FW-10-23-2608BUILDING
PERMIT APPLICATION
OBUILDING ®ELECTRIC
Miami Snores vliiage RECEIVED
Building Department OCT 24Z023
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �. L/
Tel: (305) 795-2204 Fax: (305) 756-8972 BY; "�
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20�-6 ^ -/ -0-►
Master Permit No. (W/ ' 10 -- Z3-Z&C)S
Sub Permit No.
0 ROOFING 0 REVISION 0 EXTENSION ng�ENEWAL
®PLUMBING ® MECHANICAL ® CHANGE OF ® CANCELLATION ® SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: q ( "( "1 L\) rt-')C-L 0 ,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1 oS B ,Z + 0 6 UQ Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): C(��_� L �t' �J Phone#: J 2 ) t Z
Address: �i � 6 N-( 01s 2
City: A—VL,, -A( State: L Zip: J
Tenant/Lessee Name: �-� Phone#:
Email: ��1� F i� pu�—.�N r(./ -� L
CONTRACTOR: Company Name: ��) \—\L) N Phone#: ' co S 2 l (`(, (( L
Address:
Email:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
Phone#:
Certificate of Competency #:
City:
Phone#:
Value of Work for this Permit: $ go /? Square/Linear Footage of Work:
State: Zip:
Type of Work: ® Addition ® Alteration ❑ New 0 Repair/Replace ❑❑ Demolition
Description of Work: ISL-' -L) �i c,(1� L' J�'�
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised04/OS/2022)
Permit Fee $
DCA Fee $
Training/Education Fee $
CCF $
DBPR
P&Z Review $
c0/CC $
No
tr $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
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.
Signature Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of �C- �a� e� 20 Z-3 , by
p v--- -v-"1. , who is personally known to
me or who has produced G1 1'*�,'i v,-e L` c
identification and who did take an oath.
CONTRACTOR
The foregoing instrument was acknowledgedixf re me this
day of
as me or who has prod
20 , by
who is personally known to
identification and wJ;(16 did take an oath.
NOTARY PUBLIC: NOTARY P
as
Sign: '""�
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V
Sign:
Print: V t V i Qh i L�
Print:
Seal: POe•,,,
VivienneYao
Comm.: HH 222410 Seal:
Expires: Jan. 31, 2026
OF F�o�
Notary Public - State of Florida
APPROVED BY
" Amans
Examiner Zoning
Structural Review Clerk
(RevisedN/OS/2022)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: �—' �t(�F.RI [- r 2 (Z /— DATE: Icy Z 2 Lt /Z,S
ADDRESS: Lek
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have
read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption
allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a
cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or
lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built
for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on
your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and
with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all
applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an
exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain
restrictions even though I do not have a license.
Initial_
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
Initial-'p
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial
building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption.
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial `'—P
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial rr1-0
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial U
S. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow
these may subject to serious financial risk.
Initial &
9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and
requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
Initial F2
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States
Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html
Initial
11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on
this disclosure.
Initial_
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or
employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's worker's compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this 2 (It
By pJrr_�
day of , 20 z3
who was personally known to me or who has
Produced there License or f' 't ✓ l t C_ as identification.
VLVi-e�:-vZ�
"�� VivienneYao
ER NOTARY o��?YP�A��
Comm.:HH 222410
_• - Expires: Jan.31,2026
Notary Public • State of Florida
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
tt-ti,c_;till V k1j
JA 1 8 2019
BY:
FBC 20C�
r`��
BUILDING Master Permit No-j:LA Iq — 13 C7
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (,Fee Simple Titleholder): F��F 9i' �CJ iq E AlPhone#: ' Co J � CI 2 �J d(
Address: i q 31 51 L L --V-)A + A 0(\
City: M A rLc State: F L Zip: 3 f d1 j
Tenant/Lessee Name: Phone#:
Email: �Kk b C(%('��-M ('-', 61-tA l L � 60f7
CONTRACTOR: Company Name: U t L iD�_f'\ Phone#: In L( 2
Address:
City: State:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
ne#:
Certificate of Competency #:
ne#:
Address: City: State:: Zip:
()
Value of Work for this Permit: $ �T 0y Square/Linear Footage of Work: 601,
Type of Work: ❑ Addition ❑ Alteration ❑ Neww ❑ Repair/Replace ❑ Demolition
Description of Work: N E -,N ty if — Pi C E
Specify color of color thru tile:
Submittal Fee $ " C) : Dt_') Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $ `j C
Double Fee $
Bond $ _
TOTAL FEE NOW DUE $' ' J
(Revi sed02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
WE
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 and a reinspection fee will be charged.
