020
Personally known
Or Produced Identification 171_ I —
Type of Identification Produced
-----------
JOSE VUL
Notary Public - State of Florida
ion GG 934755 Commission
02
Ay Comm. Expires Nov 25, ]2023
Bonded through National Notary Assn.
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PROPERTY ADDRESS:
352 Nf� 98 STREET CND CAE=;
T", H F E #-
MIAMI SHORES VILLAGE
PUBLIC WORKS REVIEW
APPROVED DATE l0�-)-,v
Proposed ►rtg
Area to City Pavement through Grass Area
Address: 35.21 NE 98 St
Pronosed F ntrance
Path - Fxtension
Nebo" Pavcd Path
:Material: -Chicago Queens
Foundation: Gravel {- `sand
I )imc nnsions: 44" X i "" 4-
lot Area: 38 SQ1.
NE98 Street
ery
F\kiin4, Pawl f'aif
Area
En
(1ri1 iJ Are.
t:xisting f'averrient
Existing House
Entrance Path
352 Nf 98, Strect
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