373 NE 92 St (3)eeerj c:i
- •
./ e cd
,4114 thVn _ _
Ciss ;
.2c$ 5JC _
z5:7 1.EAWSer.:0
2 AS
0/h/S 1.5 c.1 s<ite, 0 q1a).(/f7/7
_ 0 n ra 5 00 1 ), 0 rd
e/eN/
referre•c/ Aei j9Z/
LOCATION SKETCH
SCALE: 1" = /so'
Lots 21 Ind 22, Block 47, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1,
according to the Plat thereof as recorded in Plat Book 10 at Page 70 of
the Public Records of Dade County, Florida.
Property address: 373 N.E. 92nd St.
- .A16 c;) 3
J.N. 5880
144 S.W. 27th St., 2nd Floor
F.B. 159 W. DE LA TORRE
Date: June 7, 1989. Riaml, 33145
Updated: Feb. 21, 2000
I HEREBY CERTIFY: That attached "SKETCH OF SURVEY" of the above described
property is true and correct to the best of my knowledge and belief as recently surveyed
and platted under my direction, also that the survey represented hereon meets the
minimum technical standards for land surveyors as set forth by the Florida Board of
Land Surveyors, pursuant to Section 472.027 of the Florida Statutes.
40
NOTE: NOT VALID UNLESS SEALED WITH By: Wilson De La Torre
THE EMBOSSED SURVEYOR'S SEAL Professional Land Surveyor No. 1870
State of Florida
Phone: 541-4722
Scales as Shown.
c r d
03
03
0
(A/Ad)
0.65'
14.9'
5 0
SKETCH OF SURVEY
4
d 0
Is"
to
170'
\ 6 0
'6.7I
SCALE: 1" = 2 0 / N.I
kl
/ 2 cs
00.0'
oie ,57 C
,e'eS ki-f 373
rcoo,e et /130
2/55_
13 , i'VeZill
4 - il t•: 33,2o'
37.
/00.0 '
y
C
_ FA.vestiecir. --
/5, 7
■
ef)
r"'' ( 4 / 4 J)
0 61
0
3
2
tr)
Pr
TV
=AL= 1 " =1I - II
[Er
V
Fri 1
5' -9'
5' -9'
20' -0'
SCALE :1 /2 " =1'
11(11Nt/
I=D
5' -10'
4'X4' P.T.
WOOF POST
2"X4' P.T.
WOOD POST
r
1 °X6' WOOD
SLATES
1'- 0'X3' -0'
CONCRETE FOOTING
\/
c!�
W ,�
[QIN
AN
N.E. 931RD T.
i , ,
; „ ; 1 , „ i i i i
12 11 10 1 9 1 8 i I 6 5 1 4 1 3 1 2 1 l
• I 1 1 1 1 1 1 1 1 i
4'X4' PT
WOOD POST
UJ/ I/2 O 1
EXPANSION BOLT
INTO EXISTING
CONCRETE TIE
COLUMN
INTERIOR PATTERN
TO MATCI -4 EXISTING
SIDEWALK
STEEL CABLE
TO BOTTOM OF
DOOR FROM POST
13 14 15 16 11 18 i 19 , 20
l , ,
SCALE: 1 " = 1 = "
L. EGA�uD
LOTS 21 AND 22, BLOCK 41 AMENDED
PLAT OF MIAMI SHORES, SECTION 1.
ACCORDING TO THE PLAT THEREOF,
RECORDED IN PLAT BOOK 10. AT PAGE
10, OF THE PUBLIC RECORDS OF Q'ADE
COUNTY, FLORIDA.
SCOPE OP WORK
I) NEW 5' -0' WOOD FENCE AT ALLEY.
2) REPLACE EXISTING DRIVEWAY W /OLD CHICAGO
BRICK TO MATCH EXISTING SIDEWALK
C)C,4
NE. 92ND T.
SCAL F :
10' -0'
1C)N V1741=)
EXISTING v' CONC.
EDGE TO REMAIN
NEUJ DECORATIVE
BRICK DRIVEWAY
EXISTING ASPHLAT
TO BE REMOVED
UJ(011::)1 GA 1
' -0
WEST
SETBACK
EXISTING
DECORATIVE
BRICK PATIO
AND PATHWAYS
�rv�
), ^V)2-
EXISTING
RESIDENCE
,: 313
NEW CAST COLUMNS
NON - STRUCTURAL
EAST
TACK
2'X4' P.T.
WOOD POST
1'x6.' WOOD
SLATES
4'X4' P.T.
