REV-20-13 (2)Miami Shores Village
` Building Department
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
PER IT APPLICATION
UILDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
JAN 0 3 2020
FBC 201-" C0",
Master Permit No. — ( I " 12-145S
Sub Permit No.�ey� �� _20- 13
�EVISION
❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (1 1 L.ca U
City: Miami Shores County: Miami Dade Zip: 15 V
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): sn Phone#: 3q%:� 11'L '4 3j J
Address: 1'1 JGi
City: (\Lf°MA I .5jtx� State: Zip: 3�f � V
Tenant/Lessee Name: � l W Phone#: t l IN —
Email:
r � d
CONTRACTOR: Company Name: Dh`e �� h ") Phone#:
Address: 1463 V tQ 173 S }
city: Al • fa -
Qualifier Name: 'S
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
hone#:
Certificate of Competency #:
Phone#:
„( City: State: Zip:
Value of Work for this Permit: $ 5t7 Square/Linear Footage of work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: K
, AYr'.N::.6. #wA+,N..N.,. ✓",..:... .i•fu•aw.r.: ry..r �l/+MW..��.
Y
Specify colgr of cojor'�hru >rtile'"
r•�t..;li.7i'i�c::.�.t�' r.Y.1 y'ff,. !�lw,i9 ,� ., �R 1rt • • . 4 Y . .�...� �7• '�, �.i �.. ' ,r f.�
Submittal Fee $ : ..�, . Permit:Fee $, •.�., P e CCr $ CO/CC $ '
Scanning Fee $ Radon Fee $ it PBPR $` " "' ' ''' Notary $_
Technology Fee $
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $✓ '
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur 25 4
OWN GENT
The foregoing instrument was acknowledged before me this
�G day of `� MG�Erl , 20 jGl by
L a.Nkyr. , who is personally known to
me or who has produced
identification and who did take an oath.
NOT4PLIC:
SignPrintNfltc-\ t xccR -�
Seal:
Lam
SINDIA ALVAREZ
MY COMMISSION N GG 238273
BOMe1 N Uldemftm
APPROVED BY j I , . -t P
as
Signatur
CONTRA OR
The foregoing instrume�wacknowleclged before me this
t�l i
�V day of by
(aelp5 M • who is personally known to
me or-ho has produce) R 22'5 -1) 3— 59 - Zy ( ` Oas
identification and who did take an oath.
NOTARY PUBLIC:
Print:
0-� pm���
sT4� Sou 1 e.,
Seal: UMACMAJOVINE
E 2 �10
i�
�''� MidM iMi liay ftiM MtuteoNObtIF11M
********4
s Examiner
Structural Review
***********
Zoning
Clerk
(Revised02/24/2014)
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0 10 20
LOT - 4 LOT - 9 LOT - 10 SCALE- 1' = 20'
BLOCK - 4 I BLOCK - 4 I BLOCK -
FOUND/Z' m • • • • • • • • • • • • CRIPTION'
IRON PIPE okO • • • • • • FOVNDYIy
ND THE EAST 25 FEET OF LOTS 5, 6, 7 AND 8, BLOCK 4, BONMAR PARK
••• 0-w594 0• _ IRON PIPE V
--? o ACCORDING TO THE MAP THEREOF, AS RECORDED IN PLAT BOOK 24 ,PAGE 71 OF
75•W.•••50' C RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
0.0' �_ 00 • • I1q • i' ••'•D, \�' \•5 0.$'WESTS REPORT AND GENERAL NOTES
'9 0-- -1 TM -I-D SUNEV Mar)
IN REMAIN OF LOT - 5 ry
BLOCK - 4 EAST 25' OF / 2 LEGAL REFERENCES
PTIOJ HAS BEEN RECORD
BY THE CLIENT.
