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DS-16-2246 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INS P-265110 Permit Number: DS-8-16-2246 Scheduled Inspection Date: December 16, 2016 Permit Type: Driveways/Sidewalks/Slabs Inspector: P- '---- I y�� 1 Inspection Type: Final Owner: Work Classification: New Job Address: 137 NE 108 Street Miami Shores, FL 33161- Phone Number (305)469-4091 Parcel Number 1121360090200 Project: <NONE> Contractor: STAR ISLAND CONCRETE DESIGN CORP Phone: (305)776-7916 Building Department Comments INSTALL A CIRCULAR DRIVEWAY IN THE SWALE. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 15,2016 For Inspections please call: (305)762-4949 Page 6 of 30 Miami Shores Village P@tf#?Ii 7z!fF j+p@1r1di� w 33 10050 N.E.2nd Avenue NE O alt Miami Shores,FL 33138-0000it SwUSIV"o\ r y.. ` Phone: (305)7952204 Expiration: 03/06/2017 Project Address Parcel Number Applicant 137 NE 108 Street 1121360090200 Miami Shores, FL 33161- Block: Lot: 137 SHORES LLC Owner Information Address Phone Cell 137 SHORES LLC 48 E FLAGLER Street (305)469-4091 MIAMI FL 33131- 48 E FLAGLER Street MIAMI FL 33131- Contractor(s) Phone Cell Phone Valuation: $ 5,600.00 STAR ISLAND CONCRETE DESIGN C( 305-253-5151 Total Sq Feet: 600 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:INSTALL A CIRCULAR DRIVEWAY IN THE Additional Info: Review Planning Bond Retum: Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# DS-8-16-60934 CCF $3.60 DBPR Fee $2.00 08/09/2016 Check#:1872 $50.00 $597.60 DCA Fee $2.00 09/07/2016 Check*1887 $597.60 $0.00 Education Surcharge $1.20 Bond#:3205 Permit Fee $125.00 Scanning Fee $9.00 Technology Fee $4.80 Total: $647.60 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- II work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,ME AL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAWT.— that_allthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zorY' utfjerrrtiore,I authorize the above-named contractor to do the work stated. September 07, 2016 ' -- orized Signature:Owner / Applicant / Contract/ / Agent Date BuildingDepartment Co p PY September 07,2016 1 0 • Miami Shores VillageTZIK �� Building Department UG 09 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 _ INSPECTION LINE PHONE NUMBER:(305)762-4949 7- FBC 20( tel BUILDING Master Permit No.ps( �a2qG PERMIT APPLICATION Sub Permit No. OBUILDING F-1 ELECTRIC ROOFING ❑ REVISION ❑EXTENSION RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS F_� CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 137 NE 108 Street City: Miami Shores County: Miami Dade Zip:33 t 0.1( Folio/Parcel#:11-2136-009-0200 Is the Building Historically Designated:Yes NO NO Occupancy Type: Residential Load: Construction Type: . Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 137 SHORES LLC Phone#:305-469-4091 Address:48 E Flagler Street City: Miami State: FL Zip: 33131 Tenant/Lessee Name: Phone#: Email: maft@lrgsouthfiorida.com CONTRACTOR:Company Name: Star Island Concrete Design Corp Phone#: 305-776-7916 Address: 2199 NE 163rd Street City: NMB State: FL zip: 33162 Qualifier Name: Miguel Corpas Phone#: 786-367-4712 State Certification or Registration#: Certificate of Competency#: E201903 DESIGNER:Architect/Engineer: Phone#: Address City: Zip: ii Value of Work for