�!— Signature
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
�..J
I day of P-OUC'-e `� , 20 (1:1T by
who is personally known to
me or who has produced Fk— DeA L)Ce— LK(-�FNji
identification and who did take an oath.
NOTARY U LIC:
Sign:
Print:
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: _
as
Seal: Seal:
SINDIA ALVAREZ
MY COMMISSION # GG 238273
m�r,Po' EXPIRES: September 3, 2022
j f
APPROVED BY e V Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9179 N BAYSHORE DR, Miami Shores, FL 33138 1132050270595
Contacts
Frederic Puren Owner OWNER Contractor
1431 STILLWATER DR, MIAMI BEACH, FL 33141 Owner OWNER
Description: REPLACES FW-01-19-138 NEW CHAIN LINK FENCE Valuation: $ 800.00 Inspection Requests:
Total Sq Feet: 0.00�'
E 4.
Fees Amount
Payments
Date Paid Amt Paid
100% Permit Renewal Fee $100.00
Total Fees
$100.00
Credit Card
10/24/2023 $100.00
Total: $100.00
Amount Due:
$0.00
Building Department Copy
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 construqand zoning. Futhermore, I authorize the above named contractor to do the work stated.
6C- tPi � W/2q 1Z3
Authorized Signature: Owner / Applicant / Contractor / Agent Date
October 24, 2023 Page 2 of 2
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Generated On: 10/24/2023
Folio
11-3205-027-0600
Property
9179 N BAYSHORE DR
Address
MIAMI SHORES, FL 33138-3407
Owner
FREDERIC PUREN
Mailing Address 1071 NE 79 ST UNIT 105
MIAMI, FL 33138
Primary Zone
1400 SGL FAMILY- 3001-3250 SQ
Primary Land
0066 VACANT RESIDENTIAL: EXTRA FEA
Use
OTHER THAN PARKING
Beds / Baths
0/0/0
/Half
Floors
0
Living Units
0
Actual Area
0 Sq.Ft
Living Area
0 Sq,Ft
Adjusted Area
0 Sq.Ft
Lot Size
13,849 Sq.Ft
Year Built
0
Year
2023 2022
2021
Land Value
$2,977,535 $2,008,105
$1,731,125'
Building Value
$0 $0
$0
Extra Feature Value $1,352 $1,373
V
$1,394'
Market Value
$2,978,887 $2,009,478
$1 732,519:
Assessed Value $2,096,347 $1,905,770
$1,732,519
Benefit Type 2023 2022 2021
Non -Homestead Assessment $882,540; $103,708
map Reduction
r,
65342
Previous
Price
OR
Book-
Qualification Description
BAY LURE PB 44-63
Sale
page
LOT 8 BLK 4
01l10/2014 $2,050,000
29021-
Financial inst or "In Lieu of
LOT SIZE 13894 SQ FT M/L
> 2581
Forclosure" stated
OR 19889-0757 08 2001 1
08/30/2013 $2,465,600
28821-
Financial inst or "In Lieu of
2517
Forclosure" stated
08/01/2001 $785,000
19889
0757
Sales which are qualified
1 9886-
988
Sales which are disqualified
01/01/2001 $0
1213
as a result of examination of
the deed
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
httn•!h—nn , min mi,1 o A- n—Alie fn 1Aic Aoi—r xn
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
9179 N BAYSHORE DR, Miami Shores, FL 33138
Contacts
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Notary Fee
$5.00
Scanning Fee
$9.00
Technology Fee
$2.50
Wire and Wood Fence Fee
$50.00
Total:
$121.30
Parcel Number
1132050270595
Payments
Date Paid Amt Paid
Total Fees
$121.30
Credit Card
01/18/2019 $121.30
Amount Due:
$0.00
Building Department Copy
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 ab ve-named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
January 18, 2019 Page 2 of 2
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHAIN LINK FENCE DESIGN DETAIL
(ACCORDING TO THE F.B.C. SECTION R4408.11)
TABLE R4408.11
CHAIN LINK FENCE MINIMUM REQUEREMENTS
Fence
Terminal Post
Line Post Dimensions
Terminal Post
Line Post Concrete
Height (ft)
Dimensions
(in inches)
Concrete
Foundation Size
(in inches)
(o.d. X wall thickness)
Foundation Size
(diameter X depth)
(o.d. X wall thickness)
(diameter X depth)
(in inches)
(in inches)
Upto4
23/8x0.042
15/8x0.047
10x24
8x24
Over 4to6
23/8x0.042
17/8x0.055
10x24
8x24
For SI: 1 inch = 25.4 mm.