LOT - 5 ArRDXIMAaf 2 REFERENCES TO DEED , REMAND OR PLAT REFER TO DOCUMENTS EA INSTRUMENTS OF RECORD AS
BLOCK - 4 N LDCA DRI PART OF THE ALONG BOUNDARY
INFORMATION USED FOR THIS SURVEY WITH
MEASURED DISTANCES, DIRECTIONS
SEPTIC I T1NR I 4ND ANGLES ALONG BdfIDARY LINES ARE W CONSISTENCY WITH CORRESPONDING VALUES FROM RECORDS,
LOT - 16 UNLESS OTHERWISE SHOWN.
3. THESE ANDS ARE SUBJEC' TO ADDITIONAL RESTRICTIONS OF RECORD THAT WERE NOT FURNISHED TO THE
q �\; J.X BLOCK - 4 /0 I UNDEWRSIGNING REGISTERED SURVEYOR. A TITLE SEARCH HAS - SEEN PERFOR" D.
4, NOR-H ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN BEARINGS ARE BASED ON AN ASSUMED
YEAST 25' OF A / \ MERIDIAN 9N A WELL -ESTABLISHED LINE, SAID LINE IS BEING NOTED AS BR ON THE SURVEY MAP.
IN REMAIN OF LOT - 6 LOT - 6 I 5 OILY ABOVE GROUND IMPROVEMENTS ARE SHOWN HEREIN. FOUNDATIONS. UNDERGROUND FEATURES AND
N BLOCK - 4 \\' BLOCK - 4 �O• 0D. E' I UTILITIES HAVE NOT BEEN LOCATED,
O 6. FENCE OANERSHIP HAS NOT BEEN DETERMINED. DISTANCES FROM EXISTING FENCES TO BOUNDARY LINES
- C/D /OJ, /�D, ARE APPROMMATE. FENCE/WALLCONDITIONS MIS S WIDTH AND CONDITIOT BE CONSIDERED TO DETERMINE TRUE
16.5' 11.12' LOCA'ION LANDS LOCATED BEYOND PER TER FENCES NIGHT OR MIGHT HOT BE BEING USED BY
ADJORERS. ADJOINING PARCELS HAVE HOT AD_SURVEY BEEN INVEST'GATEO
75' _ _ �� J. // _ 16.8' 7. THIS SURY MAP IS INTENDED TO BE DISPLAYED AT THE SCALE SHOWN HEREON. DATA IS EXPRESSED IN
\\' JR /C x 10 U.S SVEY FOOT
9.78' B. THIS SURVEY MAP IS BEING PREPARED FOR THE USE OF THE PARTY/PARTIES THAT IT IS CERTIFIED TO
n " 20.8' AND DOES NOT EXTEND TO ANY UINAMED INDIVIDUAL, ENTITY OR ASSIGNEE.
\O O 9. FLOOCIPLAIN INFORMAT:ON: AS SCALED FROM FEDERAL INSURANCE RATE MAP (FIRM) OF COMMUNITY
REMAIN OF LOT - 7 \ EAT 25' OF
BLOCK - 4 N I ONE STORY - M 1PROPE (VILLAGE IN MIAMI SHORES), PAWL _302, SUFFIX L, REVISED ON SEPT KITH, 2009, THIS
a OT 7 RESIDENCE N0. 175 LOT - IS REAL PROPERTY FALLS IN ZONE 'X'.
