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REV-17-1888 Miami Shores Village RSCM. T Building Department g J L 26 N,7 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) 5�1 BUILDING Master Permit Novy PERMIT APPLICATION Sub Permit No. ID -lee a ❑BUILDING ❑ ELECTRIC ❑ ROOFING © REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP '�i CONTRACTOR DRAWINGS JOB ADDRESS: �7 /y� j1/ Sfte City: Miami Shores County: Miami Dade Zip: 1 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: p Flood Zone: NO BFE: FFE: OWNER:Name(Fee Simple Titleholder):_RVOCkOVOvi I %"� i1 ��(� (A��S Phone#:'60S'3 Address: !-ItA N E l®CLV,,. S$-_ City: V-llAMI 5"011CS State: F Zip: 3:3 t6 Tenant/Lessee Name: NIA Phone#: N t-, Email:_�l1Cl ' � —�(� 1A5'A,; 2®10 Zix�- CONTRACTOR:Company Name: ti Phone#: Address: City: State: Zip: Qualifier Name: 1 Phone#: ��.�r//7��–`��� State Certification or Registration#: Certificate of Competency#: Q�71%6a0-5z4 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$� f� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: A(d/S/®.lft✓ ®�✓ 6"946 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ "'7 Radon Fee$ DBPR$ Notary$ CO Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 3, (Revised02/24/2014) 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 absence of such posted notice, the inspection will not be approved nd a reinspection fee will be charged. Ogg Signature Signature coo OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The for oing instrum t was acknowledged before me this 2- day of� �`'�'� ,20 � by \dayof 20 by ANT-Lo Y G04: 7- 0O):!FNI C-�'®ho is personally known to ho is personally known to me or who has produced rt1 `k�Nas me or who has produced as identification and who did take an o;�J&� identification an;\-A"1410ft an oath. NOTARY PUBLIC: NOTA R P`\ \GRO% �R/G+� X/ • S Sign: Sign: Print: Lo- tdV Print: •0 T Seal: } '' Seal: 9'!->Ao"edthy Q� p oZ7 ar Notary Public State of Florida �j '�.o',• �bllC Unae.•• p \� a < Si Commlvaron FF 156750 //////�'ve 'STP, } add Expires 0910312018 APPROVED BY �5 �7 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) rdered By: = rmr� ,asa MM�ilseuin _ zuaate•er CMUNT t rim !�+w �. �•'IDS�-"y.�.^�ms�•-7 .. .`V . HANK 'T UIST 00*9 ease* Arm •• • ••• • of JUL 2 5 2017 ...... .. ..... ...... 00000 .� ;By: i . . • •• •• •• • 00.09 10.5' ORASS. MEDIAN +••a•9WON •• - • :***:a Y 0000• • • • 0000• tt g ij tJ�+ •• • •• •• • Opp 1*6 NT )OMI&I j", J t.S' PARKWAY . twi '.la.�lY4a.'�...�►! i�k.lq� _./i�i�':iJV iP" ,. w.- , Lq x,9.00 r{ eLL -- ; a _ L u - omr STORY �Sff�7CE 1 ON C) _ I K' P Colls Y 9C � law Sc(- ria I. k i 3 % .. r a�irr 0q 11" AsPHAu PAVE EIINT ALLEY 'Y Surveyor's Legend . .. PROPERTY LINE STRUCTURE FND FOUND IRON PIPE/ B.R. BEARING REFERENCE TEL. TELEPHONE FACILITIES CONC. BLOCK WALL PIN AS NOTED ON PIAT CENTRAL ANGLE OR DELTA U.P. UTILITY POLE _X_X— CHAIN-LINK FENCE OR WIRE FENCE Lai LICENSE Ip - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX HF— WOOD FENCE LS¢ LICENSE # - SURVEYOR RAD, RADIAL TIE SEP. SEPTIC TANK 0 0— IRON FENCE CALC CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD -— EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER CENTER UNE ♦ CONTROL POW I.R. IRON ROD S/W SIDEWALK WO04 f1lot!