WOOD POST
1 0 "X3' -0'
CONCRETE FOOTING
1
11' -0'
EXISTING TO REMAIN
PROTECT FROM DAMACI
11.E, --92ND SIRE41'
EXISTING SIDEWALK
'«V C.`:‘-‘01,4 VI r F •
3Colpt4:• 1 1 4 0
5 T° /A /4
: r.r'..pi: .
tr.,*.r.'.da M.41ratt•V1 a :s»`r:" 1.ti . . , 77."
«'4au *pprov`ed tub 6 } {
� ding, t�a�+•nbiq The A �i }t to buy u r a eA,nc?r
ge% rr� odes i<# �w�,i.;,
I �fttUWrld X11 buxtdiri reaula ��ct 8nd,6uilder a�
j�C of •, rrfleuft echa+�sd
y : ia3tediaerei tiofli ty4eth�'
"
n. A11 rrinfort,�}'s4 j "1 ,k" ; ,
, ‘t, tlttrl , P;tinir�irt y,�N +QCtrical yrir c • �
ti before � t'
nnc� , �!.:� ' R an :,
t
�1,� ns e<tion
y4ai�wR�r_.raW:eW �: t
SC.v+.+X'i+� �a53fZ�c:z
alp sr! >�d %�ib�rC,
TA. VreA -
Ac•14: I.N 2(4 A 4 I Gala
2, C. 71i5 / .14,x,.
NE:0 � Pt,Qt VtNG
� F« ■
Cit++T
`S G S u
t,
D01rlo;v
p *NI
'ost
Ore, .SA' / /e' , ' it. t /),q .
:313 Al, '-‘
Ni /,3 M i Q 's s f 1,0,41/114 .
THOMAS. J. KELLY
REGISTERED ENGINEER NO 3161
5139 S. W. 5th ST. MIAMI, FLA,
0 /%74 Ena41%
�' ►...M .{A
• A
,AO a 1?, - ,'ca Y M t •c ra,. ' �J . e_�.. a. r
et.Gx: T % c' d ' t..V t t i� cam ^� „ "Es.. 04,
v 1 h t..c. .4* ' S h1 1 u v
Y
cx [?.t.. s. R,t ea: G, '.
z -: 4 JA•L. , •
1 , '/1uY1. 1 . Vero, Va. " . x 1
1 1 p L`(Wc o 0 t3 At rX $ GU H-1 f�l l rl C" 1 1
I I 1 1
I
, 1
: . I 1
1 _0 1 !
1 —;
1 ' 1
ftI. -- I
4-4 s o � + lc - °f t' -O
c:
LL___.._ . —! -. i 1 ° " ` . -2 " ion • FLc.. -. {
1 - + l' ----- .1 c, Sri q 12' a" G ''', 1
3—A74 AL .
8" w t Z'
Vw.IT .--
.., r.. rr- cw{...... ff_ M,:l,.'. �r •- g':w.s.,- ..,........nc,Nmr„* ... .a. .j. _%•t.. - s.::....,:
1%7
aL-
7•'D 0 coo.*
%" kc'co
8,XEci'011 OF SURVEY
Lots 21 and 22 Block 41, Amended
Plat of mrAmx SHORE0 Section 1*
40cOrding to the plat thereof,.
recorded in Plat Book 10, at page
70, of the Public) eCords o.f Dade
County, Florida
Order #3 Septetabei 22, 1 95 0 '
r B 467.5 Sca1e0 show's
1 HEREBY CERTIFY: That the attached
ISKETCH OF SURVEY° of the above
desoribed property is true (viva,
correct to the beat of ,nOwleclk,se
and beliefs as recentitENV°I,
.
and platted under my'
7 . ,
- -,
$ )
arx' li
State o ' v'eriz, 4402'
Registered
' I'
p
'1?.*:.%:,01'.0
NEW WINDOW
& SHUTTER
+47 PSF. / -51 PSF.
EXISTING
KITCHEN
EXISTING
GARAGE
EXISTING
ENTERTAIMENT
EXISTING
DINING ROOM
EXISTING
LIVING ROOM
EXIST.
BATH
EXIST.
CL.
EXIST.
CL.
NEW WINDOW
& SHUTTER
+47 PSF. / -51 PSF.
EXISTING
BEDROOM
EXISTING
BEDROOM
EXISTING
WALK -IN
CLOSET
EXISTING
OFFICE
EXISTING
BEDROOM
EXIST.