this Permit:$ Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace ❑ Demolition Description of Work: Install a circular driveway in the swale Specify color of color thru tile: Submittal Fee$ �D Permit Fee$ (2 L— CCF$ -5 in 0 CO/CC$ Scanning Fee$ gy , 0�3 Radon Fee$ 2 - DBPR$ 2— Notary$ 0 Y Technology Fee$ "V ` Training/Education Fee$ I 0 Double Fee$ i 6 Structural Reviews$ Bond$ S700 TOTAL FEE NOW DUE$ ` (Revised02/24/2014) Cii� • 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 is In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatu Signature OWNER or AGENT ONTRA OR The foregoing instrument was acknowledged before me this The foregoi g instrument was acknowledged before me this day of If/ 201 G by _ day of 20 /0 ,by wh is s personally known to !:�� ,who' persona known to me or who has produced '0-) -6l/-3�2-Das me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: _'Z_ Print: f`+. LCORPAS Print: fie; ;► 01 'aa9}� 'ii MYISSION#GG 017733 t CORM Seal: � .a� EXPIRES' 16 2020 Seal: '•'•.�".«'°,' Bonded Tin Notary Pulft Undav Iters :� .;. MMS:August 16,2020 Bonded Thru Notary Public Umfewiters APPROVED BY Plans Examiner J Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application- Miami-Dade County Page 1 of 1 K"R i n M , OFFICE OF OPERTY APPRAISER .h;•,M, ,. Summary Report Generated On :8/9/2016 Property Information Folio: 11-2136-009-0200 r 137 NE 108 ST Property Address: Miami Shores, FL 33161-7037 Owner Mailing Address 48 E FLAGLER ST PH 101 MIAMI, FL 33131 USA Primary Zone 1000 SGL FAMILY-2101-2300 SQ 0101 RESIDENTIAL-SINGLE Primary Land Use FAMILY: 1 UNIT Beds/Baths I Half 3/2/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 1,943 Sq.Ft Taxable Value Information Lot Size 9,300 Sq.Ft 2016; 20151 2014 Year Built 11949 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Year 2016 2015 2014 Taxable Value 1 $112,909 $111,777 $110,494 Land Value $199,874 $164,822 $155,872 School Board Building Value $135,288 $135,344 $131,899 Exemption Value $25,000 $25,000 $25,000 XF Value $17,413 $12,316 $12,420 Taxable Value $137,909 $136,777 $135,494 Market Value $352,575 $312,482 $300,191 City - Exemption Value I $50,000 $50,000 $50,000 Assessed Value 1 $162,909 $161,777 $160,494 Taxable Value $112,909 $111,777 $110,494 Benefits Information Regional Benefit Type 2016 2015 2014 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Assessment Taxable Value $112,909 $111,777 5110,494 Cap Reduction $189,666 $150,705 $139,697 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Previous Sale Price OR Book-Page Qualification Description Exemption $25,000 $25,000 $25,000 -- Homestead 1. 05/19/2016 $545,000 30106-1514 Qual by exam of deed Note:Not all benefits are applicable to all Taxable Values(i.e.County, 09/01/1998 $135,200 18308-0007 Sales which are qualified School Board,City, Regional). Short Legal Description DUNNINGS MIAMI SHORES EXT NO 5 PB 48-21 LOT 12 BLK 216 LOT SIZE 75.000 X 124 OR 18308-0007 0998 1 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 8/9/2016 w Detail by Entity Name Page 1 of 2 Detail Entity Name Florida Limited Liability Company 1 Filing Information Document Number L16000092635 FEI/EIN Number NONE Date Filed 05/11/2016 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 05/27/2016 Event Effective Date NONE