•, 0 CONCRETE MONUMENT I.P. IRON PIPE DWY DRIVEWAY ago*** •••• • • F BENCHMARK N&D NAIL& DISK SCR. SCREEN I i I CONORETE•+• i •••• ELEV ELEVATION PK NAIL PARKER-KALON NAIL GAR GARAGE ••• *a:***• P.T. POINT OF TANGENCY O.H. DRILL HOLE SNCL. ENCLOSURE ASPHALT • 000060 P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE BRIC4 7 To • 646640 P.R.M. PERMANENT REFERENCE MONUMENT 21 FIRE HYDRANT F.F. FINNISHED FLOOR "sees •• • *see P.C.C. POINT OF COMPOUND CURVATURE ® TOP OF BANK M.H. MANHOLE 7.0.0. WATE$•• • 000000 P.R.C. POINT OF REVERSE CURVATURE EDGE OF WATER • • • • • O.H.L. OVERHEAD UNES E.O.W. 699660 • •• •• •• �-^•+v.....-- APPROXIMATE*EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E.O.P EDtiE OF PAVEMENT ���-y��• • •:••w P.O.C. POINT OF COMMENCEMENTCATV CABLE TY RISER C.V.G. CONCRETE VALLEY GUTTER LTJ COVER %D•"�i • • P.C.P. PERMANENT CONTROL POINT W.M. WATER METER B.S.L. BUILDING SETBACK UNE •[tt�••• TREE 0 + • • M FIELD MEASURED P/E POOL EQUIPMENT S.7.L, SURVEY TIE UNE POWI$.ALE P PLATTED MEASUREMENT CONC, CONCRETE SLAB CENTER UNE ® CATCH BASIN D DEED ESMT EASEMENT R/W RIGHT-OF-WAY C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE EASEMENT p,U,E, PUBLIC UTILITY EASEMENT LE../E.E. INGRESS/ EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. L.B.E. LANDSCAPE BUFFER EASEMENT C.M.E. CANAL MAINTENANCE EASEMENT U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EASEMENT A.E. ANCHOR EASEMENT Property Address: general oa: 1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or is not to imply ownership. 74 N.E. 109 STREET 2. This survey only shows above ground improvements. Underground utilities, MIAMI SHORES, FL 33161 footings,or encroachments are not located on this survey map. 3. If there Is a septic tank,well,or drain field on this survey,the location of such Items was shown to us by others and the Information was not verified. Flood Information: 4. Examination of the abstract of title will have to be made to determine records instruments,if any,effect this property. The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the plat Community Number: 120652 5. Wali ties are done to the face of the wall. Panel Number: 12086CO139L 6. Fence ownership is not determined. Suffix: L 7. Bearings referenced to line noted B.R. 8. Dimensions shown are platted and measured unless otherwise shown. Date of Firm Index: 9/11/2009 9. No identification found on property comers unless noted. Flood Zone: X 10. Not valid unless sealed with the signing surveyors embossed seal. 11. Boundary survey means a drawing and/or graphic representation of the Base Flood Elevation: N/A survey work performed in the field,could be drawn at a shown scale and/or not to scale. Date of Field Work: 611/2015 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted. Date Of Completion: 6/2/2015 13. This is a BOUNDARY SURVEY unless otherwise noted. 14. This survey is exclusive for the use of the parties to whom it is certified.The certifications do not extend to any unnamed parties. 15. This survey shall not be used for construction/permltting purposes without written consent from Miguel Espinosa. Legal Description: LOT 2, BLOCK 215, OF SUBDIVISION DUNNING MIAMI SHORES,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 52, PAGE 33, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA a I e 31 3A D PRINTING INSTRUCTIONS' MAINLAND TITLE, INC.; OLD REPUBLIC NATIONAL TITLE While viewing the survey in any Acrobat Reader, INSURANCE COMPANY;WELLS FARGO BANK, N.A.; . select the File Drop-down and select°Print" Its successors and/or assigns as their interest may appear. Select a color printer, if available, or at least one with .8.5"x 14" paper.