BATH
I
1
� I I 1 I I I
2 11 10 9 I 8 I 7 I 6 5 I 4 3 2 1
- _ I L 1 I 1 __]a
.4-
T z
I I I I
1
3 14 15 16 17 18 I 19 20 '1 j 1 23 24
j
T _l._ L_ 1 I A_
LEGAL DESCRIPTION
LOTS 21 AND 22, BLOCK 47 AMENDED
PLAT OF MIAMI SHORES, SECTION 1.
ACCORDING TO THE PLAT THEREOF,
RECORDED IN PLAT BOOK 10. AT PAGE
70, OF THE PUBLIC RECORDS OF DADE
COUNTY, FLORIDA.
T T 1
1 1
1 1
N.E. 93RD ST.
T T
OCA
N,E, 92ND ST.
SCALE: N.T.S.
ON MAP
NO
SCALE: 1 /4" = 1 '-0"
1
0_
N
it
SCALE: 1/4 " =1' --O"
DECORATIVE
BRICK PATIO
AND PATHWAYS
EVA
26
16' -0" ALLEY
100' P.L.
EXISTING
RESIDENCE
# 373
3,929 S.F.
N.E. 92ND STREET
SCALE: 1 / 1 6" = 1 ' -O"
NEW WINDOW
& SHUTTER
+47 PSF. / -51 PSF.
FVA ON
EXISTING SIDEWALK
ON
v
v
37' -7"
AN
f �H
v v v
AST
SF RACK,
o
I
p O
N
1
.•
•
•
J
0_
1
N
EXIST.
A/C
COMP.
A/C
EA
SCALE: 1 /4"
•
•
AREA OF
NEW WORK
NEW WINDOWS
AND SHUTTERS
A/C
T E
EVAT
00
}
SCALE: 1 /4" 1
ON
NG
>%XI��llrlei
VP V EwAy
.30'.0 "
oom
Ei15Til-1G WA1.k�Ay,
LEGAL DESCRIPTION
LOTS 21 AND 22, BOCK 47, AMENDED
PLAT OF MIAMI SHORES, SECTION I,
ACCORDING TO THE PLAT THEREOF,
RECORDED IN PLAT BOOK I0, AT PA4
70, OF THE PUBLIC RECORD'S OF DADE
COUNTY, FLORIDA.
////,_ L
4 sit 'l rwt. OWLS
ro
v
127 - co" 1-
-4,- 4.
111
0
-Q I-
it
1
N
is q 6 r7 ' - 4 3
15
6
uE 1 LIpit4Ci Czl J-'
arr../ 1N E ,..)11U
re-1-11 lGt. 12AG,S (CUNT{
AvFNOv i
4
1?
EXeoTl I CS t -o' N T.
)(-
1 `3 l ci 20 ,
, a?
LOCATION MAP
N SCALE: I" M I00 O lt i
r16�/ 2 tip
p wu� Wain -wA 1.
N SITE PLAN
SCALE: I/8" a I' -0"
} & tiWteAT IV E
tU� f' A T IO
2
24
e.)(isYl rJ C-7
064331d CiACTE
4>J�i�Fw (,T)0
a
j
x
NATIONAL PRiNTFAST
NO. 186A • 2406
mr r
t krt. t k<k) Po
' -
• tit)
r ,
r-f 1-e„ e,‘.‹
tit
- -
RAM Y! :r'ib,'s'YTW!lW..r -r
x
COVid " j r4 i`'`cliS.��t clkit .
x.a1 d�SD lUi7 �€
.:4t44 ,in4', ;flu1l19 lai g,,31 ct ;a1x f 4
a ,, i.iiirtier era chArgt4 *� 4
tot ?s Ii!t t je- I he r s e�lt<z A a i k
'b;' k,ip'xte.t of;ai- U ,r< i �.'r�xatil�+' s�x a
r , trtf0,ti.td ste !�'; 1"
.4i. 5'if1ealty a" i c a�t, kit etirf ,
i ',;4',.,
} �.lrcai t Ili alii rd fi�►sti�� r. >.
Y ,r p�xrrl�yl►yg, i
,•
Est h 4a►icititk4aefura inr !
M1
•
7+
•
>a+e+.M.w�.ssmn: wuf+.�abro
E ti V4 rfo ,v
. a: +.wz+.aa.:s.ws;a- .xc.Tws:ka"IF ° .. ir.*,v�h!
/T .Fr tick
•
• N+h. T 4r g yp _# .. f4 .. - QtS .F*.41cv
f" .
faav�rt •w
4e9,57/ �.
