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DS-16-659 .� Miami Shores Village ; 10050 N.E.2nd Avenue NE ' Miami Shores,FL 33138-0000 +meq �a Phone: (305)795-2204 - F Expiration: 1012312016 Project Address Parcel Number Applicant 550 NE 102 Street 1132060171041 IRENE HEGEDUS Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell IRENE HEGEDUS 550 NE 102 Street MIAMI SHORES FL 33138- 550 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 WE'R'ALL CONSTRUCTION LLC (786)229-0445 __�::...:...:. _ Total Sq Feet: 830 Approved:In Review Available inspections: Comments: Inspection Type: Date Approved::in Review Final Date Denied: Foundation Type of Work:NEW WALKWAY,DRIVEWAY AND SIDEW Additional Info: Review Planning Bond Return: Classification:Residential Review Planning Scanning:3 Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# DS-3-16-58999 CCF $3.00 03/11/2016 Credit Card $50.00 $601.00 DBPR Fee $2.00 DCA Fee $2.00 04/26/2016 Credit Card $601.00 $0.00 Education Surcharge $1.00 Bond#:3062 Notary Fee $5.00 Permit Fee $125.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $651.00 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 authorize the above-nam d ntr r to the work stated. April 26,2016 Authorized Signature:Owner / Applicant / Contractor If Agent Date Building Department Copy April 26,2016 1 Miami Shores Village ; Building Department M I 1A9 016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 -� FBC 20 ( -4 BUILDING Master Permit NO.:D C C —G 1 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF E]CANCELLATION E:1 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: w d I D t S �tC S City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: ji —" 01 '" 041 Is the Building Historically Designated:Yes NO_f� Occupancy Type:W&s Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): I 1 5 Phone#: Address: ,5.5�� ru E Z 0-).4 61 City: Vy"k1 W^.`-5; State: zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 1` A Phone#: -7 Address:. 14Z S q City: !'v�- �� L State: Zip: Qualifier Name: TZ D DJi✓1 z..?) –k>,c;o K,,L o S Phone#: State Certification or Registration MCC-5 C. /S/3 (Q' 0' Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: 030 Type of Work: ❑ Addition ❑ Alteration ❑ New [r Repair/Replace ❑ Demolition Description of Work: 0 6 Lt_.) LL),A ccs A t-, Lc., eA P II osis: CC7L-) c2g ` � - ._ Specify color of color thru tile: Submittal Fee$ '`��' Permit Fee$��� Com",; k_ CO/CC$ Scanning Fee$ ��P CSU Radon Fee$ DBPR$ Q • CO Notary$ G �Jl� Technology Fee$ T' Training/Education Fee$ 1 ' Double Feeee$ 0 Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ®( W (Revised02/24/2014) rr V� ` 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,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 absenceo such posted notice, the inspection will not be approved and a reinspection fee will be charged. Alfs 1 t Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrume •was acknowledged before me this q day of P1 ,20 �� 'by if ay of 20 .by JLw /AW ,who is personally known to 4 0703 who is personally known to Ll me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. f' NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign Print: mom Print: ce, a Seal: •,�•., DMLAS A.SEAMMU)DEZ Seal: ��� -,1 Angelica Maim l`? Notary Public•State ot.ElolI" = iwi _ COMMISSION#R'92268I Q My Comm• x ov 4.2016 E)MRES: November 8,2019 s• E tes�l ` Connnission N FF 140441 ��i, ����`� www.AARoNNoTARY.com APPROVED BY Plans Examiner l "t Zoning Structural Review Clerk (Revised02/24/2014) March 8,2016 WE "B" ALL CONSTRUCTION, LLC M78&22SAM UcenadmilimmW To:City of Miami Shores We are constructing sidewalk replacements and new parking pad with entry pad at SSO NW 102nd St. Everything is to be exposed concrete driveway 6"x 19'x 20'. Walkway is to be 4"exposed concrete and sidewalk 4"X 5'wide. Thank you, Alberto Martin _ We"It"All Construction CERTIFICATE OF LIABILITY INSURANCE Pt2/17/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlfiaats holder ld an ADDITIONAL INSURED,tha polley(les)must beendomed. N SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the owlifleate holder in lieu of such endorsement(s). PRODUCER wEr Ocdde Ital Insurance 'P.Hm05)221-9859 FAx (305)221-6464 11400 W.FlIgler St$911L-ADDREocddentalinsure@bellsouthmet Miami,FL 33174 INSURERS)AFFORDING COVERAGE MAIC S Phone 30 221-9859 Fax 221-6464 INSURERA: GRANADA INSURANCE INSURED INSURER B. PROGRESSIVE INSURANCE We R All Construction Llc 13901 SW 18 St INSURER 0: miarrti,FL 33175 (785)2294445 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY NI�BER POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 ® COMMERCIAL GENERAL LIABILITY DAMAGE TO Eagoaarerme $ 100,000.00 A ❑ ❑ CLAIMS-MADE ❑ OCCUR 0185FL00066420- MED EXP(Any one person $ 5,000.00 ❑ 01!22/2015 01!22/2016 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEWLAGGREGATE UMITAPPLESPER- PRODUCTS-COMP/OPAGG $ ❑ POLICY ❑ PRO- ❑ LOC $ AUTOMOBILE LIABILITY coMsclaLED SINGLE LIMIT 1,000,000.00 ❑ ANY AUTO BODILY NJURY(Per Penson) $ B ❑ LL OWNED ® SCHEDULED 02375257-1 09f081'2015 09 8/ 016 BODLY MURY(Per ecdderd) $ ❑ HWEDAl1T03 ❑ U78gNON-OWNED P .=DAMAGE $ ❑ UMBRELLA LIMB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS UAB ❑CLAWSMADE AGGREGATE $ ❑ DEC) ❑ RETENTION $ WORKERS COMPENSATION ❑WC STATU OTH AND EMPLOYERS'UABUM Y t N ANY PROPRIETORIPARTNERIEXECUTWE E.L.EACH ACCIDENT $ OFFICERdEMBER EXCLUDED? N I A tf In desraiNH) ❑ E.L.DISEASE-EA EMPLOYE $ 8�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES Rdsch ACORD 101,A MIanal Reawks Sohe kft IF more space Is m*6v* CGC15136N CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miard Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Buikltlg Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave AUTHORIZED REPRESF.NTATWE Miami Shores,FL 33138 '," 01988.2010 ACS CORPORATION. All rights reserved. ACORD 26 0101"QF The ACORD name and logo are registered nmrks of ACORD ACCO CERTIFICATE OF LIABILITY INSURANCE °"3/15 /2016 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If tim—certiticats holder Is an ADDITIONAL INSURED,the po es m subject to the terms and conditions of the policy,certain policies nmy require an endorsement. A statement on this oertlfioate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCE Cathy Lewis PtINE Absolute Business Services Inc Me Eft 941-365-8123 ,No: 888.453-0827 5200 Station Way ADDRESS: insuranceGabsoluteinsuranceservice.com INSURERS)AFFORD=COVERAGE MAIC S Sarasota FL 34233 IISURERA: Retail First Insurance INSURED INSURER 8: We R All Construction,LLC INSURER C: 14442 SW 49th Street INSURER D: INSURER E: Miami FL 33175 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER, IS 13 To CERTIFY THAT THE POLICIES OF INSURANCE D BELOW 14AVE BEEN ISSUED TO THE IRMED NAMED ABOVE FOR THE POLICYIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICYNUMBER LNaTB COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ CLAIMS-MADE F—]OCCUR PREMISES En ooaarenoe $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ RPOLICY❑MT F�LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY �amt $ ANY AUTO BODILY INJURY(Per person) $ ALL OOSWNED SCHEDULEDBODILY INJURY(Per ate) $ AUTOS HIRED AUTOS NON-OAUTOS p�aaadent $ $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORIUM OOMPENSATION kATUTE ER AND EIAPLOYMM LIABILITY ANY PROPRIETOMPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 1.000,000 A OFFICERIMEMSEREXCLUDED? ®NIA Submission#0520 043529 0000 3/6/2016 3/6/2017 (y tory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY wrr $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 141,ami Remaria;Sohadule,may be attacked N more space Is requheQ License#COC 1513698 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Miami Shores Bldg Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 �,L— *P-- - 0 1"W-2014 ACORD CORPORATION. All rIghft reserved. ACORD 25(2014101) The ACORD name and logo are registered marcs of ACORD 4b C— IT VW 0000 .0. P .. , 0000.. •• •• 0000.. 