816 NE 91 Terr (7)Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the
State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
STATE OF FLORIDA
COUNTY OF DADE.
APPLICATION FOR BUILDING PERMIT
and for no other purpose
t' Owner's Name and Address . (7 , 4 . ir " al
Registered Architect and/or Engineer
Name and address of licensed contractor n./NA-/C
Location and legal description of lot to be built on:
Lot /. �� /
,L % �� Block Subdivision ��`1I / / / s LU; t /(L
✓ -t t/ 7
�L a�,�f` ./ / o �✓ �� '��� � �% � �/_/
-- Street and Number where work is to be done �' (J �� 7� >� e / /� e i "7Tit✓f ,S I , (I /' �3 /� f�
,--State to be d ne and purpose of building (by f oorsl. state exterior colors (submit samples) e7,,, e �
,.. ( ?/z (- e �� l �5 v
is G/s — fi',
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation {RRoofoof Covering
'✓ Estimated Total cost of improvements S S --- ( 9 ° • Amount of Permit S " ~ /C % V
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act. being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof. and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)'Y�G
}SS.
Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
and who. being by me first duly sworn. upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoin• application. and that he did sign the same. and that all facts therein by him stated are true
D �? 19 Poe
No < Street./
Permit No. 65z/ Date X ' 5 7 Read, Sworn to and Subscribed before me.
Disapproved
(Signed(
Building Inspector My Commission Expires
PLANNING BOARD DATE
Date
Notary Public. State of Florida
to me well known.
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.
LEGAL DESCRIPTION:
Lot 10 and the East
3, GOLOLDE3\1 GATE 1
the plat thereof as
6, Page 130, of t`
'runty, Florida
Certified to:
Columbia Title
of Florida and1T1
Southeast Mort-
gage many, a
Florida To
SURVEYOR'S SEAL
MOT vALID U 8888 E■I•O$UD WITH
7 -17 - fir
'. ' -v i
1
I
1/2 of Lot 11, Block
ADDITION, according to
recorded in PL,it Book
Public : of rarle
-r
:
k-rte A .
. —
oi
r1
J. Q 3
l:�s..t • il
'I.4v
4,
per 04DUb.isr
BOUNDARY RESURVEY
a
SURVEY FOR : VA1DN, 816 NE 91 Terrace, Miami Shores, EL 33138
T CEMt11T •Tlwl In. we*, r Op••••IM he..oO
••1• I minimum technical 1.0ulr•a4•111• 30001•0 Or tll.
F 9 1 S. rn• F L.T 1. 064 rho Sawa of LOn• Sur•••04.
Tit.r. 0!• 440 .nc h ..nt..o..lIap...0..A.n/. maps..44
JIM, plat p .•1.01• .0••••••16 0111E Mow ors .000r1 O.rS0a,
\1, -::. NW"t 7L '..s. 477. . 2l " 71 A. L.v✓1 )
GAI Y B. CASTEL
Registered Land Surveyor No.4129
Stole of Florida
4 77 1 ..74` w 1 1 • , y,.
I
1 411 J • 1. 1� . 14, 1 , . i . "'"" I
44
C -1-{1.1-4
DATE:
0`
•
.
-
^: q
M - ." f
• :4. ? ;11::'A-'
FLOOD ZONE : 13
I 't,
SCALE:
11T1 ` ,1 . _ ) •
•
•
o. 'xi
1U
2
7
� A
_g 7 —__ _ -r
i ,
„ i
f .,
•
DwN. 8Y
L
` r 1
T
- 4 y \yl
111
GARY B. CASTEL SURVEYING INC.
LAND SURVEYORS
9561 S.W. 66th STREET
MIAMI, FLORIDA 33173 (305) 279 -2571
E (^ .�
Li
Bearings It shown are bared
on assumed meridlon.
J08 No.
185-10R-
•
, , •
��� �a, 'Irv. • -1 '.���i �..
ta'
I :J c)i) , . — 1
' _
ll.
r'�'. it�Gl 't
•
•