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FENCE PERMITCompany Phone # For Inspector: Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp Permit No. Name Address ) Same & o o i 3713 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address f / / /' "4" 9 c.J Company / Phone # 75E • C.: .3 For Inspector: 6 Name Approved Correction Re- Insp'n Fee ❑ C(*„.2 /La ?E' PROPERTY OWNER New Construction Name l z.`' e c/ 't l Enclosure Address Alteration Exterior Home Telephone 3 / _ , _ ( i S Repair Business Telephones a! _ ( a, (i , V\ J Alteration Interior Fax .30—V-- _ S"cA. — 1 3 LI 0 6 " TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be sign ed IZy the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A ^PLICATION 11 i(1F� q /M COY11 \ vce5 , � . -- 3 - I - Zip Folio Number 1escription of Work ' J' 1, ."P OZ a. a( IQ on V`1 Lot Block P_ ��� ■8 a \©O Subdivision PB PG Zoning Current Use of Property 4quare Feet Units Floors Proposed Use of Property arague of Work 1 t 500 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. City PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. Stat PERMIT APPLICATION ;al -MeNINI Linear Feet ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTI CES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Print Name Sworn to and subscribed before me this SEAL: Personally known ►� Oft /Av.= - mss "p " AAA M BECKCER rt n couwaS90N NUMBER N ' CC786697 � s i b MY COMI ISS ON EXP R!S OF FCC NOV. 15,!C12 I\v OR, Produced Identification STATE OF FLORIDA, COUNTY OF MIAMI - DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL .LYpl. Minimum Fee QTy. . Dryer Q.1.v. TyrE Outlet, Appliance QTY. .1.N.1'i: Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee TYPE QTY Condensate Drain TVI'I Generator . QTY. .rvi'i: <. Fl. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TypE Drains, Roof QTY. '1'VI'I Miscellaneous Fixture Q'I'1'. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning aP 1 El ectrical Mechanical Plumbing Fire Public Works Structural Building Official 4 7�� " ��✓� Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ ) o $ (X . x/1000 (¢.005 / sq.ft.) (0.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 6)), ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Revised July 2001 1 .a Z Z H tt1 y ix a cs o . • Ei En 0 y aV o Z M ✓ A • E N • 2.55. ; Alhamb�� t it i Ti DIV1AS J_ KELLY, IINIC- C4'4x'Ai Gable . •`k'� � LAND SURVEYOR 1 ('305) . 444 - 7692,? 779 - 3288 SURVEY OF LOT 3 SUBDIVISION 81/y- 6.46 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT [LOOK No. <C¢ AT PAGE No. PUBLIC RECORDS OF OdOc COUN1Y, FLORIDA. DATE: �,G ZO -1988 updated 3 =8 -92 FOR: /t' /CH.4E S4u 06724 LOCATION SKETCH SCALE 1" = ZQQ //g. ,V,e ?ZPi° S7; /t-//.Cta!/ £44',6 C/A 33/3 V: 4. E+ V M < • a • M HA W Z •E4 a Z to CO a h I< .E NE, 92 ST N' • .Z O o V 0 ,--1 < N L I' X 0 $ C G9, tii .•1 X • t 6 0 G • r•1 1 O. O ON 1 I +-) Iv sot, o 9 ▪ s.. ` - 8a.. - 0 in HZ I° H0 C aH b H NJ a H V to n a PI 1:14 5 o N d o o■ . as 1 41 44 roCo 04 VI PI . a• o Cal' V !.v P.dOE C c JT7 Fit3 B9° 22 / 45" 4r FILE NO. SAG -18 -92 _ o , 3 SURVEY NO. A2-_11832 SHEET / OF BLOCK P� 0,35 (� CL k 2,0 GL MCC Kffe Fr) /a 1 0 A o � 5/ v l V /96 q � 45 �. T , U NOT , • D RGROUNp NCRAQCHMF,NT. .IF AN B Z I hereby COMP/ t at this sketch 61 survey of the above odscrbod pro fly is true and correct to the IoI Oic age and belief as 'emit), surveyed and platted under my direction. I funhor cortiy That this survey meets the minimum requirements adopted by the F • rids SocI : . Professional Land Surveyors and the Flor'da Land Ti Ile Association. There are no encroachments, except as shown. Notes: 2 / H H- G F 4. C onE nrne• 1. if shown, bearings are to an assumed merldian(sT - 2. If shown, elevations are referred to N.G.V. Omer A v b Q�T� ap FIB ;VOL*. , 0 THIS 15 4 L A N o S v gv E y s teri c raids SIw INO 1 7500 I VALI) %MUMS YMNTSO WITH N! IHOOSSEO SUnvEMO.YS SEAL) 4. Closure above SCALE 1" = 20 mammy PMnN$ S SUIMII I. l.t • .J • a.• Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1437 Printed: 8 /15/2002 Applicant: AMY SALZVERG Owner: SALZVERG AMY JOB ADDRESS: 1116 NE 92 ST Contractor Local Phone: Parcel # 1132050270420 Fees: Description Amount FEE2002 -4579 Building Permit Application Fee $60.00 FEE2002 -4580 CCF $1.20 $61.20 Total Fees: Total Fees: $61.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 2/11/2003 - Work: 5 FT WOOF FENC EON WEST SIDE OF HOUSE If there is no permit package accessible on the iob -c.to f' - -=- -` - fee is $5n nn ...tir..'- -- - • • Building Permit Contractor's Address: Legal Description: BAY LURE Construction Value: $1,500.00 AMY J. BENES- SALZVERG 1116 N.E. 92 STREET MIAMI SHORES, FL 33136 Pay to the Order of NATIONSBANK For fl. 3 L00 v/ F FLORIDA, N.A. Dal - ,i 141 'r 146380,5989tI' L900 Dollars 1900 rify, there will be no inspections. Re- inspection :tion. he equipment or device described in the application herefor in strict compliance with all with any plans, drawings, statements or specifications that may have been submitted to not done in compliance with such ordinances or if the plans are changed without :tor or builder named above assumes the responsibility for a thorough knowledge of the gs or in the statements or' specifications and that he assumes responsibility for work done BY: IMPRESSIONS' BY: PB 44 -63 LOT 3 Page 1 of 1 BLK 3 LOT SIZE 75.000 X 125 OR mmpliance with all ordinances and regulations pertaining thereto and in strict conformity Village. In accepting this permit I assume responisibility for all work done by either 5'-O" MAX 2'-0" Owner's Side ° 4 — NO"— a WOOD FENCES 5 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' -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 foot -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. - PERMIT�A PPLICATION FOR MUNICIPALITIES OF DADE COUNTY o �7 (OWNER TO RETAIN COPY) C /� Date -at 6 i Job Address ' I J(° /V- 12 ,� Tax Folio � � A® ✓ �, Legal Description 8 g SAlz--1 Master Permit # 'owi,` Owner / Lessee / Tenant I c7k/AcL 5 A La- yew i Owner's Address 1.1 /C /V-6- tot 5-r- Phone Contracting Co. 9 (f✓Ariy\ Address Qualifier SS# - - Phone State# Competency# Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): UILDING LECTRICAL PLUMBING MECHANICAL PAVING FENC. SIGN WORK DESCRIPTION e� « �AL� SI ©L� �(1 +) v ,/v o O r�`ce S �/tPD F 7 (i6( Square Ft. Estimated Cost 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 Signature of Contractor or Owner - Builder Date: Not . y to Owner and /or Condo President My ommission Expires: ,//0, Notary as to Contractor or Owner - Builder My Commission Expires: * . * * * 7k * * * * * * * * PERMIT FEE: I ,< ?7 Date: ,500 APPROVED: Fire Other /) Zoning Building Electrical Mechanical Plumbing Engineering III F irl 1 i im'r'1' •1 rill 1 1 rill Rip 1 IH PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 1 lice ne._ 0 0 4 Tax Folio # 34 Legal Description Q��a /� Master Permit # Owner / Lessee / Tenant VVI,� ha6 - 501Z \(k lr Owner's Address ( n e NG■ S Dc phone -Coq �'� Contracting Co. Qualifier (°) O( E( State # Architect /Engineer Bonding Company Mortgagor Square Ft. 45 6., i ( II u Pe k S o' 4 w Oo c /Lv,✓ 4 Address SS# Competency # Ins. Co. Address Address Address phone 15 - (0 Lt Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION 4,11L,, f:d-e 0.4 geNce / Ova- wo>-k 0•- /too i' / f o f Curuv Ce & Estimated Cost 1 SOU ° 4o 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. 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. Fur he ore, I authorize the above -named contractor to do the work stated. f Owner and /or Condo President Signature of Contractor or Owner - Builder Date: d ✓ d 4' 1,' N• �ary�as to Owner and /o NOTRMIltl4$ltrOAT OPtiORIDA Notary as to Contractor or Owner - Builder My Commission Expires:MY COMMISSION EXPIRES APRIL 16. 