FENCE PERMIT• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
D to SJ Ne 1 � ZOo1 J C�b A ddress ASo me 91 cSIYQQ4 Tax Folio
Legal Description Historically Designated: Yes No
1-/ Owner/Lessee / Tenant 'MC t r1Q Cc-LV • U `A0 -ciz ! Master Permit #
`b ter's Address S C 11 ST 1 A dl/101e IL- Phone
Contracting Co. 0 IN V\ f' ir Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN ENCIGN
a c9
WORK DESCRIPTION `\ Fejv C1t.. Cs30,4iC yo-1C)
i
Square Ft. timated Cost (value) 11' 2 1 . , 00 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT RADON
APPROVED c-flh
■) o %w� Sit 0/
I Building
Zoning
Mechanical Plumbing
Date
ture of Contractor or
�
Builder
C.C.F. 1 cP 0 NOTARY 5, () BOND
TOTAL DUEal&a 0
/
otary as o Contrac..r or
My Commission Expires:
Electrical
`:6S 751- 3
er- Builder Dat
PU e` S
ANGANGELA Cd C::!': :
6 6 q
z l -
- (-fir � C) CO..
CA
TA cis
f�C� C.1r �10N. 1 �p,' FJ2 ? ' ,R �
Date
z oey
Structural Engineer
[t om
5' -0" MAX
2 -0"
f
d
O
Q
—
4" X 4" Wood post
2" X 4" Wood kad
"X6 " orl " X8"
Wood pickets
Concrete
WOOD FENCES
'
2915 Fences
Wood Posts
4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minirnum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 fee inches on
centers, having a fiber stress of
1200 p.s.i. in bendinc;, and shall be
embedded 2 feet -0 inches into a
concrete footing 1 fcot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisions of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these heights.
1
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, t\
' W \CA dt gj
(property owner)
attached survey, performed by
performed on
(date bftsurvey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
AFFIDAVIT
F,. +rq y\ 19._c_cod_, Cri7 eS
(name of surveyor's company)
is an accurate representation of the existing conditions and
Affiant/Property owner
Witness(sign and print) Witness(sign and print)
oes hereby attest that the
SWORN TO AND SUBSCRIBED before me this / y day of'� 11-6 .2 o 0 1
L il
0 1
A e■ ._ i La
r ay p OFFICIAL PoOTARV SEAL
o P B�, ANGELA IM 8ECKER
l ri n COQ: =£sON gUENA
St 40 - ' J • < CC786697
7 / i L'ly CO" 1SS40N EXPIRES
0 F f_ � NOV. 1 5,2002
STATE OF FLORIDA
L e i
STATE OF FLORIDA )
) SS.
COUNTY OF MIAMI DADE )
(ACKNOWLEDGEMENT - INDIVIDUAL)
)SS.
COUNTY OF MIAMI DADE )
The foregoing instrument was acknowledged before me on
g g
' : ♦ .nr.�
Signature of Acknowledger:
Iy by
ho is personally known to me or who has produced
))) `& () as identifi on and who did (did not) take an oath.
Name of Acknoweedger:
(Typed, Printed, or Stamped)
Title or Rank:
Serial No.(if any):
(ACKNOWLEDGEMENT - CORPORATION)
The foregoing instrument was acknowledged before me on by
, of
a corporation, on behalf of the corporation. He/She is
is personally known to me or has produced as
identification and did (did not) take an oath.
Signature of Acknowledger:
Name of Acknowledger:
(Typed, Printed, or Stamped)
Title or Rank
Serial No.(if any):
3EARINGS HEREON (IF ANY) ARE REFERRED TO AN ASSUMED VALUE OF - FOR THE
SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD
ACCORDING TO THE N.F.I.P. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE:
LEGAL DESCRIPTION
LOT CO
SUBDIVISION:
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK
OF THE PUBLIC RECORDS OF 17A
LOCATION SKETCH
SCALE 1"= I QO 1
FOR:
F.B. NO.
REVISION DATE:
DATE OF THE FIELD SURVEY
Irk po �TA V
ChtECKED BY: 1c • �� F-
1
SURVEYOR'S NOTES:
LEGAL DESCRIPTION WAS FURNISHED BY CLIENT
NO UNDERGROUND INSTALLATIONS OR QAPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED.
THERE ARE NO VISIBLE ENCAOACHMENTS OTHER THAN THOSE SHOWN
EXAMKNATIO►I OF THE ABSTRACT OF TITLE WU. HAVE TO BE MADE TO CETERI,I1NE RECORDED INSTRUMENT, IF ANY
AFFECTING THIS PROPERTY .
FENCE OWMERSHiP BY VISUAL MEANS ONLY (IF ANY), LEGAL OWNERSHIP NOT DETERMINED.
LEGAL DESCRIPTION SUBJECT TO ANY DEDI CATION, UMrW10NS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS.
NAt-15—pr r 2 4Nr - : 1HIP oFW; L
C �iGk-ir'tAC 4- }tiO p,A. i .11z*T' ANIzIAN TITI
1 gAi-ic5 co t1 pA p4'' ; rµ . A1'4 MO rrr - ',A
SURVEY CERTIFY TO : G1 P, It C. , Drs IOR l��SiC '
THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER
LAY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN
CHAPTER 61 G17 -6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES.
JOB NUMBER {p DRAWN BY: � • AY ,b1
CENTER UNE
R =PROPERTY UNE
RAN =RIGHT-OF-WAY
C.L.F. =CHAIN LAM( FENCE
W.F. =WOODEN FENCE
RES. =RESIDENCE
F.I.P. =FOUND IRON PIPE
S.R.B sSET RE-BAR
C.B. 0>RORD BEARNG
YEAS »REASURED
sN3o -SET NAB. & DISC
F.N. =FOUND NAIL
ABBREVIATIONS (IF ANY
CL =CLEAR
ENC. =ENCROACHMENT
C.B.S. =CONCRETE BLOCK STRUCTURE
CONC. =CONCRETE
6 = DIAMETER
O.M.E. =MANAGE MAINTENANCE EASMT.
S.I.P. =SET MON PIPE
F.D.H. =FOUND DRILL HOLE
A/C =AIR CONOmORNG WrT
REC. =RECORDED
F.N.&D aFOU1ND NAIL & DISC
F.C.N. .FOUNO CUT NAIL
APPUED)
U.E.
W.M.E.
tIL
PROP. GOA
F.M.
EASMT.
F.R.B.
S.D.M.
CALC.
F.S.
RAD
F.
=UTILITY EASEMENT
=WAIL UAI L lowoGE EASW..
=MONUMENT UNE
=PROPERTY CORNER
=FIRE HYDRANT
=EASEMENT
=FOUND RE-BAR
=SET DRILL HOLE
=CALCUUATED
=FOUND SPIXE
=RADIAL
=FOUND (TYP ).TYPICAL
1 0
DATE:
BLOCK
AT PAGE 101
COUNTY, FLORIDA.
E. BELTRAN & ASSOCIATES, INC.
12533 S.W. 30th STREET
MIAMI, FLORIDA 33175
PHONE: (305) 552 -7450
CERTIFICATE OF AUTHORIZATION NUMBER LB 5233
ERNESTO BELT AN
PROFESSIONAL SU
STATE OF FLORI
EYOR & MAPPER P40. 4885
NOTE: THIS IS NOT A VALID SURVEY WITHOUT
THE SURVEYOR'S ORIGINAL
SIGNATURE AND EMBOSSED RAISED
SEAL.