PAVER PERMITr
Date S I r / V
Legal Description
Owner/Lessee / Tenant
JobA L b
Owner's Address 4 coy vv, t , 1 s ( ,
Contracting Co. A K 20 w Ac- 1 ( VV C Address 14111 I/ (,t/, / 1 7 14g6,
Qualifier !A E C 14 (A et_ 141 iq N7 t L L J SS# - Phone S - -5 -70 Z--
State #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION LAIN,
c„,,AL L„:11, l Ili.
Square Ft. , ° I / 1;140
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.
I�a
as to
y Commission Expir
1 ,RY p OFFICIAL NOTARY SEAL
ANGELA M BECKER
O >r, , i C COMMISSON NUMBER
s:: 'r c766697
9rOF�O MYCOMMSSIO COMMISSION
f
FEES: PERMIT RADON
APPROVED:
Zoning
Mechanical Plumbing
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Ml 1, Ago £ 2Ry
S 1l
o President
1
}5 NdTeP
37/(42/
Building
C.C.F.
S'
Tax Folio
ji 3 0 / 9 00 3a
p - p -- ) 0 / Historically Designated: Yes
Master Permit # ( 900
Municipal # Competency # E 7 -z-v' Ins. Co.
Address
Address
Phone 7 C Z - 6 z- (. 3
Estimated Cost (value) 16 S C7
Signature of Contractor or Owner- Builder
NOT
No
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. Furthermore, I authorize the above -named contractor to do the work stated.
Owner- Builder
My Commission Emires: / Z - / L /_ 0 C/
Ama.
NotoryPitlC•Stalndllodtb
M iConnibn6c>iuDlu30a
,con.Ii.lon#cX1102
Date
Date
TOTAL DUE
Electrical
Structural Engineer
as, /><19 q
�--- .. 5 -Q -o
t(1
odu
•
'Y41 .. fy `.
r Q 'D7 1 .r
vim---
0. _30
-G
0
1. •
7
c 20'
10,20
Lv
f
1 ' N
13.Oo
22 ?AF wA f
• N ��l3
4oc b-�I 0)
0 orde ‘70E-{
F eh, 0 0 . � v+
2.40
i. o
i
35. ) 4 , \
Lf'
18 too
Z. 00
, 75.00' • . • s'h roe.04
1- 2.1 o
BEARINGS HEREON (IF ANY) ARE REFERRED TO AN ASSUME VALUE OF
22'.4 0 14
WIRE
fEN�
. a, to ,Q —
DJ -
w. , NertfL ` 24'
o.1p'GL - 1 o p 9o
I NC.
�( i� x I .
,•+� ' 75, pD '
/E , 1 `� J 1 Cv v
v
D
SKETCH OF BOUNDARY SURVEY -; • :
SCALE 1 "t 2v F
1/75' 5/2;4s
e-
o•Zo
G(.
2
0.•o
cc.•
5/a 0
-
ACCORDING _ . THE N.F.I.P THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: . K
''+c. • ,:• %. n." 1' s :' y - 7 4•,• ,PROPERTY r "y ;R S 4.. '3 "''' . ' ,, - a,- . .
-Y..' •' % -�' : , f. . t M1 r„ .. 5 3 - _: : e I. .Pa }jc.:v,_'. ) 7. , A,% s • • ti4 . _, •
LI
FOR THE
• SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD
ti
Lie AL DESCRIPTION
gu y( Ili Of LC< 4 e.av A. L.L. of La( 5
SUBDIVISION:
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK
OF THE PUBLIC RECORDS OF 112 Q C
LOCATION SKETCH
SCALE 1 100
, P'
�J �
JOB NUMBER 01 �. 2 - 2
FOR
DRAWN BY L_
F.B. NO. ' CHECKED Br. • I
DATE OF THE FIELD SURVEY 2 - 1 •-• 2cc
REVISION DATE:
SURVEYOR'S NOTES:
LEGAL DESCRIPTION WAS FURNISHED BY CuENT.
NO UNDERGROUND INSTALLATIONS OR WPROVERAENTS HAVE BEEN LOCATED. EXCEPT AS NOTED.