NOTES:
1. This table is applicable only to fences with unrestricted airflow.
2. Fabric: 12'/z gauge minimum, Black or Green.
3. Tension bands: Use one less than the height of the fence in feet evenly spaced.
4. Fabric Ties: Must minimum the same gauge of the fabric. ;
5. Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced.
6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced.
7. Either top rail or top tension wire shall be used.
8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail
9. Post Spacing: 10 foot (3m) on center maximum.
10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation.
11. In order to follow the contour of the land, the bottom of the fence may clear the contour of the oroord by up to 5 i9ch
(127 mm) without increasing table values to the next higher limit.
NOTICE TO PROPERTIES WITH POOLS:
If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed .'Lodt.g
the inside of the property. Pedestrian gates shall have self -closing and latching devices installed at the minimum of 54"
above ground. For further details see Section R4401.7.1 of FBC.
CONCURRED
Created on 5/22/2009 MLDV;06/22/2015
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Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9179 N BAYSHORE DR, Miami Shores, FL 33138 1132050270595
Contacts
Frederic Puren Owner OWNER Contractor
1431 STILLWATER DR, MIAMI BEACH, FL 33141 Owner OWNER
Home: 3052131942 fredpuren@gmail.com
Description: REVISION TO SURVEY REGARDING NEW FENCE Valuation: Inspection Requests:
p $ 100.00
SHOWING EXISTING WALL ,tom
Total Sq Feet: 60.00 3,
Fees
Amount
Payments
Date Paid Amt Paid
Revision: Minor Change of Plans
$60.00
Total Fees
$69.00
Scanning Fee (Manual)
$9.00
Credit Card
12/06/2023 $69.00
Total:
$69.00
Amount Due:
$0.00
Building Department Copy
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 named contractor to do the work stated.
G 10
/ Applicant / Contractor / Agent Date
December 06, 2023 Page 2 of 2
Miami Shores Village
RECEIVED
BUILDING
PERMIT APPLICATION
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
OCT 2 6 2023
FBC20Zo--74'
Master Permit No. taw
1 /_-I p ?_ % 2 6'Ds
Sub Permit No. PC-V -- 10 - 23 2-&3®
,BUILDING ® ELECTRIC ❑❑ ROOFING Fg REVISION 0 EXTENSION RENEWAL
®PLUMBING []MECHANICAL ® CHANGE OF ® CANCELLATION [3 SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: q,1 77 / (� f{- :-/ F-00 R r r)
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: -()h `l 5' Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): iPJ 02 G&w Phone#: `� �' 2. (`f k Z
Address: (�-� (' &-/
City: ftLlAd"La 131��CWI State: f—L Zip:
Tenant/Lessee Name: Phone#:
Email: L ►f O 00 2,$$6W LP 6 13A't , ( 62d 1
CONTRACTOR: Company Name: ('j L&jXpA (, L L 116A Phone#:
Address:
Email:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address
hone#:
Certificate of Competency #:
City:
hone#:
State: Zip:
Value of Work for this Permit: $ 1.00 Square/Linear Footage of Work: 6'o
Type of Work: 0 Addition ® Alteration ❑❑ New ❑❑ Repair/Replace F❑ Demolition
Description of Work: (L'j S C '9 ff) T c� ( �,��l E 6 j silt,- !V L Lj(J
C-
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Permit Fee $
DCA Fee $
Training/Education Fee $
CCF S
DBPR $
CO/CC $
Notary $
Double Fee $
Structural Reviews $ P&Z Review $ Bond $ ,1
TOTAL FEE NOW DUE $ ,
(Revised04/05/2022)
4rcC EIVED
CT 2 5 2323
BY:
N.E. 92nd
STREET
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= Q�
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SKETCH OF BOUNDARY SURVEY
I
BAY LURE ZONE VE
ZONE AE (P.B.44, PG. 63)
N 555883.84 (EL. 10) LOT (EL. 11)
6
E 928535.38 BLOCK 4
7°41'15" 1167.18' (P) 16 .56'(M)
6' CBS WALL --I I
LAUREL ��f GG✓\
ROYAL
PALM
LAUREL
x
'0 YAL
PALM
x
800.91
538.63
x
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4
E 928702.80
N I 1
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1.80'
RO YAL YAL
PALM PALM
SEA GRAPE "3
MANGO x
VACANT LAND
o AREA: 13,862.0 Sq.Ft.