Principal Address 48 E. FLAGLER STREET PH 101 MIAMI, FL 33131 Mailing Address 48 E. FLAGLER STREET PH 101 MIAMI, FL 33131 Registered Agent Name &Address LERMAN, JORGE 48 E. FLAGLER STREET PH 101 MIAMI, FL 33131 Authorized Person(s) Detail Name &Address Title MGR LERMAN, JORGE 48 E. FLAGLER STREET, PH 101 MIAMI, FL 33131 Title MGR http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 8/9/2016 l Detail by Entity Name Page 2 of 2 48 E. FLAGLER STREET PH 101 MIAMI, FL 33131 Annual Reports No Annual Reports Filed Document Images 05/27/2016-- LC Amendment View image in PDF format 05/11/2016-- Florida Limited Liability View image in PDF format Copyright ts,and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 8/9/2016 �- CERTIFICATE OF LIABILITY INSURANCE DaTEiMAuoDtrvYvl __..._._..___.--__ ._.._._ _. __-----._._ __.. ___.___.. _._. _ 08Y2312016 THlS CERTIHCATE IS ISSUED AS A MATTER OF INFORMAW6 ONLY AkD_CONFERS Nt;?ItidAtS I)i?pW T1iE CERTIFICATE HOLDER.TNlS`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 the certificate holder is an ADDITIONAL NSURED,the o_licy.(.i_e-s--)-must have ADDITIONAL I—NSU-RED provsio-ns -i- endorsedII 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT .— ►t1ANUEL CASTRO -- Chaplan 8 Castro insurance PHONNE - _ . AIC.No.ExQ f-..x')541-40� Fes_ :- .. 2552 NW i Street - -1:tA11 cltcuts`b� - _.._,.__.. lac Nott {305}639-1513 _._ :.ADDRESS: _. ®_ellsouth.net.— Miami.FL 33125 - Phone (305541-4009 Fax (31)5)649-1573tNsui�s�APRORpirtccovEjtAOE-- _ - -- INSURED -•-----•_ I I�suRt R A: GRANADA INSURANCE CO. Nae z _._---- .. _ .._ ___-.____------ 8 -----___ .. A ISLAND CONCRETE DESIGN CORP - •••-•-.-._..... ____ : INSURER C: 8!5 NVJ 24 CTMIAMI,FLORIDA 33M INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: — — - REVISION NUMBER:15 TO CERTIFY THAT THE POUCtES OF INSURAINCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE FOItCY pERtpp --` 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 COF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR --ADDLSUB__R:.... .._—. ._._. ... — - _.._..._.. - _. _... .__... _�. LTR TYPE OF INSURANCE UCY EFF POLICY EXP -- - — --.ltQ$R.�l4.fyD� - ----- POLICY 1dUtnBER ..- .ttIR7►DDIYVYY7-.(ld6HDD1YYYYi.:_... __ __ EACH OCCURRE,NCZ- 1,000.()00 DAMAGE TO F Nim' --- R—Ewt 5lEaar�rcen^e- 5 100,000 ; IAED Ei:P!Amon Berson) 1 S 5.000 A :0185FL00052004 03:1}:2016 08/141-017 -____--_..-. ___ PERSONAL a zDV It3JURY c 1 - - ,�- =Ft'L ArGRPaATEPLR T kPPLlE;Fart GENERAL AGGREGATE S 2.000.000--- - - P _-----OTHER JECT HER v PRODUCTS-CQtiPA7P AGG�S 2.000.000 - AUTOMOBILE LIABILITY ' COMBINED SItJGI E Limit, ANY rtTG ..�-.... BG<JiL'!G^L{URYfPerFesso:ty "5 AUTt 0 AUTO-1; --•-- ----- . AtJTG3 ft:LY BODILY*VURY(Per a=r_ent)j S HIRED ------ AEfiGSC:•tLY n`UT:tSii�LY PRO�RTYDA6:L'+v^E .. Uh1BRF1LALIA$ 4C•UR CH OCCURRENCEEXCESS LIAB _... CL.:i'i.S•tdADE � . AGGREGATE •5 r DI Q ._._ ETE61MP-IS ' WORKERS COMPENSATION : PERAND EMPLOYERS LIABILITY Y t N _c"R ANY!PROPRIIStORIP.ART"1FpJGX»C•tTVE--.-- - —_- ?rFIC£rit.'