B OCK - 4 BLOCK - 4 10. HORN ZONTAL ACCURACY ACCURACY OBTAINED THRU MEASUREMENTS AND CALCULATIONS MEETS AND
GrG I F.F.CLEV.=3.30' EXCEEDS THE MINIMUM HORIZONTAL FEATURE ACCURACY FOR AN URBAN AREA BEING EQUAL TO I FOOT IN
VPpP\\.� 7, 5C3 FEET
75 9.76' II. VERTICAL CONTROL AND ACCURACY. THE ELEVATIONSAS SHOWN ARE REFERRED TO THE NATIONAL
25'I 11.14' 0. 2'WEST GEODETIC VERTICAL DATUM OF I929 (NGVD I929). THE CLOSURE IN FEET, AS COMPUTED, MEETS THE N O
L31EAST 13.5, ^I I5.6' S-A-RD OF 1. OR MIMES 0.05 FEET TIMES THE SQUARED ROOT OF THE LOOP DISTANCE IN MILES. � U
EI.EVATION ARE BASED ON A LEW, LOOP FROM AND TO THE FOLLvWING OFFICIAL BENCH MARKS'. m N
\\ \\b 4 UP %/�O• BEWH MARK K 1: MIAMI-DADE COUNTY PUBLIC WORKS DEPARTMENT BENCH MARK N-567. N� # 17
tu p } 0�+. ELEVATION = 10.54 FEET I CO W
\\\' EENCH MARK k 2: MIAMI DADE COUNTY PUBLIC WOOLS DEPARTMENT BENCH MARK N-568, Lu
Lu -Li _J
REMAIN OF LOT - 8 \qQ EAST 25' OF = -A - /�6 ELEVATION = 9.65 FEET IL _
BLOCK - 4 LOT -
W I 10 BLOCK 84 ry 6'9 B92 }1 `P(, F o JO
q0 t \O _ D'Y 9(N, q� 1 HEREBY CERTIFY TO. Z O 3
0 L 75 2S' ��j CHRISTIAN LANSER.
Z 12.8' 6.1' 16.4' THAT THIS SURVEY CONFORMS TO THE STANDARDS OF PRACTICE AS SET FORTH BY THE FLORIDA Q � .. 3
N FOURDYF (74.96• M. 7S.O9' M. OOARD OF PROFE=IONAL SURVEYORS AID MAPPERS IN APPI ICABLF PROVISIONSOF CHAPTER SJ-17.IRON PIPE 75. 00' P. WND }]]" FLCR04 ADMINISTRATIVE CODE PURSUANT TO SECT'ON L]2.027 FLOPIDA STATUTES. THIS SURVEY IS O N U_5.00' P. RON PIPE ACCURATE AND CORRCCT TO THE BEST OF MY KNOWLEDGE ANC BELIEF U
- FAX] @ SE CORNER OgdAIy Signed by J o
s / 1RO+PIPE OF THE WEST 25OdaIySC Wit, J w Q
\Q bb \�b� ��O/S SOUTH 0.45 LOT 14 Date:2020.01.03 m Z p
Z S 471.4T P4 EMf: _Is
135756-OS'00' W O• 1.PROFESSIONAL SUR
- CDALYS C CELLOAZNAGA Q
_ �S�p VEYOR AND MAPPER LS6169 STATE OF FLORIDA - N
iamr v, € 5: TOTA. k :' (PER PB 2L - P5 7D - - - - FIELD WORK DATE 12/IL2019
SURVEY REVISED- 0003/2020 O o Z
W. IOOTH STREET
AP ROVED BY '
ADDITIONS A AND T VALIONWI i0 THIS SLINEY MAP ARE OR IGINAL R THIS SEAL O MAP AND Q] N d w
1 _1 REIORt ARE MT ED EL WITHOUT THE LwNUTIAE AND ORIGINAL RAISED SEAL OR WITHOUT
�(o THE AUinENT1CA.TED ELECTRONIC SIWuiWE AW SEAL OF THE UNDERSIGNING FLORIDA
ZONING DEPT B ABBREVIATIONS L:CENSED SIAIVETON AND M-R.
LEvEND°XMAP OF BOUNDARY SURVEY
/ 0 "`-' �' • .,, mow-., SAX PROPERTY ADDRESS:
BLDG DEPT �. %�' • �A 175 N.W. IOOTH STREET, MIAMI SHORES, FLORIDA 33150
,A �.w� iM1 PROJECT N0. 20336 PAGE I OF I
SUBJECT TO COMPLIANCE WITH ALL FEDEHAL
STATE AND COUNTY RULES AND REGULAi IONS