REV-16-2817BUILDING
PERMIT APPLICATION
11
Miami Shores Village
Building Department
RECEIVED
OCT -1,8 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
BUILDING ❑ ELECTRIC ❑ ROOFING
[PLUMBING ❑ MECHANICAL PUBLIC WORKS
vw(G-L(12__ FFBBC 2O('
Master Permit No. kr, IF- -
Sub Permit No. --VI." ie\?
EXTENSION ❑ RENEWAL
REVISION
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /Oro NE /0 5 r
City: Miami Shores County: Miami Dade Zip: 3Sd g
Folio/Parcel#: ®Q_ , . — 6921?.. fl1 t 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type:
//�� 'Flood Zone:
OWNER: Name (Fee Simple Titleholder): RAJ lope_ t • A tilieb Phone#:
Address: /06-0 NS S /Q 5- t I
City: A/aA lii S/t:061State: FL. Zip: 1S/3g.
Tenant/Lessee/Name: I /A- Phone*
Email: PALLUARA 0 1SCLL SAot reLIM r
CONTRACTOR: Company Name: 0 Wil/Fie , Gll4 h# Phone#: 3 0S X13 '9 '
BFE: FFE:
Address: /0 r 0 Air /or r
City: m /Amf SiwQIeis State: Ft, Zip: 3 A 15e
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer. ANNE 3 '# A /M A/d a!A117 'C fl4# Phone#: 30rliTs 040,0
Address: 63 0 Sw, ^1S 7" City:C NM% 0ti& te: FL Zip: 33;313
n t-12 Square/LinearFootage of Work: $ °J®V�/f rE E T
Value of Work for this Permit: $ (INV
Type of Work: VAddition ❑ Alteration ENew , ...pair/Replace ❑ Demolition
Description of Work: J/V g7 -LL 6 4 / Ale A/ 6 ' ?0 6/J WO 0 tan& psIWC e.
Atv /(d ' S,• 4 144 / t*ri end GV b v i F? NCC tel/ e
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $ G' `�v
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ g`
(Revised02/24/2014)
00
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: 1 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 ca mmencererrrmast be pate t ME job sire
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wilSh'__
prove d a reinspects,— ill be charged.
SignatureSignature
OWNER or A 4 " ; CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�J day of Q �TW-- , 20 (6 , by day of , 20 , by
�F'P� �CS t—S Vbg2f errsolnaliy known to . who is personally known to
me or who has produced tk. Tbppive. l 9, C -,C 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:
Sign:
J(
Print: Iti) t4) g Ai 432", Print:
Seal:�. Seal:
�asiso Pio Notary Public State of Florida
? o ^ Sindia Alvarez
Q4; My Commission FF156750
i###ii#i##i### 01*** i '�PARQ#i##iii#.;^..i******#iii##Fill####ii##i####iii###iii###i#iii******i#ii###
APPROVED BY Plans Examiner Zoning
Structural Review
(Revised02/24/2014)
Clerk
PREPARED BY:
406•116 4111•SE,
019161610
Land Surveyors, Inc.
•
www.exactaiand.com
Toll Free 866-735-1916 • F 866-744-2882
PROPERTY ADDRESS: 1050 NORTHEAST 105
FIELD WORK DATE: 11/t4/2014 REVISION
1411.1348
BOUNDARY SURVEY
ARAM-DADE
Fences Good Side Out. The vertical
supporting members of a fence s
interior of the plot on which the fe
and the finished side shall face
lot or any abutting right-of-way.
at1CMEE
DA 33138
SURVErs LIMER: 1411.13+48
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ET (PER PLAT
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RECEIVED
CT 18 2016
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SUMED) -
I/2° FIRC
NO ID
TABLE:
LI N 00°00'00' E 25.00' (P)
5 0°08'25' E 25.1 1' (M)
L2 5 90°00'00' W 24.89' (P)
5 89°53'06' W 24.89' (M)
S.C.L. 5 89°58'18' W 75.13' (M)
LOT
ELI. I
0
I/2° FIR
NO ID
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a /4/Lo/v4 b'A.`i, T4. 30
fll4I1 An, w,7N I
/2'LANn ekreNi/t
T'D rll!i s r Nos 4Clatmj 2. g
NO ID
54 "LONG FEroee(env /6 ifin)
I hereby certify
hereon descri
my direction,
and belief, it
of a survey t
standards set
Professional Su
5J-17 of the Flo
•
I/2° PIP
NO ID
@ NE. CORNER OF LOT 7
Fences Good Side Out. The vertical and horizonta
supporting members of a fence shall face the
interior of the plot on which the fence is located
and the finished side shall face the adjoining
lot or any abutting right-of-way.
