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DS-05-22-1337Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-05-22-1337 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit5tatus: Approved Issue Date:07/19/2022 Expiration: 01/19/2023 Location Address Parcel Number 652 NE 105TH ST, Miami Shores, FL 33138 1122310120140 Contacts _ JAVIER ZAYAS Owner JAVIER ZAYAS Applicant 652 NE 105 ST, MIAMI SHORES, FL 33138 652 NE 105 ST, MIAMI SHORES, FL 33138 Home: 3053186738 javi@swarminc.com Home: 3053186738 javi@swarminc.com Description: DRIVEWAY REMODEL WITH 4" THICK AND SQUARE/RECTANGLE CONCRETE SLABS FILLED IN BY RIVER ROCK PEBBLES IN THE GROOVES WHICH ARE 3/4" PEBBLES Fees Amount Application Fee - Other $50.00 CCF $6.00 Concrete/asphalt/pavers, slabs, dways, $150.00 swalks DBPR Fee $3.00 DCA Fee $2.00 Education Surcharge $2.00 Planning and Zoning Review Fee $70.00 Scanning Fee $9.00 Technology Fee $5.00 Total: $297.00 r Ins ection Requests: Valuation: $ 10,000.00 I 305-762-4949 Total Sq Feet: 2,125.00 Payments Date Paid Amt Paid Total Fees $297.00 Credit Card 07/19/2022 $247.00 Credit Card 05/25/2022 $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 1 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 POOLwork. OWNERS AFFIDAVIX/ I certify t II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construc and zoo4. F hermore, I authorize the above named contractor to do the work stated. Authorized Sig%ture: Owner / `Applicant / Contractor / Agent "L Date July 19, Page 2 of 2 Miami Shores Village ENPrERED Building Department MAY 2SZOZ2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 By: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No.—bS-US'22- 133-7 PERMIT APPLICATION sub Permit No. S/BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 5�Q �'; t 10�— A. City: Miami Shores County: Miami Dade Zip: ?3l ?U Folio/Parcel#: i I - Z2.31- OI 2 - 0 i U d Is the Building Historically Designated: Yes NO `"� Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address: �j , p. �CL�t`Ci `�qj �Q/I✓��7�r)Phone#: -,�OT- J?idA__(e '6/gyp City: ggy1u. State: fL Zip: 1?3(z?0 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 11 C�n� �t,7Gi Phone#: Address: Email: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: _Zip: value of Work for this Permit: $ 1 c�� o 0 o Square/Linear Footage of Work: A ra f- Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Q`iB/C uS� CGywp c, ( t x3,4 Ll U -jWC Vl CA ij! J 9 u4-e / LcW, J Specify color of color thru tile: Submittal Fee $ 50' 1@ Permit Fee $ 150 -d-D CCF $ (J' V VCO/CC $ Scanning Fee $ 1 • V U DCA Fee $ P • (/ —DBPR $ 3.0 Notary $� Technology Fee $ a r7 • (� Training/Education Fee $ • rp Double Fee $ Structural Reviews $ P&Z Review $ �__� Bond $ TOTAL FEE NOW DUE $ (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State RM Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all wo construction in this jurisdiction. I understand that a separate FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... war will be performed to meet the standards of all laws regulating permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, OWNER'S 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 building permit with on estimated value exceeding $2500, 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 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 building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ONER GENT The foregoingJinum'entwas acknowledged before me this 23 day ofLL::� 20 22 by llz�O.ft who is personally known to me or who has produced �2✓� �/ l_ c as identification and who did take an oath. NOTARY PUBLIC: Print: CGyf �f ` wr t z Myao .. o} Seal: = Comm.:HH222410 y�i Expires: Jan. 31, 2026 IN1ii,�° 1r�o`O° Notary Public • State ofFlodda The foregoing irk4tifnent was acknowledged before me this �3 day of 20 Z2 by «ar4� Zcgs who is personally known to me or who has produced bl-['✓ v-5 r as identification and who did take an oath. NOTARY PUBLIC: Sign: ( 1 ) 1 vW Print: V 1 V r _e_✓L rL40 y a O Seal: ,u p°►°jno VlvienneYao ►,.,,`., Comm.:HH222410 _, •� ` Expires: Jan.31,2026 Notary Public • State of Florida APPROVED BY 61-1'\ t GN22-' Plans Examiner -71 1�I Zoning Structural Review (Re iwd04/05/2022) Clerk Miami Shores Village Building Department 20050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 n� OWNER BUILDER DISCLOSURE STATEMENT NAME: �Ay)e IC_ (i�q ru DATE: ADDRESS: S LI ; l� S J T M I�F►�/l��F�, FL 3.513d Do hereby petition the Village of Miami Shares to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.303(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and Initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 4yj L�/i/J 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial__. 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of m own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and cts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, hich violates the exemption. Initial,_ 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by - unty or municipal ordinance. Initial I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my Insurance coverage for injuries to workers on my property. Initial I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbor/pro/cilb/`tndex.html Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: L <) S�r Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this 14t" day of 202'Z By JQ ltr 2A S who was personally known to me or who has Produced th a Ljcens or identification. NOTARY NEE c State of Florida onzalez4rn 09a921 25 1/2025 Property Search Application - Miami -Dade County Page 1 of 1 u OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2231-012-0140 652 NE 105 ST Property Address: Miami Shores, FL 33138-2054 Owner JAVIER ZAYAS KARINA ZAYAS Mailing Address 652 NE 105 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds I Baths I Half 5 / 410 Floors 2 Living Units 1 Actual Area 4.399 Sq.Ft Living Area 3,117 Sq.Ft Adjusted Area 3,432 Sq.Ft Lot Size 14,600 Sq.Ft Year Built 1949 Assessment Information - Year 1 2021 2020 2019 Land Value $511,343 $511,343 $511,343 Building Value $360,360 $360,360 $363,363 XF Value $50,708 $51,229 $51,638 Market Value $922,411 $922,932 $926,344 Assessed Value $922,411 $922,932 $926,344 Benefits Information Benefit Type 2021 2020 2019 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description GOLF VIEW EST CORR PL PB 41-58 LOT 16 LOT SIZE IRREGULAR CF 73R70125 Generated On: 5/23/2022 Taxable Value Information 20211 2020 2019 County - Exemption Value 1$0 $0 $0 Taxable Value 1 $922,4111 $922,932 $926,344 School Board Exemption Value $0 $0 $0 Taxable Value $922,411 $922,932 $926,344 city Exemption Value $0 $0 $0 Taxable Value 1 $922,411 $922,932 $926,344 Regional Exemption Value $0 $0 $0 Taxable Value $922,411 $922,932 $926,344 Sales Information Previous Sale Price OR Book -Page Qualification Description 03/01/2022 $3,100,000 33060-1415 Qual by exam of deed 10/19/2021 $1,855,900 32820-3141 Qual by exam of deed 12/02/2014 $975,000 29422-3732 Qual by exam of deed 03/01/1973 $100,000 00000-00000 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/A m .miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/Apps/PA/propertysearch/ 5/23/2022 #"o'f cf* ENTERED retl By MAY T&7nT— f��~ �[SPHEItE mk S�bs ��rrr///��rrr/// �TnIiLIIPIP.ViY BY: Y :::'::'::::::'::..:::....:::':::::':'::::::N.E. 105th STREET:::.'