THERE ARE NO VISIBLE ENCROACHMENTS NTS OTHER THAN TNOSE SNOWN
EXAMINATION OF THE ABSTRACT OF TTRE VA I HAVE TO BE MADE TO DETERLCNE REED INSTRUMENT. IF ANY
AFFECTING THIS PROPERTY .
FENCE DWNERSKP BY VISUAL MEANS ONLY (IF ANY), LEGAL OWNERSHP NOT DETERIONED.
LEGAL DESCRIPTION SUB.IECT TO ANY DEDCITION, UNITATIONS, RESTRICTIONS, RESEPVA K» S OR EASEMENTS OF RECORDS.
• =CENTER UNE
e =PROPERTY LNE
RAN ■GFtT-0F -WAY
C.LF. =CHAIN L1NK FENCE
W.F. = w000EN FENCE
RES. =
F.I.P. POUN0 RCN PPE
S.R.S T REAR
C.8. WN0R0 BEARING
MIEAS aIEASURED
IJN&D MET FALL & DISC
,AFOIID NAIL ,
ABBREVIATIONS tfF ANY
a. =CLEAR
ENC, =ENCROhWEM
C.e.s =CONCRETE BLOCK STRi/C 1 E
CONC. =CONCRETE
6 DIAMETER
DACE. = DRA=INAGE MAP(TENANCE EASMT.
S.I.P. 5ET IRON PIPE
F.D.H. =FOUND DRILL HOLE
A/C wR CONCFT10NN0 LIAR
REC. =RECORDED
FJLAD • OLI ND NAIL & OSC
F.C.K. • AFOIW OM NAIL •
APPUED)
LLE •UJTUTY EASEMENT
WALE. .WILL IAINt 8D 'WAGE EA9JL
It
AumulABit LINE
PROP. COR :PROPERTY CORNER
f.H.
LASMT.
F.R.B.
S.D.H.
CAL=
F.s
FAD
F.
HYDRANT
ASEMENT
AN0 RE-BAR
=SET DRILL HOLE
=CALCULATED
=FOUND SPIKE
..FO CI , trre).rrrLCx
30
COUNTY, FLORIDA.
BLOCK
AT PAGE I e) I
ERNESTO BELTRAN
PROFESStoNAL SU
STATEOF FLORIDA
DATE: 2 - 12 .- G (26
N b.tTA GMT �- 6.0&64 Co fa F � �� �i t.kG Eco c .�. p \o'f A164-;9,
016194.0 1 - 'f
Mk..9-'f REF. )1,
SURVEY CERTIFY TO Aflo y-i- a'ei Lc, 1 i1 t_A SCI y'
THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER
MY 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.
E. BELTRAN & ASSOCIATES, INC.
12533 S.W. 30th STREET
MIAMI, FLORIDA 33175
PHONE: (305) 552 -7450
CERTIFICATE OF AUTHORIZATION NUMBER LB 5233
NOTE: THIS IS NOT A VALID SURVEY WITHOUT
THE ORIGLNAL RAISED SEAL AND
SIGNATURE OF A FLORIDA LICENSED
SURVEYOR AND MAPPER. c :'y'
o -
to
\\ .\
r7 II
4
1�
it
0
VI
O
`
2(
22
C^�
t(1
odu
•
'Y41 .. fy `.
r Q 'D7 1 .r
vim---
0. _30
-G
0
1. •
7
c 20'
10,20
Lv
f
1 ' N
13.Oo
22 ?AF wA f
• N ��l3
4oc b-�I 0)
0 orde ‘70E-{
F eh, 0 0 . � v+
2.40
i. o
i
35. ) 4 , \
Lf'
18 too
Z. 00
, 75.00' • . • s'h roe.04
1- 2.1 o
BEARINGS HEREON (IF ANY) ARE REFERRED TO AN ASSUME VALUE OF
22'.4 0 14
WIRE
fEN�
. a, to ,Q —
DJ -
w. , NertfL ` 24'
o.1p'GL - 1 o p 9o
I NC.
�( i� x I .
,•+� ' 75, pD '
/E , 1 `� J 1 Cv v
v
D
SKETCH OF BOUNDARY SURVEY -; • :
SCALE 1 "t 2v F
1/75' 5/2;4s
e-
o•Zo
G(.
2
0.•o
cc.•
5/a 0
-
ACCORDING _ . THE N.F.I.P THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: . K
''+c. • ,:• %. n." 1' s :' y - 7 4•,• ,PROPERTY r "y ;R S 4.. '3 "''' . ' ,, - a,- . .