000.0• so , 0000 ..0.0. .. .. 0000. 00'00: 0.:00 Hegedus' Residence •"•• ' 0000.. 0000 0000.. • 0000:. 550 NE 102 street •••••• Miami Shores, FL 33138 • (305) 975-0979 Sidewalks Replacement and New Parking Pad A-0 Site Plan A-1 Demo Plan A-2 Proposed Scope of Work A-3 Details Revised 3!29!16 it AV 6>56tco r UK Air 00 -j MAR 3 0 2016 SH 0 r .•. .�'. 1p -- _ 000.0• • �Z • • • 2its ••• • 0.00.0 •..O ........................ --------------- •• ••.• 000.0• •� •.••.. •0000• • .............................. ....................................... lo •• 0 �rlr1 • ' ..Mf.. s ............ •0-tom .... T LLI r ; o s ... ........... �� e c ... s '� a Mi IT : I ir ------ --------- APPROVED BY DATE rn N— m 4 ui ZONING DEFFif E3L DG DEPT Cs� r i_,N (HLA-.=S AND REGULATIONS • 10'-0" 5-2"� i Demolition NotElrS4:'�•• **so.: ....:. 1. Existing Single F8rj7V,5dsidsnce■ • . • • Q, 2. Existing sidewalkttatt?frnovedpdvaiplaced •.00 -00 ;,�• � �g 0) ! 3. Existing Public sidewalkdo be removgd and 0'�; 2 ' ...e....;—* replaced,full length otpro4t&line. Plwlsi3lope 1t4 per g ........................... y 5 ! foot. Match elevatior6of neighbors si lL Slope*•••:• away from drain field! • 0 0000 • ' • • 4. Existing entry concrete pad to bewa&,&d and o replaced �-5 r.......: ' 5. Existing septic tank and Septic drain field to remain bS. Existing palm trees and landscaping to remain --A --- -------s � t b C Existing E.J ' # ExfsBng EJ Existing EJ a Existing sprinkler heads. Coordinate removal Swale and relocation with sprinkler contractor 0 0 34r6- " N JY North Hegedus'Residence 550 NE 102 ST Street . A-1 Miami Shores,FL 33138 March 1,2018 Revised 3128118 ■ Existing built-in planters . Notes: •••••• •••••• •••••• �1 ; . 1. New front 19Ab'lenerete padt Zt�1G�4 thlok-min.•• (7 ' exposed aggreggjq i•• • •••••• Existing built-in pl �'•. 2; ' 2. New Conca•te wq kway-8"m thickness,2,5a0�i••i ' Portland cemeAt naevi.Provide�yg*In betften • 19''0" segments •�•• •• 00 00400 ' 7 '"'"' .........�.... .............h ? 3. Provide condyil'farf afore Iar�dlospixgtpath iigtgyygi••• ' •• •• • • �;`.`_8 •••• 4. New 6°cx�nCfet6ygd for ddveway 20'-0"wide x•*••0• ' 19'-0"long. 2100 psi Portland ConcrA-Provide faux grass betweeff panels • • • • ■ 8 4....;....r i S. New sidawaik•f-r wide 4"thick-unrekdorged,2500 psi. Slope 114"!Odetn•tik to comthe requ Vince ma „�' . ; .. ■ the Public works department of fdtamLS a Village. • ' •• � ; ! 6. Existing Trees to remain. Protect to•avoid damage 7. Existing palm trees to remain-protect during 2 ; ! construction. ■ ........;..................... � 8. Fadsting septic tank and drain field to remain. ■ Allh -a.?7] 75W, , � 5 ' 2'-0"wide landscaping $_- , , New Parking Are (20'x19' Swale Faux Grass , 20'-0" center pad between the two trees North 29'-5"-- ' Hegedus'Residence 12 '-------------------------------------- Street 550 NE 102 ST AV3 A-2 Miami Shores, FL 33138 March 1,2018 revised 3/29118 • 0000 �•� ••.•' 0000.• 0000.. .• .• Notes: • a 1. New front entry concrete pad/2500 psi 4"thick-min. •••••• •' • s •••• exposed aggregate •••' •• •• ••••• 2. New Concrete Sidewalk-8"min.thickness,2,500 psi •••••• •••• • • Portland cement concrete.Faux Grass between panels ••'••• • '•••• 0000' 0000•• 4. Provide conduit for future landscapingorthlighting • • 2'-0"wide land b e: • $ a? y 5. New concrete pad for driveway 20'-0"wide x 1 T-0" 06-41 4 f3 0; long. 2500 psi Portland Concrete- Provide a 2'-0" • • .... landscaping buffer between the sidewalk and the 6 • • • • ••• • 0 066• driveway. landscaping by others. Provide Faux Grass • 6 � ................... .. between panels N Parking Area ••' 3-8 6. New sidewalk 5'-0"wide-4"thick-urreinforced,2500 N psi. Slope 1/4'. -' 7. Existing Trees to remain. Protect to avoid damage 20'-W A- .......... 8. Existing palm trees to remain-protect during Fac Joirrt " g ;� 3 construction. p 9. Existing drain field to remain 10. E.J.every20'. 