1177 NE 100 St (8)...........................
............................
Irsppctpp€
Inspection Date: 07/17/2006
Inspector: Grande, Claudio
Owner: RODRIGUEZ, JUAN CARLOS
Job Address: 1177 100 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL
Building Department Comments
Monday, July 17, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
ANL
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Building
Phone Number (786)251 -7913
Parcel Number 1132050190350
Lot:
Page 1 of 2
1 ,
0 ( Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
...........................
............................
Irsppctpp€
Inspection Date: 07/17/2006
Inspector: Grande, Claudio
Owner: RODRIGUEZ, JUAN CARLOS
Job Address: 1177 100 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL
Building Department Comments
Monday, July 17, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
ANL
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Building
Phone Number (786)251 -7913
Parcel Number 1132050190350
Lot:
Page 1 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/30/2005
Applicant: J. C.
Owner: RODRIGUEZ
JOB ADDRESS: 1177
Contractor
Local Phone:
Parcel # 1132050190350
NE 100
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -1416
RODRIGUEZ
J. C.
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 8 REV PB 43 -67 LOTS 13 & 14
Fees:
FEE2005 -12909
FEE2005 -12910
FEE2005 -12911
FEE2005 -12912
FEE2005 -12913
FEE2005 -12914
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Builders Bond
Total Fees:
Amount
$275.00
$5.40
$1.00
$6.90
$3.00
$300.00
$591.30
Total Fees: $591.30
Total Receipts: $0.00
1010
Permit Status: APPROVED Permit Expiration: 3/29/2006 Construction Value: $8,300.00
Work: REMOVE ASPHALTH DRIVEWAY AND REPLACE WITH BRICK PAVER
BLK 177 LOT SIZE
CC+ 0 4 PO
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 as responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Tenant/Lessee Name
Qualifier D W t.) r P I(32QC
State Certificate or Registration No.
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side)
5c3
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores
Tel: (30j) 795.
r iR
NI°
Electrical
Zip
� I - fl I o o ,..5
Job Address (where the work is being done)
City Miami Shores Village County Miami-Dade
Is Building Historically Designated YES NO ,`-
lorida 33138
6.8972
Owner's Name (Fee Simple Titleholder) YC or, Phone #
Owner's Address I 1 1005
City ors • Sinus ,b State F
'
Permit No. .� — 14
ster Permit No.
3 3 13
Phone #
Certificate of Competency No.
Mechanical Roofing
3 CS — i G
Zip
Contractor's Company Name T - RacQt o Ws. &rl5 ( Phone # 1S' aS 9 13
Contractor's Address 11 — 7 ► 1, 9
City h l mQ4. State Zip 33' ) 3
Architect/Engineer's Name (if applicable) )3 P Phone #
Square Footage Of Work: 36 d" 1 -fi
Type of Work: EAddition ['Alteration , ❑New ❑ Repair /Replace ❑ Demolition
Describe Work: -�Ma d2- etis 1+ `• T w tPUZ, i.0 . L b e e, p -
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ Z1 S % • CCF $ S .40 CO /CC
Notary $ Training/Education Fee $ 1 - CDC) . Technology Fee $ F-, . C l ID
Scanning $ 3. 00 Radon $ Zoning Bond $ mod/ - CO
Code Enforcement $ Structural Plan Review. $
�—� IZ914
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
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 work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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 an 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
Contractor
The foregoing instr ment was acknowledged before me this 2"f The foregoing instrument was acknowledged before me this
day of , 20 D , wa by v day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign.
chc 05/13/03
NOTAU
wner or Agent
Print: CC 1 C QII Q5 (4
My Commission Expires:
APPLICATION APPROVED BY:
Signature
MICI ICLLE NCS CLT
Comm" 000270910 1rint:
� - txptres 12/1/2007
i� Bonded MN (900)432.4251
a 0 Florida Notary Assn., Inc
y Commission Expires:
*********************** yl***** rj* * * * * * * * * * * * * * * * * * * * * * * * * * * **
/1.4, 4d mete 0
Plans Examiner
Engineer
Zoning
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
I �o c 2tr• sy being the legal property owner, for the property
Located at: 1 1 `7 4`3 DoS
Legally described as .