.S'-23 R EXC r tDF l N t A EL EACH ACGI M`r _1?.._. IUtoty m NH) - E L.l3tSEASE-EA Et trPLOYE I.';-'es.es.des ,t:a un•Jet GESCREMPCI:Or O?ERATICUS he:i: E -POLICY ' -- E L F)1S'4SE U'SIT r� t DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES IAtmclt ACORD 101,AtldtttotYJ1 Remarks Seitedolo.U more spa re is mqutrettl DRIVE.PARKING AREA OR SIDEWALK-PAVING OR REPAVING CERTIFICATE HOLDER CANCELLATION g� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCIB-LED 13EFORE Village Of Miami ShOreS THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Sti eet ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shones._FL 33138 � auiltoRL�roI;EPRE.sEtarailve' •t ACORD 25(2016103)OF DC ORPORATION. All tights reserved. The ACORD name and logo are registered maTUS 07 ACORU AC Ro D® DATE(MIWDD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 917/2016 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcyoes)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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 certificate holder In lieu of such endorseme s. PRODucER SUNZ Insurance Solutions, LLC. ID: (TLR) : Workers'Comp Department cto TLR of Bonita Inc PHONE 727-520-7676 x 3 1 Fax No): 727-525-3662 700 Central Ave tuite 500 MAIL St. Petersburg, k 33701 ADDRESS: certs@encorehr.com INSURER AFFORDING COVERAGE MAIC 0 INSURER A: SUNZ Insurance Company 34762 INSURED TLR of Bonita Inc INSURER s: As n Re-London-Best Rating"A+" EnterpriseHR INSURER c: Chaucer Syndicate-Lloyds-Best Rating"A+" 700 Central Avenue Suite 500 INSURER D: Faraday Syndicate-Llo -Best Kati "A+" St. Petersburg FL 33701 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 316 6106 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE SUOR POUCYNUM13ER POLICYEFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILI Y EACH OCCURRENCE $ DAMAGE RE CLAIMS-MADE F7 OCCUR PREMISETO S(Ea ocrurren e $ MED EXP(Any one rson) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYEC LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY OM caINdS NGLE UMI $ aant ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION WCPE00000001 12 6/1/2016 6/1/2017 ,/ STAM ET - AND EMPLOYERS'LIABILITY Y/N ANYPROPRIEfOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000.00 OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 11000,000.00 N es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT $ 1,000,000.00 B Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D under such reinsurance. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddH(onal Remarks Schede,maybe attaehed H more space la regWreM Coverage Provided for all leased employees but not subcontractors of:Star Island Concrete Design,Corp Client Effective:5/9/2016 Installation of a Brick Paver Driveway in the Swell CERTIFICATE HOLDER CANCELLATION 1326 Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Miami Shores St 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE Glen J Distefano @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 31666106 1 Master Certificate I AiMee Gray 19/7/2016 10:08217 AM (CDT) I rage 1 of 1 DOCUMENT COVERPAGE OR Br, 30185-Pgs 580-582 (Wss) RECORDED 08/09/2016 13:29:�I HARVEY RUVINY CLERK OF COURT For those docu rents not providingfhe ren 3 x 3 inch IAIT- E C:ol�h�T'f g FLORIDA _ space on the fust page,this cover page must be attached. cosi, It must descnb,the document.iu sufficient detail-to prohibit its transference to another doc;=5nt d An additional recording fee,for this page must be remitted. Q - •.