FENCE PERMITMIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing 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.
JUNE 30th 79
Date..._..._....__...._ _.._._.__.__._..._._._...._.... ,19.._._
Owners Name and Address NR D.B. VAN BR ODE ....... .» No..
1 . 1090 ..92nd ST
Registered Architect and /or Engineer. •.... .... NC "1 81. . .. . .
_- .....
�7L� TICIPP FENCE CO
Name and address of licensed contactor --
3701 ST
Location 2nd legal description of lot to be built on:
Lot Block 3 Subdivision.. BAY LURE P k Page 63
1090 NE 92nd ST
Street and Number where work is to be done _ f . .. _
5x8_ STOCRA OD — TENTS TO BE iNSTAILED
State work to be done and purpose of building (by floors)...... ....._.._..___
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of l:ipd b 0 founnd 0 ation oof C vering
Estimated Total cost of improvements $ t33 ,,mount of Permit S 1�._ 4d
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 the 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 pennit does hereby certify that he understands and accepts his obligations as an employer
of Libor 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
pennit, as are licensed by Miami Shores Village. J F
4_
Remarks._._ ( Signed ).Y _.r:..
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 foregoing application, and that he did sign the same, and that all facts
therein by him stated are,true. i
Permit No..__ . " �' Date l l Y Read, Sworn to and Subscribed before me.
Disapproved _ .A-•• Date
( Signed)
�\U Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ...... _---- ._..._.— .._._.._.__ Member .--• - -• -
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
to me well known,
SKETCH OF SURVEY
CALE: 1 ?e3
Cad. "me-
9e nd.
(fr 677
/9. 5 / . 4 ) 1 / 6• r77 E. /7 1
-
75.00'
/5. fi 441
C At rk E 6
75.00
/2-C-7 o ero eroc411/4r,
v Pe e /o,c,
E4471/cillS /&v )6c/ /Q. G. V p hem , 9 r 9 )
F.B. 423-66
September 14,
THIS IS TO CERTIFY to
described property is true
under our direction, also
Reproductions of this drawing are not valid
unless embossed with the surveyor's seal.
OCA SKETCH
wE v° Z.
1 1 i 1 1 ;Aft'
REidt 4 G64S Q1r41' /00
jt J
SCALE: 1
For
Gillermo Pino
•
• SKETCH OF SURVEY
3
92'
4
5
1.
G
ST. •$
76'
9
7 S
Lot 2, Block 3, BAY LURE, according to the plat thereof recorded
in Plat Book 44 at Page b3 of the Public Records of Dade
. County, Florida.
E. R. BROWNELL & ASSOC.. INC.
3152 Coral Way . .. ..,
. I?Jione .4 46 5I 1
1978 • Miami, Florida Scales as Mown
the above named firm and/or persons that the "SKETCH OF S1RYRY of nce;*`ereju
and correct to the best of our knowledge and belief as recently surveyed and platted
that there are no visible encroachments other than those shown.
F:. R. B 0 VNELL & ASSOC.,_INC
a
By: E. R. Brownell - `h;:'
Professional Land Survevur #40
State of Florida
IL
123.03- 94
/oqo /Y. e
BUILDING & ZONING - ADMINISTRATION
/
PLOT PLAN
9L
NO SCALE
Legal: Lot No. Block No 3
6.1
TERR., AVE., CT., PL.
NOTE: 1. Show existing buildings and additions.
2. Show distance from property lines to buildings and /or new additions.
3. Locate septic tank or sewer and electrical service.
NORTH ARROW
�zf
r
Subdivision SEC TWP. RGE
or
Metes & Bounds g fl Y 1.4
Plat book and Page No t 'f' 44 - 6 3