_:::.:: 4............................ 5 . . .............................. '::::::'::::30' RIGHT —OF_ .. ..::. ............................... :::.�:::.:�:::::••.8::••:::�::':::':' 1B'f ASPHA T PAVE .. �jy Cie :. :"`P. 1/2" 80.00 R 'Rpm' :::•. L 0 A ASP ALT (4 Lj • �' Ix pa �; o i1 ::.i ...i �`T Pm $ 80.00' BASS OF BEARING m m (ASSUMED) f Icr1j 1,\ O F.I.P. 1/2^'.• :!.': '' RIVE :: O FAD. ..:;_a.o' NAIL IR N Q O ....,. :... :: 0 N 2 ONC cl� She - - f S SQ�Tq�G� p :Y ., � o' a 20 bIr 4M1� NS .... O .:,'.:�. ........ 'a ,4D"::: O 1.T�1640 / 1 inch = 20' tt ` N LOT 76 � 1s.a0 ON pL o wooD LLJ I MOD' DECK% m 0.40'(IN) T /•�:.•..• ... .....• I{.y� 22.e0' CONC ••• •• •••• E ♦'Y •..•• CI cS `V N m m m �� rJ6 .. •• • %a l`C� VV 24.80' �i ;n O •..• • •au.• /t� T v LOT ,7 a ...... . .... 3 / .lA Ch o TWO -. O °! 200' RESIDENCE , � O .. • • • • • • u. 11 ,,-- fcw'o O 4.0 a 6ti2 3 ,m•..... 110 O •.. '` 'mm 15.00, $ $ 3&65' • �.• I 116010 410.75' - 10001 . •• ...... 0.3V(IN) 0.20' IN ( ) o c m d i 1S.a0 71 15.0' N '_'+ • a' m 'L NERTILE a 20.0' g d w WOOD 'a TILE �10.0'2.5' ___1 •v' DECK E - o POOL d F - Ly >0✓ ---. 7'a �------ WOOD i' 0.15'(IN) QTOO LL 0 0.15'(IN ) d 3' 'YrJ'PL 14.50' PL 1Y DECK! DECK &�• it 12.50' rn �12i40P.. - F.I.P. 1/2' v a 1 00.00• (R&M) F.I.P. 1/ 2- 3 y c NOT SUBDI ND£D TOm m a w IOINTS OF INTEREST: . E RIh_`WAICRCSSESLOT LINE v p y u 0 Was, z,.=^^•.-+Rvr-anm�.,,oN rNsasercmnFr martins mwwnvawv[rrsAmw roMAP N # OF BOUNDARY SURVEY a+O conRECTRFPnesENr vErmEnanEn womuraREcrwx.mrs Pent Pro Addre66: c u o e v w u :_ E COMPLIES 1MX mE Mi noway soaRo orP T a MOMavPmwaiavraeunm,. awassr — E ro As aETFORINarmesralEof aoxma m>. norow sTRTvrea. TO =ao 10 0 > > c `y 652 NE 105 ST f N DO ut M a MIAMI SHORES, FL 33138 �na/ A ;)nflneLand „I SURVEVORS,INC. 6175 NW 153rd Street, Suite 401 Miami takes, FL 33014 n .OnlineLandSulveyors.Com `�e / STATE OF a SIGNED & FOR THE FlRM GUILLERMO A. o• • P.S.M. No. "W STATEOFFLORID NOT VRID W THOUt AN AUTHENTIC ELF.CTROMC SIGNATURE ANO AUTkENTICATEO EaCTRONIC SEAL ANOrt THE MAP 16 NOT VALMVATHOUT THE WGNAVURE AND ORICINN RMSEO 6EAL OF A LICENSE SwVEYOR AHO M PER Survey Date:1/282022 Surrey Code:0-83101 Page 1 of 2 Not valid without all pages. *OOo 0 0 00000o poop 0 0 p o 0 0 0 pop 0 o 00 0 0 0 0 000000 0 00 000000 0 p O 0 000000 000000 0 O 0 O 0 6000 0 0 0 0 0 00000 OO 0 poop 0 0 O0:00 p p 0 00000 0 0 0 0 0 000000 00 00 00 00 0 0 O 000000 0 O O O 000000 0 00 O 0 0 0 0 0 0 00 0 0 0 000000 0 0 0 0 0 0 00 0 00 0 0 0 00 0 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 652 NE 105TH ST, Miami Shores, FL 33138 rnntn&c Issue Date: 07/19/2022 Parcel Number Permit No.: PW-05-22-1338 Permit Type: Public Works Work Classification: Public Works Permitstotus: Approved Expiration: 01/19/2023 1122310120140 - -� - - JAVIER ZAYAS Owner JAVIER ZAYAS Applicant 652 NE 105 ST, MIAMI SHORES, FL 33138 652 NE 105 ST, MIAMI SHORES, FL 33138 Home: 3053186738 javi@swarminc.com Home: 3053186738 javi@swarminc.com Description: DRIVEWAY REMODEL Valuation: $ 1,000.00 Ins ection Requests: g05-762-4949 Total Sq Feet: 2,125.00 Fees Amount Education Surcharge $0.20 Public Works Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $105.70 Building Department Copy Payments Date Paid Amt Paid Total Fees $105.70 Credit Card 07/19/2022 $105.70 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 AFFI IT: I cert' all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating can ction and nin uthermore, I authorize the above named contractor to do the work stated. %- Authorize ignature: Owner / Applicant / Contractor / Agent Date July 19, 2022 Page 2 of 2 �.. Miami Shores Village Public Works Department (305)795-2210 Public works forms are available from the building department, 10050 NE 2Rd 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 Permit#: l�VY- OS- 13 3 Name of Applicant (if utility see below): Ket, 6� 4?C)y4J f gyi'ey- 24±Z qj Owner off the following described property: Legal Description: Lot Block Subdivision Folio #; t k ^ ac�3 k _0 (C� _b I Ll Address: C -_X E I OT' S-( • %CtM�i► SG eS , tlf� �'� �c3� UTILITY NAME: Qualifier/Authorized Agent: Address: Citv: State: ZIP: Telephone: Email: State Certification or Registration #: Certificate of Competency # CONTRACTOR NAME: `COA&a &W4ft)C4k04 Qualifier/Authorized gent: i Address: 4 City: Uw& Telephone: 3045_�'a 6 - T (5D Email - State Certification or Registration #: Ca Requests permission to install (descri way: W 6n t tw'_ty c4A ZIP: cate of Competency M work, attach separate page if necessary) in the adjoining right of Type of Work: ❑ Paving ❑ Utility ❑ Sidewalk ❑ Landscape ❑ Antenna 2/ Other: _ DESIGNER: Architect/Engineer: Address: Citv: Telephone: Registration .#: State: Email: ❑ Electric ❑ Irrigation 'bri ve w " � e vvva Ce ZIP: for this Permit: a� Square/Lineal Foota a of Work: Value of Work _$'77g ***** Fees ***** Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ Bond $ (if required) Total Fee Now Due $ �� U Bonding Company's Name (if applicable): Bonding Company's Address: City: State: 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 publi orks permit is issued. In the absence of such posted notice, the inspection will not be approved afila reinspecVon will be charged. Signature Ap¢I a t Or Autn ea ent The foregoing ins u ent was a no I ged before me thisZ 3 da f 20J by �ZIr4V� `�A.-7 who is personally known to me or who has produced Ac--L as identification NOTARY PUBLIC Sign: Print: ARLENISSILVERA SEAL: `, MY COMMISSION # GG 950477 a EXPIRES: March 6, 2024 Bonded Thtu Notary Public Underadlem Signature Compile j/Utility Agent The fore instrumen was acknowledged before me this 49 day,gf r1C1 20.�L by is personally me or who has produced as identification. NOTARY PUBLIC: Sign: Print: rbrlS ra) 6r(T7A,.2 _ SEAL: Notary Public State of Florida Christine Gonzalez MY Com "M HH 096821 601wc Expire, 0224/2025 APPROVED BY: Public Works Director, or Designee 2017-04-15 COVENANT OF Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 WITHIN RIGHT OF I Ililll IIIII IIIII IIIII IIIII illll IIIII IIII IIII CFN 2022RO416916 OR BK 33201 Ps 2526 (1P95) RECORDED n5/23/2022 11:23:52 HARVEY RUVIH, CLERK. OF COURT MIAMI—DADE COUNTYr FLORIDA FLORIDA, COUNT! OF MIAMI•DADE 7rRTIFY that this is a true copy Of the Official Seal. of Circuit and c.%&R4 Courts Whereas, (owner)-14v+er f- "g,3 a� I hereinafter referred to as the owner of the fol`owing describe r yanus property (address): 6t> Vt 1W S-� 11t°►`" S1 sff( Legal Description: Lot I Block Subdivision 45,ie Ocki es4,4e5- Folio# I)--243►-6I;t — 0146 Requests permission to install (describe work): 1DNve-w�i Within the public right of way of (address) 65,'> 1J E /OS 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 properly 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 Manager of Miami Shores Village (or his fully autjrized repre�PY� �qjt&C 3�y'!�_5 State of Florida I County of Miami Dade The foregoing instrument was acknowledged before me this aU day of H61 20 as by 03-1 CS who is personally known to me or who has produced as iden ' ication. NOTARY PU Slg n: I ��,,ra�� yyyyyy,,,,,, Notary Public Stele of FIar10e Christina Gonzalez Print: 6Cn.241. S S J MXpi mO224r202HOsae21