N /a , .5h or^• ° 5' 0 �/
Plat 8004' - /C? Avg'," t70 `
Dads Ca m 'g - , /o, da,
77 Ai
•
.Lr fj6
1" +'3• r.E TOP
34. 4c1}1 a,4 o, E yj'
Vol «
r° y '
1•. C ntraator *halt varit A witK.R.p. �4. L.': the location of
aervioe and *hall locait.e :niter and pane a s required.
2;.. A11'Hlre aha11 :b p e THt4 Copp er,..un14ss' noted otheruisa
_
3� where requ,trer4,by other code, aervfce . and feeder .con-
duatorsd artiall be copper of equal'.ampaoity. -
4
All branch crirau1tat in •racew iy' or non- m4stal1 is eheatthed
Cable.
5 ;, Coordinate. raceway inatal lationat• with other trade* prior
t o con3t r.got ion.
b. Verity all 'Conductors a breakarat i- ith equipment .manUfac-
turori: apeci f igattons.
1.
Provide d1e,Genrncob #tch of 'ajxe raquir;ed by load and
unite.
8, Drovide non - fu4# eneral duty * et *witc e4 atT Ac
equipmext, and, at: purops riot . v f 4iI�1a £r onr< ci breaker
*net 'and-' a* e.r• "manufacturer4 *con► endal � tociai
f
9r Provide Opt bikers • for,;ilt•`bathroo,a, "'ariago and exterior
•
ou @lot* d$ ".ahOH:rl Qh'`P1,�1n1•
10. olectr#cal°` : and" appliances shall fen. 94 ap-
prroved' anct as- ,:telectod by owner
11 •_ Frov,ide -pro- Hired: telelit.hone . outlet* ai* shown o t ' lai s•
1,2i Provide u t . n
g pre�Hired TV cruaat - s �: (for :cable or � antenna in
attic)- e* ehOHra of plan.
L ot dir4inago p ha1 1 } •ba elan a ll . ' L ocal codeat. � regu::4:::14ar and,
>rea► i havt �u 1<' #adio tQn. ". Z andscd iny,:, i " b Gz ing, :etch `shall b ca yo4u1att #orts.and z'osrr f etich havinq f urteei on e, and
futrth9r, a9 nelealed and:d buil (Not a ; par of
A 4 = .. ASSQ0 c oAt raa.t) • ;`.
Qr &vett�tt*,` Ha 1kw :Y1abs grade, pool, decks, msair m #ng: •
poi ,ere;bY. ottlolt end errotttod aepar ately. (ttbt at jack "af
a a & �1$SOOIATL , Qo ntrds�t .
: $H f iru�ling poo .:d . a pa,
traoorn�e , e,>Egjeexed 4 1
"acrd n9tE 4 • part of ^ thG
1c4r slab sha11 b ► 4' thjck "to.d4t l conOrot:e la
'� doub10 14I �4t par ciat.er' bn 4 n i 1 v tn u4on
r�$x8 ,tG�1t� dew.
,vapor` bdrtrtoY.on Hot 0,0rap.aatodtorthtta t'yeetod loan Lil
oncr r tybal.l cgatdrnt , .AQ 318/8.3 and sti4 fiar'
psi; comorreas #ve *tength` lit: 2$ da ),a►, N44.ii 81 S ),' for
'c1.itb, ro `'.beaza ` and; co1(4wns 4,1).AO: P31.
ottifo>~u #iii steel' ah411t 'b¢ A 6t to g rader 4 aitcl harve 1 a
fol l.4win `ralnimuz c onorret4 - d ovOF for got s alto 3
op `', *idea► ;. � 000 tOt::5914 *' an d:4400 1;:1/31 gleairt •
Dot f`ngs Havel boon doss nods for . 2c)OO s sy n t l baeir ,ir • caps
:dlzY► st�i lder� ' h tl,l„ v arf , in writtn¢ only, to g4 R
Ag54QXA'1'E 4300 - 40th tgr�ud• ono so41oc so11 bo n #n
¥op9 tl# . fro bliU dd`rrs lab t "esttn "q a inoe.>• r
1 1.foottng � e 4411: bear:o» na►tur�a ea t pY$p rQd a 1r rr`'
Y4
so i > ` prepa t pet, art" �c� Fatc le�x aha 1 : ba04 fa s t ow t j
�o�tici}ctl�t �tieil'6 Hof i sui'fdti a app r :k
e axe Y w �
th a iii #rFi t hgr Utldtn9° f t b� co n$tz te • od` �#lt
d nd0 :
lder aha l coordlrlate 11 word o X1,1; Y rras ea. ` '
$u4fder'�
o1
$ fit: t a tor, u .i
10:40. . oto. _ +atlall
;9p,4 opdi ibn alt jo s $r flan a c s atv
n� H1 th d � .; >�$. v i at o t .