� � �®oo aR =------------------------------------ (Space above this ae resarved for=,cr&9 0:M= se) Document'Pitle: , (Mortgage,D eed, Construction Lien,Etc.) ' Executing Party: st-4lv2rs LCL. Legal D 4 cription: . (if Applicable) As more fully described in above clmartbed document Return D o cement To I Prepared By: (Relevant excerpts) Rule 2.520(d)On all..docum.ents prepared......wbich are to be recorded in the pnblic records of auy county...a3-inchby3-Tach space atthetop right hand comer onthe fir§tpage and aY-inch'by3- _uchspaceaEtthetop3ight bmdcomeroneachsnbsequtenfpageshallbeleftblankandreservedfor rise by the clerk of court F.S.695.26Req�rements for recordinginift ments a4ec(ingrealP=oper[y— (1)No ia.strameat by whicb. t3ie tide to teal property or lay iateta6t therein is ,conveyed,assin'aed, encumbered,or otherwise dieposed of sh2nbe recorded by the deck ofthe circuit corrt unless: (e)A 3-Tach by 3-hich sp ace at the top right--hand comer on the first p age and a 1-inch by 3-inch space attire top righthand comet on each subsegv.entpage arereservedforusebyt clerk of the court... GUUCT 155 Rev.04/15. Glen's web address:www_mlamkladeclerkcom .gt�oRs�• Miami Shores Village �also Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �LpRipA Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) 13Z2 5tVo/1z..5 6(Chereinafter referred to as the owner of the following described property(address): 2 l 3 NE togs✓ /w'4/-Y", 33 f 13 4,F-2- Legal Description Axon,* &�A",sem, Lot 12- Block 2i Subdivision Folio# it—213 —0 Zoo Requests permission to install (describe work): AL?ecaRr��/e l &/2 x�y N f� 5�.c� G�6Leu Within the public right of way of(address) r 32 wf- io9S/ /Y��r�.^ 51V'ozz-es /S 33(6'1- 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 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. cof/�` a� c«ec C� �4 O� 1 �aoo we�sr ryarQ OR BK 3�B18 5 EF'G 582 LAST PAGE e► 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 items) 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). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this_g day of emu , 201/ Benjamin Lekmodl (Owner's Signature) SIGNED,SEAL�d AND � IVERED in the presence of: ~IY P CARLOS ' PAUL CORPAS Z; -_ MY COMMISSION#GG 017733 50.. o=FddF. EXPIRES:August 16,2020 Bonded Thm Notary Public w a Undw bs NIr111111, STATE*F44~4 CWMTY OF OAOE No covyf\ t f*FnYCMFYt6a ftIs a of V* P cues ongMstAwinyof I A.0.1U, ..`. WRMESS my hsW Wd 0ftW Seat. HARVEY CNIft D.C. 2 -•- -15'ALLEYWAY ' E'P,2.5'N 9.5' ASPHALT F,P7/2'.NOID F/C.0.1•N N.89'57'45"E. 75.00' ��'" CORNER U U F/C,O.4'S,O.2'W — F/C,0.0'W,1.0' Lo U G 0 9 2016 POOL BY ; IFT. meq •4 J• e— 6 10.0' 9. .a, <r4"r •.. . I � � � ' �� ,� — ry 14.0 a? OPENII — PUMP 3' PORCH " 0 (n L hi —X N 26.5 i LOT 12 N BLOCK 216 LOT 12 14.5 10.0' BLOCK 216 N s.s' 10.2' " � ONE STORY RESIDENCE F/C.UV o� LOT 12, BLOCK 216 CITY .— 17.6' An& 0 p OPEN PORCH w ;t sff 4.5'. .6.5' e- 0 6.4' • ••' s r• �6��sCE �'ra�r'cdj2�T� `J N N ;4 N PA,,s—Fas (Aurp G'Af Fe FIP7/2,NO ID :.'a FIP5/8,NO ID s.. ING PAS ISASSUMED) BW,0.1'S 90'W. 224.77'R.224.93'M,' -- —" r. S.90.00'00"w. 75.00': 5' W aW,0.1'S inl „� Get �AI/ERg•Qdk•rj�pf•••e•• �s IO r••••• .. •••••e e.ir:9Ans® 17' ASPHALT PAVEMENT' ' • 75' RIGHT—OF,-WAY __^ ^�__ • • • • • 108TH STREET �i •••• e•••'• N.E. ..•... 20 O 20 40 60 •••• i •• •• i••••i 001F— • • • •e e Scale 1 " = 20 '