1"thick,control joints every 5'-0"to match city standards ZP 8'- W-0" 10F�6 2 Parking area - Public A 3 Right-of-Way A 3 Residence Sidewalk North Hegedus'Residence 550 NE 102 ST Q-3 Miami Shores,FL 33138 March 1,2016 Rev 3129!16 • • • • • 'ssss sssss s• ss • • ssss •sssss sssss � , • • ssss ss ss •sssss — , sssss: s • • •sssss •sssss , • s • • • •sssss• •ss ssss • s , , • Mission: Rick Scott To protect,promote&improve the health w` Governor of all people In Florida through integrated state,county&community efforts. Celeste Philip,MD,MPH HInterim State Surgeon General Vision:To be the Healthiest State In the Nation April 15, 2016 We R All Construction 13901 SW 18 Street Miami, FL 33178 RE: Modification to a Single Family Residence -No Bedroom Addition Application Document Number: AP1233030 Centrax Permit Number: 13-SC-1672452 550 NE 102 Street Miami, FL 33138 Lot: 6 &7 Block: 9 Subdivision: Miami Shores Sec 4 Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 04/01/2016 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. Proposed new walkway. No objection letter was issued by C. Icaza on 04/15/16. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from s licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincerely Carlo I Engineer III Department of Health in Dade County Florida Department of Health www.florldshealth.gov in Dade County• •,Florida TWITTER:HeaithyFLA PHONE: (305)623-3500 FACEBOGULDepartmentArlealth YOUTUBE:fldoh CFH 2016RO168342 / OR BK 300136 Pss 2530-2531 (2Pss) -RECORDED 03/21/2016 12.27=11 1'1 ARV:-% RUVIN9 CLERK OF COURT MIAMI-DADE COUHTYr FLORIDA DOCUMENTCOVERPAGE For those documents not providing the 3 x 3 inch space on the first page,this cover page must be attached.. It must describe the document in sufficient detail to prohibit its transference to another document. E An additional recording fee for this page must be remitted. f --------- ---------------------- (Space above this fuse re=ved for recording office use) Document Title: (Mortgage,Beed,Constru . n Lien,Etc.) Executing Party: HP cied tLS Legal Description: (If Applicable). : As more fully described in above described document. Return Document To 1 Prepared By: (Relevant excerpts) Rule 2.520(d)On all..documents prepared......which are to be recorded in the public records of any county...a3-inchby 3-inch space at the top right-hand corner on the first page and a1-inch by3- uarhspaceai thetopright thandcorneroneadtsubsegttentpageshailbeleftblankandresenedfor use by the clerk of court p.3.695.26 Requirements for recordingiaotmineiib affecting realpropeM-- (1)No instrument by which the title to real property or any interest therein is conveyed,assigned, encumbered,or otherwise disposed of shall be recorded by the clerk of the circuit court unless: (e)A 3 nch by 3-inch space at the top right-hand corner on the first page and a 1-inch Icy Much space at the top right-hand coater on each subsequent page are reserved for use by the clerk of the court... Miami Shores Village ,e Building Departrnent 10050 N,E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) f FeN6 GALOAkE HQcED o S hereinafter referred to as the owner of the foilowin described property(address): Legal Description 'Oapmd /Z.Lot Block 9T Subdivision 6 Folio# �,Za` Requests permission to install (describe work): �_ Within the public right of way of(address) J�Pcvv 96 tot ST• M14A P-�S,Fl 33438 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) instal 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 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 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 authorized representative), Signature &14(( ._� , —7 Owner or Agent X21 ` �' No's .The foregoing in trument was acknowledged before me this(_day of _, 20 1L_, by vs who is personally known to me or who has produced Li. as Identific .02 n and who did take an oath. NOTARY PUBLIC: Sign: - A��' a. Print: My Commission Expires: �' #FF •: EVftES:March'2M tots wo. n"Wr �