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),gnd I have read and understand the following disclosure
Statement, which entitles me td work as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exernption to that 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 or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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 Iicensed must work under your supervision
and must be employed by you, which means that you roust deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( )
Was acknowledged before me this
_ n n
By J G V C-oc) '
Produced
VILLAGE OF MIAMI SHORES
initial of reviewing clerk. The foregoing instrument
sr dayofr ,20 Co
who is personally known to me or who has
as identification and who did take an oath.
M I Ctitin ESSELT
#1.7, Comma DD0270810
pot, Expires 12/1/2001
V,1); Bonded t ru (800)432 .4254
a. Florida Notary Assn.. Inc
a
attached survey, performed by
-4\ tat,QC//x kbhdo
Witness(sign and print)
mkckllt
'STATE OF FLORIDA)
COUNTY OF DADE) �7
The undersigned Affiant, �C- 12 0Qr 4.1 , does hereby attest that the
(property own
�.�.,�, ( Sk-
cis ►�- I r' L,
(name of surveyor's company)
performed on 5 3 l /a ? , is an accurate representation of the existing conditions and
d ate of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that,the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
SWORNJO AND SUBSCRIBED before me this day of t'`
� - as identification.
Affiant is personally known to me, produced
IdICHELLE . NESSELT .. �
r ��., Comm# 000270810
Expires 12H/2007
%,%0F. A , Bonded tluu (800)432.425 1
Notary', n Florida Assn.. MC
•
#1
Inspection Date: 07/17/2006
Inspector: Grande, Claudio
Owner: RODRIGUEZ, JUAN CARLOS
Job Address: 1177 100 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Friday, July 14, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 - 8972
C�-
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number (786)251 -7913
Parcel Number 1132050190350
Lot:
Page 1 of 2
0 c 4 441L
Passed
l 0 �
1
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
•
#1
Inspection Date: 07/17/2006
Inspector: Grande, Claudio
Owner: RODRIGUEZ, JUAN CARLOS
Job Address: 1177 100 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Friday, July 14, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 - 8972
C�-
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Block:
Phone Number (786)251 -7913
Parcel Number 1132050190350
Lot:
Page 1 of 2
4045 d1
MIAMI SHORES VILLAGE`6'
BUILDING DEPARTMENT DOS
305- 795 -2204
Building Inspection Request
Date lint c6
Type Insp'n 3
Permit No. Pzoo 1384
Name (. p h 'Pefly (Aar- -y-
Address ( ( 7 r E (OP5
Company Nat(
(
Phone # i fg6I 2_5( - c (3
Inspection Date 5124/05
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/23/2005
Applicant: J. C.
Owner: RODRIGUEZ
JOB ADDRESS: 1177
Contractor
Local Phone:
Parcel # 1132050190350
Signed:
NE 100
(INSPECTOR)
Building Permit
Permit Number: BP2005 -1386
RODRIGUEZ
J. C.
ST
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 3/21/2006 Construction Value: $1,500.00
Work: Remove existing broken slab & replace
Page 1 of 1
Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOTS 13 & 14
BLK 177 LOT SIZE
Fees:
FEE2005 -12805
FEE2005 -12806
FEE2005 -12807
FEE2005 -12808
FEE2005 -12809
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$125.00
$1.20
$0.40
$3.12
$3.00
$132.72
Total Fees: $132.72
Total Receipts: $0.00
n L'
SEP 2 3 PAID
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle).
Owner's Address / / 7 7 I CJ
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit slif ..'_o v _
Type of Work:
Describe Work:
Code Enforcement $
Total Fee Now Due $
['Addition
11,9,1-nb.J
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical Plumbing Mechanical Roofing
�- Phone # 30S 73 if 3 ge5 3 ' S '75`� Gi s'
•
R U'Ca Is rsu2.
10 OS7
Owner's Name (Fee Simple Titleholder)
City -i 5/ o r' e5 State 1a' Zip 71/ ? C
Tenant/Lessee Name /cl / Phone #
Job Address (where the work is being done) / / 7 7 A ll6 / Q D ,$ 1 '
City Miami Shores Villa _e County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name ,) Iv '8. L.,. (e11lt_6' • Phone #
Contractor's Address a_ A6 ft LA 4t.
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
['Alteration LlNew Xi Repair/Replace
42_>6.sr b 'tt514,
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /j 2 5 �/ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Structural Plan Review. $
Master Permit No.
Square Footage Of Work:
Permit No.
Phone #
zip 33/3g
tf
Qsf.n.
