PW-12-20-2880Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
425 NE 93RD ST, Miami Shores, FL 33138 1132060140380
Contacts
LISA HELLER Owner AA CONCRETE SOLUTIONS Contractor
425 NE 93 ST, MIAMI SHORES, FL 33138 GABINO SERRANO
Home: 9542885208 14204 SW 111 LN, MIAMI, FL 33186
INFO@AACONCRETESOLUTIONS.COM
Description: DRIVEWAY/WALKWAY SQUARE PATTERN I Valuation: $ 6,331.00 Inspection Requests:
CONCRETE �5 76� +�949 r
TotalSq Feet: 425.00f
Fees
Amount
Education Surcharge
$1.40
Public Works Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Tota I :
$106.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$106.90
Credit Card
02/09/2021 $106.90
Amount Due:
$0.00
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 authogz e g0ve named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contactor / Agent Date
February 09, 2021 Page 2 of 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
_.._
425 NE 93RD ST, Miami Shores, FL 33138 1132060140380
Contacts
LISA HELLER Owner AA CONCRETE SOLUTIONS Contractor
425 NE 93 ST, MIAMI SHORES, FL 33138 GABINO SERRANO
Home: 9542885208 14204 SW 111 LN, MIAMI, FL 33186
INFO@AACONCRETESOLUTIONS.COM
Inspection Requests:
Description: DRIVEWAY/WALKWAY SQUARE PATTERN Valuation: $ 6,331.00
' � 30.5-76€ i
CONCRETE /i%� . i" If
Total Sq Feet: 425.00 ,3za
Fees
Amount
Education Surcharge
$1.40
Public Works Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$106.90
Applicant Copy
Payments
Date Paid Amt Paid
Total Fees
$106.90
Credit Card
02/09/2021 $106.90
Amount Due:
$0.00
For Inspections, Call (305) 762-4949 or Log on at https://bldg.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.
February 09, 2021 Page 1 of 2
Miami Shores Village
Pob|icWorks Department
(305)79S-2210 BY:,
Public works forms are available from the building department, 100SO NE 2"'d Ave., Miami Shores, L 33138 -
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work in the Right -of -Way on Miami Shores Village or Miami -Dade Property
iD
Name nfApplicant (if utility see belo»» :
Owner off the following property:
Legal Description: Lot 5|ock -5-1 -Subdivision
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
City:____
Telephone:
State Certification orRegistration *
Email:
CONTRACTOR NAME: Z'
State:
ME
Certificate ofCompetency #
Qualifier/Authorized Agent:
Telephone: Email:
State Certification or Registration #:C,63 C-ISZ-3i"30 Certificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way -
Type of Work: 51 Paving M Utility E& Sidewalk 0 Electric 0 Irrigation
DESIGNER:Architect/Engineer:
Address:
Oty:_______
Telephone:__
Registration #:
State:
Email:
ZIP:
Value of Work for this PermSquare/Lineal,
!��^
~****Fees***~*
Permit Fee $1{DQ]]0
Notary $Training/Education $O.2U} Technology Fee $ 0.80 Scan $
Bond $_________ (if required) Total Fee Now Due S
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. 1 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
Applicant or Authorized Agent
The foregoi instrumen ; as acknowledged before
me this day o€ 20"2._, by
5
I � who
is personall Known to me or who has produced
as
identification.
N `z UBLIC�
Sign:
t
SEAL:
Signature
Company/Utility Agent
The foregoing instrumenVvyas acknowledged before
me this aaay of 20 I , by
__ wh o
is person ._ ly_known to me or who has produced
as
identification.
NOT
Sign
Prins
1224
Commi s # 121�8 rr-r^ sson t GG121936
,.�= Expires: Sept. 27, 2021 « _ i Ln 27, 2021
y ed dolt Ai NOINY Born o ti ru'AarCt€� Notary
Public Works Director, or Designee
2017-04-15
RECEIVED
Miami Shores Village 01-C 14 202o
` Public Works Department Y
(305)795-2210
Public works forms are available from the building department, 10050 NE 2nd Ave., Miami Shores, FL 331
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): U50 L `t
Owner off the following described property:
Legal Description: Lots, Block Subdivision
Folio #; rr 3M7- CJX —vs O
Address: 4 ?,S 3
UTILITY NAME:
Qualifier/Authorized Agent:
Address:
Citv:
Telephone: Email:
State Certification or Registration #:
State:
Permit#: �v ' Z_ 1-1
pw- t2-2p- p
ZIP:
Certificate of Competency #
CONTRACTOR NAME: _AA &�OgeIZ�
Qualifier/Authorized Agent: 1/VO st.
Address: �( W 33 co()Iel.
City: MiAayv1 St : �Z ZIP: i (o
Telephone: / 0 Email: /��dG&l��i/tJa%acc A
State Certification or Registration #: �C62,(4 Certificate of Competency
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
Z P41'L)6TV J0!1 49/►'f/1�G
Type of Work: ❑ Paving ❑ Utility A Sidewalk ❑ Electric ❑ Irrigation
❑ Landscape ❑ Antenna ❑ Other:
DESIGNER: Architect/Engineer:
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ ✓3f Square/Lineal Footage of Work:
*****Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $
Bond $ (if required) Total Fee Now Due $ i
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 rec rded notice of commencement must be posted at the job
site for the first inspection which occurs se en (7) days after the public works permit is issued. In the
absence of such posted notice, the inspec on will not be approved an reinspection will be charged.
Signature Signature
Appli t or Authorized Agent Company/Utility Agent
The fore ing instrume'}��w�� nowledgeAd b�jfore The fore ng instrument was ackn edge�b^efore
e this day of tayfWr�, 20 _GCJ, by me this day of (�y 0 GCJ by
A ko ley, who who
is persona known to me or who has produced is persorp y known to me or who has produced
as as
identification. identification.
NOTARY PU IC: /�j S� NOTARY PUBLIC
Sign: a� 6 t, 60�%�i Sign:
Print: Print: �.......... """�
SEAL: EAL: 1 ".' : ARIELCABRINI
MY COMMISSION # HH 000102 = ': MY COMMISSION # HH 000102
o EXPIRES: May 14, 2024 1. ;•
`TF F °�' Bonded Thru Notary Public Unde►wdters EXPIRES: May 14, 2024
Bonded Thm Notary Public undt
APPROVED BY: , Public Works Director, or Designee
2017-04-15
CFN: 20200672311 BOOK 32205 PAGE 4356
DATE:11/20/2020 03:33:36 PM
HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY
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
Whereas, (hereby referred to as the owner) Gfs Vel
Of the following described property: /,
Legal Description: LotBlock Subdivision Folio #; 11'3Zo&-01 q-038Q
Address: �Z /u� 9 3 -k 33/3,?
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way:
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 by an affidavit filed in the Public Records of Miami -Dade County, Florida by the Village Manager of Miami Shores
Village (or is fully authorized repr sentative),
Signature
oJ4r or Authorized Agent
State of �—��i�
County of /AaZ 18 ,ty�
The foregoing instrument was acknowledged before me this �', day of ����/� 20 0�2 by
who is personally known to me or who has produced
as identification. WIELCABWfU
102
NOTARY LIC:My
May
4'C0Mµ15SlO2024
N�t
SPIRES: es
'P`�uNotbl
Sign: �f �
Print: ✓N" r' _ _ �/� S
Documents are recorded at the Clerk of the Courts,
MIAM1-DADE COUNTY RECORDER, COURTHOURSE EAST,
22 N.W. First Street, 1st Floor, Miami, FL 33128.
2017-04-11