-Y..' •' % -�' : , f. . t M1 r„ .. 5 3 - _: : e I. .Pa }jc.:v,_'. ) 7. , A,% s • • ti4 . _, •
LI
FOR THE
• SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD
ti
Lie AL DESCRIPTION
gu y( Ili Of LC< 4 e.av A. L.L. of La( 5
SUBDIVISION:
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK
OF THE PUBLIC RECORDS OF 112 Q C
LOCATION SKETCH
SCALE 1 100
, P'
�J �
JOB NUMBER 01 �. 2 - 2
FOR
DRAWN BY L_
F.B. NO. ' CHECKED Br. • I
DATE OF THE FIELD SURVEY 2 - 1 •-• 2cc
REVISION DATE:
SURVEYOR'S NOTES:
LEGAL DESCRIPTION WAS FURNISHED BY CuENT.
NO UNDERGROUND INSTALLATIONS OR WPROVERAENTS HAVE BEEN LOCATED. EXCEPT AS NOTED.
THERE ARE NO VISIBLE ENCROACHMENTS NTS OTHER THAN TNOSE SNOWN
EXAMINATION OF THE ABSTRACT OF TTRE VA I HAVE TO BE MADE TO DETERLCNE REED INSTRUMENT. IF ANY
AFFECTING THIS PROPERTY .
FENCE DWNERSKP BY VISUAL MEANS ONLY (IF ANY), LEGAL OWNERSHP NOT DETERIONED.
LEGAL DESCRIPTION SUB.IECT TO ANY DEDCITION, UNITATIONS, RESTRICTIONS, RESEPVA K» S OR EASEMENTS OF RECORDS.
• =CENTER UNE
e =PROPERTY LNE
RAN ■GFtT-0F -WAY
C.LF. =CHAIN L1NK FENCE
W.F. = w000EN FENCE
RES. =
F.I.P. POUN0 RCN PPE
S.R.S T REAR
C.8. WN0R0 BEARING
MIEAS aIEASURED
IJN&D MET FALL & DISC
,AFOIID NAIL ,
ABBREVIATIONS tfF ANY
a. =CLEAR
ENC, =ENCROhWEM
C.e.s =CONCRETE BLOCK STRi/C 1 E
CONC. =CONCRETE
6 DIAMETER
DACE. = DRA=INAGE MAP(TENANCE EASMT.
S.I.P. 5ET IRON PIPE
F.D.H. =FOUND DRILL HOLE
A/C wR CONCFT10NN0 LIAR
REC. =RECORDED
FJLAD • OLI ND NAIL & OSC
F.C.K. • AFOIW OM NAIL •
APPUED)
LLE •UJTUTY EASEMENT
WALE. .WILL IAINt 8D 'WAGE EA9JL
It
AumulABit LINE
PROP. COR :PROPERTY CORNER
f.H.
LASMT.
F.R.B.
S.D.H.
CAL=
F.s
FAD
F.
HYDRANT
ASEMENT
AN0 RE-BAR
=SET DRILL HOLE
=CALCULATED
=FOUND SPIKE
..FO CI , trre).rrrLCx
30
COUNTY, FLORIDA.
BLOCK
AT PAGE I e) I
ERNESTO BELTRAN
PROFESStoNAL SU
STATEOF FLORIDA
DATE: 2 - 12 .- G (26
N b.tTA GMT �- 6.0&64 Co fa F � �� �i t.kG Eco c .�. p \o'f A164-;9,
016194.0 1 - 'f
Mk..9-'f REF. )1,
SURVEY CERTIFY TO Aflo y-i- a'ei Lc, 1 i1 t_A SCI y'
THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER
MY 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.
E. BELTRAN & ASSOCIATES, INC.
12533 S.W. 30th STREET
MIAMI, FLORIDA 33175
PHONE: (305) 552 -7450
CERTIFICATE OF AUTHORIZATION NUMBER LB 5233
NOTE: THIS IS NOT A VALID SURVEY WITHOUT
THE ORIGLNAL RAISED SEAL AND
SIGNATURE OF A FLORIDA LICENSED
SURVEYOR AND MAPPER. c :'y'