BLt'.
I16- -
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NEN 6141/64 i'
5z'LONa. i 8 JQ
fl M arm Shcies Village
NO ID
,,i=
DATE
No115:
dory Survey of Lib•P,=EAR s 10 1f SERVICED tW a FY WA FR AND SEV.re
n made Ung AND WALL OWNERSHIP Nor DETERMINED
my knowledOL'®_,uF.vEF:. CLOyUKL UNE
rote representation 40
mum technical
o Board of
ers in Chapter
strative Code.
0 20 40
FFI_)r, AL
RONALD W. WALLING
State of Florida Professional Surveyor and Mapper
License No. 6473
GRAPHIC SCALE an Feet)
1 inch = 40 ft.
Use ofThis Survey for Purposes other than Intended, Wrthout Written Verification, be at the User's Sole Risk and VilthoutLiah9itytotheSurveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION:
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING
MUNICIPALITY OR W W W.FEMA.GOV, THE PROPERTY APPEARS TO BE
LOCATED IN ZONE AE (WITH A BASE FLOOD ELEVATION OF 8). THIS
PROPERTY WAS FOUND IN THE VILLAGE OF MIAMI SHORES,
COMMUNITY NUMBER 120652, DATED 09/11/09.
CLIENT NUMBER:
DATE 11/14/2014
POINTS OF INTEREST
NONE VISIBLE
BUYER: Philippe Alluard
Florida Land
Title. Association
AFFILIATE
MEMBERS
SELLER: DON CARUSO
CERTIFIED TO: PHIUPPE ALLUARD
This is page 1 of 2 and is not valid without all pages.
E
Land SurveyorsInc.°'a°�°r°
/ P.866-735-1916. F.866-744-2882
LBS 7337 11940 Fenny Lakes Drive, Suite 1• Ft. Myers, FL 33913
REPORT OF SURVEY
1411.1348
A
•
This is page 2 of 2 and is not valid without ail pages.
LEGAL DESCRIPTION:
LOOTI6, LOCKl , OF MIAMI I-SHORESDE ESTATES,
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 47, PAGE 58, OF THE
PU
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.letSPECIFId KONCYOR NikES:• •
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ASSUMED RF.E E OF SOUTH 90 DEGREES 00 MINUTES 00 SECONDS WEST IS BASED ON THE SOUTHERLY RIGHT-OF-WAY
UNE OF NO 105 lilE6r, LOCATED WITHIN MIAMI SHORES ESTATES„ ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT
Vt70R 47, PACE !V,, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
GENEJJAL SURVEYOR NOTES :
1. Thal-egal DescriDtDa tlaed to petfo;rl thlastiveyrwas supplied by others.TTds survey does not detamire or Imply owne+shtp•
2. This surveyority sIlbws Improvements found above ground. Underground footings, utilities and enctoachmentsare not located on this survey map.
3. If there is a sehttic to lk 16r drain field shown on this surveys the location is approxhnate as the location was either shown to Exacta by a third party or it was estimated by metal detection,
4. Thisey exduslvely �inspection only. �pewto Nm e cvatloleas d ��inorder todetemdnethe exact and accurate location.
5. Additlon t or deletions to this survey map and report by other than theslgtbtg party or parties is prohibited without written consent of the spring party or parties.