i
LOT ipl
x 7
B
ZONE AE BLOCK 4
(EL. 9)
N89022'45"W 167.02' (P)
ZONE AE LOT
(EL. 9) BLOCK 4
BAY LURE
(P.B. 44, PG. 63) x
LAUREL SU VEYOft NOTES:
M
1) The above captioned Property was surveyed and described
LEGAL DESCRIPTION: based on the above Legal Description: Provided by Client.
Lot 7, in Block 4, of "BAY LURE", accardin to the Plat 2) All bearings and distances shown heron are recorded and
g measured unless otherwise shown.
thereof as recorded in Plat Book 44 at Page 63 of the 3) The lands shown heron were not abstracted for easements or
Public Records of Miami -Dade County, Florida. some, if any may not be shown on this section.
FOLIO: 11-3205-027-0595 4) Foundations and/or footings that may cross beyond the
PROPERTY ADDRESS:
91 XX N. BA YSHORE DRI VE,
MIAMI, FL 33138
CERTIFIED TO:
FREDERIC PUREN
boundary lines of the parcel herein described are not shown
(UNDERGROUND).
5) Elevations are based on the National Geodetic Vertical Datum 1929.
6) Fence ties ore to be the center line of the fence.
7) Wall ties are to face of the wall.
8) Ownership sub ect to inion of the Titl
h
x -ZONE VE x
I (EL. 11) r-
J
N 555807 46
E 928705.52
ro
1.78'
x ,
�\\.ZONE VE y
(EL. 11),
��x I x
a
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LOCATION MAP
NOT TO SCALE
SITE�Ik AV
aI T
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m
L -E c E N D
J
Z ABREVIATION SYMBOL DEFINITION
u C.B. aCatch Basin
C.B. S
Concrete Block Structure
C.L.F. -x—x- Chain Linked Fence
1.49'
Dev.
F.F. ELN..
F
J30'
F.I.P.
M
P
W. P.P
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0
W.M.
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Center Line
x__
Elevation
Finished Floor Elevation
Found
Found Iron Pipe
Measured
Plat
i�
Wood Power Pole
Water Meter
—OHL-
Overhead Line
I i .
Miami Shores Ville Building Department
Zoning Dept. Date 23
Building Dept. Date IXI t4 'I -
SURVEYOR'S CERTIFICATE: Subject to compliance with all Federal,
State and County rules and regulations.
I hereby certify that this survey meets the minimum technical g�am��}} C� )/-'U .. L3 -� 3c�
as set forth by the Florida Board of Surveyors and Mappers in Cho
p'te7 �J'=17
Florida Administrative Code, pursuant to section 472.027, Florida Statutes. And is
true and correct to the best of my knowledge and belief.
NOT VALID UNLESS SEALED AND EMBOSSED WITH SURVEYOR'S SEAL t
Date of filed work: 08-11-2022
p e' 0 10 20 40
9) Underground utilities are not depicted hereon. I I I � I
10) Zoning and Setbacks are not verified by this survey.
11) Benchmark : 8-62 Elevation= 8.74' NGVD 1929 ( IN FEET )
1 innh = 20 tt
Address:13801 SW 10th Terrace `
Miami. FI 33184 EFRAI L PEZ
Phone: (305) 345-9083 Professional Surveyor an Mapper # 6792
State of FI rida.
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