1992 My Commission Expires: * * * * BONOWD*IRU STEMEIL* -ADAMS & MET * * * * * * * PERMIT FEE: APPROVED: 17; Zoning o0 Mechanical 9/, Fire Buildin g ^ 1 41 Other 1/ Electrical Plumbing Engineering • Date � . �� Job Address ///6 , t Legal Description Owner / Lessee / Tenant Owner's Address ! .� Contracting Co. 401-lit.- /k°,et Address • Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address r Address o PLUMBING MECHANICAL ROOFING PAVING (FENCB SIGN • k ,+ f f.j�2c /�� ‘, , Square Ft. Estimated Cost(value) Mortgagor Type(circle one): BUILDING ELECTRICAL WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 4or 3 , &,e_ 3 � 9 .o�A�Yy Signature of owner and /or Condo President Date: Notar: as to Owner and /or Condo President My C Mechanical Tax Folio /f r,3 7 el; 6 Master Permit 0J734' Phone Plumbing. Engineering, r: t1 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 Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder ission Expires: q - `( My Commission Expires: ** * * * * * * * * * * FEES: PERMIT w RADON C.C.F. ( ° NOTARY TOTAL DUE 1 61 5 6- APPROVED: Fire Other Zoning Building !b t ) . 1 1 ,A 11 Electrical 255.A1hambr4 G1PlE THOMAS J KELLY, (305)'- 444 - 7692 779 -3288 LAND SURVEYOR SURVEY OF LOT 3 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT E3OQI< No. PUBLIC RECORDS OF L2 i ¢¢ FLORIDA. DATE: COUNTY, 20 195 up date� = -92 FOR: ',dE - LOCATION SKETCH o f .� Z z 7 Z H ft1 W N < t•7 H O W V) • MU O Z V) H tq • U N v: H to Ix H • E1 W Z Zrnt/i U) W 4 O u A4 E- 92 ST 75 2 75 7S' 4 X 0 $ A r H 1•� Oar Zo N op N 0 •� Ave N E+ X NpI$IN.d ti w•ya suu w Fonda NOT VAuo LN.ZS$ WANTED WITH AN EMBOSSED SUnVEVOn•S SEAL SCALE 1" = 2Del /4 //i7/ PPi 28. .5 i /fe �,,{{�� 7,70/ NOTE : UND • RGROUND NC.RAOCHMFNT F ANY"Bq 2Z 45 '�" 1 hereby certify that this sketch 01 survey of the above actscr property is true and correct to (ho SI�'of Ck tege and belief as 'ecently surveyed and platted under my direction. I further certify that this survey meets the minimum requirements adopted by the Florida Socl Professional Land Surveyors and the Florida Land Title Associa There are no encroachments, except as shown. 04 D41-50C N 2/ N N- G , 4 . C ( )O r_ 3 -9- 92• TZAT4. a FILI.A IVC+? I - SURVEY NO. 97— f18_'_ / OF SHEET AT PAGE No. Saci Z 1672 6, / / /C. ,v,E. qZ ST /wf /,Clar • // S,o/76 P•/4 33/3 FILE NO. SAG -18 -92 o °� 9E Ccc F7,6 . B9 22 45" iv. • • o • • �. o U o 0 S / BLOCK ✓� E4 0 2 PoLe(4) M CI Notes: 1. If shown, bearings are to an assumed meridian(ITA# 2. If shown, elevations are referred to N. G.V. Datur t 7 % 3 THIS IS Q LAWD SvgvEY 4. Closure above 1' 7` SCALE 1" = • 0 ouAUTV PAINTS • SVOOVES. ••i • • BUILDING ❑ PLUMBING ELECTRICAL L o PERMIT N° ROOFING / Owner of Building `' t Architect Contractor or Builder Legal Lot Description Bl Address of Building _ CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit This permit is granted to the contractor or builder named above to constr tion herefor in strict compliance with all ordinances pertaining thereto and with plans, drawings, statements or specifications that may have been submitted to and at any time if the work is not done in compliance with such ordinances or if the permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. 9993 Date 19 . _ Contractor's License No. Subdi- vision Sq Ft. Value of Amount of Project $ 11 Permit $ uct the building or to install the equipment or device described in the applica- the understanding that the work will be performed in compliance with and approved by the proper municipal authorities. This Permit may be revoked plans are changed without authorization. A further condition upon which this assumes the responsibility for a thorough knowledge of the ordinances and drawings or in the statements or specifications and that ho assumes respon Signed ',.. j.INSPECTOR) BY In consideration of the issuance to me cif this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation, 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, py agent, servant or employee. 