6. Dimensions are In feet and decbnals thereof.
7. Dix to varying construcdon standards, house dimensions are approximate. •
8. My FEMA flood zone data contained en this survey is for informational purposes only. Research to obtain such data was performed atwww.fdme goss
9. All corners marked as set areata minimum a K dlamete418'bon rebar with a cap stamped 0307337.
10.lfyouare reading this survey Inanelectronic format the Information corlteinedontisdocumentisordyvaldifitsdocumentiselectronicallysignedasspecified in
ontieIttvdcefortrissurveywhirrh
Chapter 5J-17.062 (3) of the Florida Administrative Code and Floslda Statute 472.075. The Becnonic Signature File'elated m this document Is ptmNrrendy
displayed sent under separate cove. Manually signed and sealed logs of ad survey dgnaturef les are kept In the office of the perfonnhtg surveyor If dib document Is in paper lomat
It Is not valid without the signature and original raised seal of a Florida Licensed Surveyor:
11. Unless otherwise noted, an ammhwton of the abstract of title was NOT performed by the si9nhtg surveyor to deter which hntrumen % if any, are affecting this propettY.
12. The symbols reflected in the legend and on this survey may have been enlarged or reduced for dotty. The swab* have been plotted at the center of the field
location, and may not represent the actual shape or size of the feature.
13. Points of interest (POPS) are selected above -ground improvements which maybe in conflict with boundary, budding setback or easement lines,
as defined by the parameters of this survey.lhere maybe additional Pill's which are not shown, not caned -out as Pty's, or which are otherwise
unknown to the surveyor Ttese POfs may not represent all items of Interest to the viewer. o
14. Ut6tkss shown on the subject property may or may not indimte theerdstence of recorded or unrecorded utility ease.
15. The Information contained an this survey has been performed exclusively, and is the sole responsibility, of Exacta Surveyors.Additional logo or references to thhd°partyfums are for
hdomwt oval purposes only.
16. Pursuant to F.S. 558.0035, an Individual employee or agent may not be held individually liable for negligence. •
17. House measurements should not be used for new construction or planting. Measurements should be verified prior to such activity.
LEGEND:
UNETWIS%tu rrnwsmmm°
R1nt1g:DE
CNASseit RIPICE
EDGE Of 1711017.RDN PENCE••-•
OVERLEAP MS
WAU.ORPARIYWALL
WOOD FENCE
VINNI. mace
SURFACE pens. UMW OINIE• •0®/
9.Th
ay TEE
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• HBkfal MARK
I mama
S CENTRAL ANGLE err DELTA
k.../7 CROON cmweRsyr
• CONTR01. PONT
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CA701 EARN
ELEVATION
1Ef VW HYDRANT
• IRA OR SET MONUMENT
E -
GUM= OR EK C&
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UTanYORuG rr POLE
SURVeYOK5 LEGEND
MC AM CONDITIONING
D.R. BLOM REFERENCE
B.C. BLOCK COWER
DAP.
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BLDG. NRIDaRi
H.R.L. =ItlitexnucrioN Lott
BSMT. waxen
w DAYRWIWORM
(C1 CALCULATED
C CURVE
CAW =RIM
RIM
C.B. conk re ROCA
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COL CORNER
CSW 0010tER9ALWAUC
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Ca. LRa
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OS MAD
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DM DRIVHMW
BLV. ELEVATION
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W. ENTRANCE
LLk B Eric MEM
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CAW. wDe Or WATER
B AB a1YnWC MUTT BOX
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PLL! PIA. CONCRETE MON MI@It
ryDll tOUEA DIEU. HOLE
r.r. PORRIED mat
rw ROUND IRON PIPE
rim POUND IRON PIPE • CAP
ER F 5tD R9N ROD
PRC POUND BORN ROO4 CARP
PN rOlaA NAIL
Ram rWLA NUL./DEIC
RID. POUND
(TEN IOUND PARTER-M1.014 NAIL
PRLND WRAP PIC NAIL DTA
PRIEM POUND RALROAD SPIKE
GAR. GARAGE
OA GAS METER
m. ETON
aL 5011NE qe
NST. N97WMSlNf
Nf. INnuABBCI.IOIL • • �
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LOOM
IN
LICENSE D-SUSNESS
LSI LICHEE -SIS
@,t MEASURED
M.B. EMP DOOR 4I14
M1.9. MIMED PND SECTION
M.P. METAL PENCE
SLR. Nal RADIAL
RTS. tom SCALE
O.C.B. ON CONCRETE SLAB
0.G. ON GROUND
on. CUBED! orsusui:.T PARCB.