' 7 2 2Z5
❑ Demolition
t
Bonding Company's Name (if applicable) ''
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
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 work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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 an 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 inspe on which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wil of be 'pproved . nd a reinspe Lion fee will be charged.
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this t7 - The foregoing instrument was acknowledged before me this
day o6 4' T , 20 e by -c. (' 0 eQ ' • ,.e� ■ , day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
OMNI
Sign: MICHELLE NESSELT
� �---� Sign:
to
Print: 1 Cht 11 e kJ eSS-e. Expires 12H/2007 Print:
L 'k ac * bonded thni (800)4324254
i....•.""' Fonda Notary Assn.. t^ea My Commission Expires:
NOTARY ' UBLIC:
My Commission Expires:
* *# * *** * ** # *** * ** * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * # * ** * * # * * * * * * * * ** * * * * ** * * * * ** * * * * * * * * * # * # # * * * * * * * * * * # *
APPLICATION APPROVED BY:
chc 05/13/03
State Zip
Signature
4v ,)-Ycz)
a4
Plans Examiner
Engineer
Zoning
J •
zrc RobR.IGUel-
II`O WC 10QST
M I AM1 v-akort.E5.
Ek 15T1N6 GaasS hrEk
Zz@.M0 A,S Ih'?°r
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an,,oT •taoT6.6
d al ca ivc rze'4
Located at:
By
7 s'
Produced
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
being the legal property owner, for the property
/ v e / ion
Legally described as
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure
Statement, which entitles me to atrork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal Iicensing
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- holding tax and
provide workers' compensation for that employee, all as prescribed by law. 'Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this a8 day of. e6" , 20 6 (/
4;;4;` 1 VlaDel Vibligg personally known to me or who has
>. � ston DD231984
'4.;.:= Expires; Jul 13
BoadmTti.,' rdentifica d who did take an oath.
Arlon*k
Notary
!inspection Number: INSP 115
Inspection Date: 12/06/2005
Inspector: Grande, Claudio
Owner: RODRIGUEZ, J. C.
Job Address: 1177 100 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL
Building Department Comments
Tuesday, December 6, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone 305)795 -2204 Fax: (305)756 -8972
Block:
Permit ° Number: BP2005- 1416
Permit Type: Imported Permit
Inspection Type: Driveway
Work Classification: Building
Phone Number
Parcel Number 1132050190350
Lot:
Page 2 of 2
1
Passed
0
Inspector Comments
Failed
Correction
. Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
!inspection Number: INSP 115
Inspection Date: 12/06/2005
Inspector: Grande, Claudio
Owner: RODRIGUEZ, J. C.
Job Address: 1177 100 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL
Building Department Comments
Tuesday, December 6, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone 305)795 -2204 Fax: (305)756 -8972
Block:
Permit ° Number: BP2005- 1416
Permit Type: Imported Permit
Inspection Type: Driveway
Work Classification: Building
Phone Number
Parcel Number 1132050190350
Lot:
Page 2 of 2
Inspection Number: INSP 13815
Inspection Date: 04/1012006
Inspector: Grande, Claudio
Owner:
Job Address:
Project: <NONE>
Friday, April 7, 2006
RODRIGUEZ, JUAN CARLOS
1177 100 Street NE
Miami Shores Village, FL 33138-
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pho»: (305)795 -2204 Fax: (305)756 -8972
:Permit Number: DS -4 -06 -845
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Slab
Work Classification: New
Block:
Phone Number (305)754 -3891
Parcel Number 1132050190350
Lot:
Page 2 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP 13815
Inspection Date: 04/1012006
Inspector: Grande, Claudio
Owner:
Job Address:
Project: <NONE>
Friday, April 7, 2006
RODRIGUEZ, JUAN CARLOS
1177 100 Street NE
Miami Shores Village, FL 33138-
Contractor: HOME OWNER
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pho»: (305)795 -2204 Fax: (305)756 -8972
:Permit Number: DS -4 -06 -845
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Slab
Work Classification: New
Block:
Phone Number (305)754 -3891
Parcel Number 1132050190350
Lot:
Page 2 of 2
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, .c- , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description/folio #:
Lot ) 3 Block 1 " 7 ` 7 Subdivision
Tax Folio R:
requests permission to install:
Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of 1 1- 7 01— o S 'f7
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. I f 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 property
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•t}ie 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 canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this ?:
SIGNED. SEALED AND DELIVERED in the presence of:
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051756 7 8972 .
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