13Y AUTHORITY 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. Owner's Name and Address._. . __ _ Registered Architect and /or Engineer._. _ __. Name and address of licensed contractor - Location and legal description of lot to be built on: Lot._ j Block S1 _ // Subdivi �� sion. Street and Number where work is to be done_____ f /./ 62 . d ivy 1-6 State work to be done � and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss • Permit No,______ ___ Date Disapproved __ _. _ ( Signed) Chairman Member Member _ Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT - 6r Date Building Insp LANNING BOARD. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires_ Member Member Member DATE 4zi (J No._)ji •/i- -_. Street_ ___v c A ✓° and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of oundation Roof Covering__ _._ .._. Estimated Total cost of improvements $_.__ _ e °O. Amount of Permit $ aa .t� 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 foi said building. All notices with reference to the building and its construction may be sent to___ _ • The undersigned applicant for this building permit doc hereby certify that he understands and acc •ts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General La . o Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contracto• o, sub- contractors en loyed by him in the work to be performed under this permit; and will post or cause to be posted for ins pecton o' t site of the work s h public notice or notices as are required by the Act. The undersigned agrees to employ only such subey� `or ork to be per .imed under this permit, as are licensed by Miami Shores Village. Remarks _. __. _. _ ___ . _ _ (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, 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 staygd ar�t3.i .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. 3' ce. (le-y — iv E. 9f77. 1 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building 0 0 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6384 Bl Work to be performed under this Permit DATE 195-' Contractor s License No. Subdi- vision Value of 11 Amount of Project $ II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR 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 suhnitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant', or employee. BY AUTHORITY BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. Owner's Name and Address .. /A..9. L(t. • Ler.d4 STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE Date ./ ,19.5.7 No ///4 Street _.ig , v . . Registered Architect and /or Engineer Name and address of licensed contractor 0. &W. 7F# q .__A400:._ j� i f A Location and legal description of lot to be built on: Lot 3 Block Subdivision. Love Street and Number where work is to be done 1/16...... • State work to be done and purpose of building (by floors) 18 ,, 644.& A/iR ' FE44' C /..77 and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 0 0 . Q D Amount of Permit $ 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 permit does hereby certify that he understands and accepts his obligations 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 tinder 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)._ Z C4/4 J r.9 //t/ E Co. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared __._----- ..... ................ ......... to me well known, 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) 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. 5 .3 /'t Ex/ s :i4✓G . idc5- ' 0