On. OVERHANG
oar ovamrao UAW
ON WIDE orSMELT PASCO.
0.RB. art0ALRECORD POOR
O.R.V. OPROAL RECORD vouME
QU OVIRAu
as OMIT
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P.C. PONT or CURVATURE
P.C.C. PONT OP071EfOka1D CURVATURE
P.C.P. PERMNENT CONTROL PONT
PR POOL EGUIPMENT
PG. PACE
PU. POINT CE NM ION
PL. Pi S10NX NAND SUTINEPOR
PLT FLAMM
PAD. POMP or asaNMEG
PAC. PONT OP COMMENCIPOTT
P.P.PIN= PIPE
9.8.0. rowror RNBPSEQIRVATuar
P.R.M. PB•MNIN' WENS= MONRIENV
PSM reore3SlOWALSURV
AND MAPPes
P.T. PONT OP TANCEN e
R RADIUS or RADIAL
w 1sotMo
RGE. RANGE
RL9
RAV RENT Or WAY
SURVEY
9SLs RACK UNE
s� ctamnE lase:
SEC. SECTION
SCP. SEPTIC TANK
SEW. SPAR
SPD BATELLE LE DISC b
° sec S{r II ss we •GV
SN•D SET N011. DOC
Sou. SQUARE RR
SV SEWER VALVE
SRI DMAUC
S.W. SEAWAU.
10A 'TEMPORARY VENCIWARF.
OINES
TEL
▪ .a OP CP
INP. 'r • •
7X 7RANSPOt+MHt
Tn..• , • TYPICAL. •
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re %%TERMER
W.r. WOODEN EX
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VN WATER VALVE
V.P. MCC
Al. ALCMs EARS.01r ,
P11.L ANCHOR UNBENT
CAr.L C•NAl 1.020151ANC! [SMT
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TUE. TW8701000AL UPC,/ 07AT.
U.C. (STUN Gerken'
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ELECTRONIC SIGNATURE:
In complete accordance with Florida Statute 472025 and Pursuant to
the Electronic Signature Act of 1996 or Florida Statute11TLE 5000(
Chapter 668, K this document was received electronically via PDF,
then h has been lawfuay EtecuoNfafy Signed. Thenzfoce, thl survey
PDF, E euthe-tc, Is completely nfidal a -d I -astable. In order tovalldate
the°Electronk SignoureedPOE surveys sem via .,.y
you must use a hash calculator. A fres had calk lator Is available Por
do•mload at
le Wei lo validate the BecuonicSiyrmtue ofmg•swvay PDF sent via
waw.ROonfine
1. DWrNoadthe Hash Cakutatoravalableat
2.Save the Survey PDF ottoyom computerfrom twwslas.remscom
orfrom the ectal sera horn EwwwsuveystmSLam
3. aid, the square Browse button In theuppe right hand Comer afthe
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Re UMR(7 atinureRITETR9TEh■dcornetafunellastCalodata
4 Compare s16 ofcharacters tnthe SHA -1 From the 417dog
SHA -1 dsxa_tens Lor the survey in theAfdetnWa Wsmyat<vtmm WNCh
is also printed on the invoice for that survey
S.Ifthe40dtg4sting cifSHAadamoeaseeuauythe za ontheFtvo6ce
ben the s.lwyNeSWwvmeuey at)esth ymeinthe-aslCekubm.
then this PDF is authentic Ifthe46digit string ddRaracters dos not match
exactly, then this PDF has been tampered with and 5 is not authentic.
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OFFER VALID ONLY FOR:
Philippe Alluard
1
25% off
(UP TO$500)
ANY FUTURE
SURVEYING SERVICES
ON THIS PROPERTY
}
Imo
J
Exacta Land Surveyors. Inc.
LBO 7337
www.exactelanticom
P.866-735-1916 • F.865-7442882
11940 Fahway Lakes Drive Sakai- Ft. Myers, FL 33913
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