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PW-05-22-1234Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 10050 NE 2ND AVE, Miami Shores, FL 33138 Contacts 1 1 Owner 11 Description: UNDER CONTRACT WITH MIAMI DADE WATER AND SEWER DEPARTMENT TO REPLACE DAMAGED SIDEWALK FLAGS WITH METER BOXTO MATCH EXISTING ADJACENT Fees Amount Education Surcharge $0.20 Public Works Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $111.70 Permit NO.: PW-05-22-1234 Permit Type: Public Works Work Classification: Public Works Permit Status: Approved Issue Date: 05/23/2022 Expiration: 11/23/2022 Parcel Number 1122320300070 105E PEREZ DE CORCHO Business: 3052784719 carla@wrangler-construction.com Valuation: $ 8.00 Ins ection Re uests Total Sq Feet: 0.00 , a�1a4d�t w+ltk!!+i $c�F Payments Date Paid Amt Paid Total Fees $111.70 Credit Card 05/23/2022 $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 information is accurate and that all work will be done in compliance with all applicable laws regulating socstruction and (Faring. Fythermore, I authorize the above named contractor to do the work stated. Authorized / Applicant / Contractor / Agent Date May 23, 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 2Id 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): Wrangler Construction, Inc Owner off the following described property: Legal Description: Lot Block Subdivision Folio #; Address: UTILITY NAME: Qualifier/Authorized Agent: Address: _ City: Telephone: State Certification or Registration #: Email: CONTRACTOR NAME: Wrangler Construction, Inc Qualifier/Authorized Agent: Jose Perez de Corcho Address: 12855 SW 136 Avenue STE 206 State: Permit#: PvV'65-22-123�� ZIP: Certificate of Competency # City: Miami State: FL ZIP: 33186 Telephone: 305-2784719 Email: carla@wrangler-construction.com State Certification or Registration #: CGC 058368 Certificate of Competency #: Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of way: Under contract with Miami Dade Water and Sewer Department to replace damaged sidewlaks flags with meter box to match existing adjacent sidewalk Type of Work: ❑ Paving ❑ utility ta❑ Sidewalk ❑ Electric ❑ Irrigation ❑ Landscape ❑ Antenna ❑ Other: DESIGNER: Architect/Engineer: Address: City: Telephone: _ Registration #: State: Email: FTM Value of Work for this Permit: $8.00 Square/Lineal Footage of Work: SF ***** Fees ***** Permit Fee $ 100.00 Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ _ • Im Bond $ (if required) Total Fee Now Due $ 111. Bonding Company's Name (if applicable): Nielson, Hoover & Associates Bonding Company's Address: 8000 Governors Square Blvd #101 City: Maimi Lakes State: FL ZIP: 33016 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 V v� A plicant or Authorized Agent The foregoing instrument was acknowledged before me this 1 z. day of 20 zz . by %�i�iLiCL 4�U Jq who is personally known to me or who has produced as SEAL: �geY!W� HEIDI PRENDES Commission 0 HH 038509 r o Expires September 9,2024 s,;*F 0, Roo Thm 5-dwewn W*" Signature Company/Utility Agent The foregoing instrument was acknowledged before methis _ day of 20�by is personally known to me or who has produced identification. NOTARY PUBLIC: Sign: Print: SEAL APPROVED BY: 16 Z2 Public Works Director, or Designee 2017-04-15 MIAMI SHORES PENDING CONCRETE Length Width Depth Address Location 4 40 4 1242 NE 104 St 4 25 4 1286 NE 104 St 4 30 4 1290 NE 104 St 4 35 4 1298 NE 104 St 4 15 4 1304 NE 104 St 4 18 4 1320 NE 104 St 4 50 4 1340 NE 104 St 4 20 4 1400 NE 104 St 4 10 41418NE104St 4 35 4 1438 NE 104 St 4 46 4 1500 NE 104 St 4 66 4 1532 NE 104 St 4 20 4 1550 NE 104 St 4 85 4 1566 NE 104 St 4 50 6 1605 NE 104 St 4 35 4 1525 NE 104 St 4 16 41515NE104St 4 15 41481NE104St 4 40 4 1449 N E 104 St 4 30 6 1435 NE 104 St 4 70 6 1421 N E 104 St 4 70 4 1343 N E 104 St 4 30 6 1323 NE 104 St 4 60 4 1299 NE 104 St 4 35 4 1293 NE 104 St 4 20 4 1285 NE 104 St 5 130 4 10395 NE 104 St 5 20 4 749 NE 95 St 5 55 6 761 NE 95 St 51 501 6 895 NE 95 St MIAMI SHORES RKS REVIEWGE PUBLI DATE s I� ZZ APPROVED NEnOSt St�•NEj105.ith 51'-1TNIOSth�, y Ac8IeFlorida Vacation Rmlad --_ - dy doxe �c CoohnaryCorner - �, i q!x '• r i yyr�q NE 1oa h SI ' 1640 NoStheast m`l f •rE •• NE IOdn S'I r1, �1hTiet0-� 103iS-10300 r+ 04i �w R l ' R J 12N Pue " :, t... 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