art�n� aw'►j� Nor_ a f. E, �i • ce
d Y d#r; ii 1de ' z oolpt of,. t o�i 1 n a i 1 3143 f ' ri . '
EL dr OQXA' lt
jA i ly oil ar y nd., i�dtso
(H dt� cii are ezi Ie arrc• errov *t; coik*J*. ljor or oord
h * p fl t • *4N1 a l Qt C S►Oi 1 y . ufi t1
§.h0_, 44.13 In
±�vdl f� �nersYt regc3 eraents, Oti thQ' pidridat (odei rnQrgy
Coder, cohtraata si411 farmliar zei htmaelf i.ith' Char goy. F
orrlfd Dodd #n jts 4nt rdty. t bt#tld jilt acdprid*n<ca with
a1i 11 provtt¢n�# 41 th,ts codel wh igh max b a :s p ec f f f o1 fy L
addrer#sied ors the planer ands notos ,` °: s ,,. ..
Ot trtorkf :i:?lt ,u»dax� d11E elabar sa1f bdvldad acrid ,aind :; r
• } 1 be persphsttod ;tQ at nrtnlr *uira �f :xaa ,fit4 der 1t' aev
p_�>4,' A; C -1 7 : COntxdat�5 w # �tlt'Yert�t 4fteF �mpactjaii.
A . � oncrrter A>C conaicpt ta. have co,r *t``.en
Koo� f , j. f, a .2$ daxa cii .lessq`. �L oterd othdrwid @, goner a T
por .ASTN 0954 Conercat. i rk, p4r3 30t., ,c
rtdl arrr Al r�ri QamontC sere
b ; si grade► 60
=bens upped, a d prleced to ec o d Kith thee�r dra.ings '
send th ldtOnt1 itpddit1Cat qin ACX 3108/83 `
Wood1, AU 1 atriu�ctuxi1 lumbe1r . to b doQj1a►$ ICY -14rcf no, 2
, o b 4t.ter . ; 1 > lurabe t cirltact kt ., R da4► d. or concrretrt,
h411. pre *4ur?�r t,i�4e;ad all to be 4tra1 ti v4 `4 mil
: toe ot: OO p L. shop; drai.1ng 4nd de�l o ►1
*,t.• ts.rfor a> # :t rus e n ba4rr #n� 1n 'the at�rnatture *44'f al
o l lorrid rd It*tored ei �i r 0h ii l -bG $ubni&tted to the,
it hltacr+� apprd Y #O .,tO
f04 toa ttor>r:.
J � - x
oor,a '46d wfndo »� s rtdaw;e�iridtaq� a 4 1ykh () m a b e t ` r qa ru.-
afaotu�ro4 to co if9k•th ;to th b i`1c ir?'t cods ith p @gt;'`to
iaimu e»or1ak ? e9 A0":,Yequ1:t ': Al l'311diriq gfasar .
doors he11_ b�►. en►pe><ed. Al windoHs and agQrs ,gh411 be
- v
C,a�ul a erid .N��t of att��_�s�e,. •.- W�ridoc� =untt�; �11gI.1' d.lej�1�Y g .::,
1_a1 d s ohoriin:1 ccn 1.tan e w tt ., Flo�ti 1a state K�de1= clergy A
14Q Coder. , eat.lcn► 502.4 E' ;Hlfl oN and. , d a+anufd turei� . h'al1 .. ,
a: .'.Cooxdinato with bu,1 lder:. a .t iaid ver • Y = !� g
.? 1x03 ;pticr to ft too .
Vi n.iahear s°' Hf ro:x Av r ' 3. F `afi?l f ` 1- tier `anohdrdd.
ELR & A8sOOXATEs rea�ervee `ma�lnt4I ah1 r:et :a 1nra 1t',
Gonlrau i '•latt; "co "pxrtght "',i` htn: a d a 'y� ¢ t d'r� r19t�ta (e :DYes ed
`d ict•.Qrt',: d) irk" the a p laner . de � n$ td:. as _ •
+gip c, f ioat,ions, ; etv`. Theah p a ne, tdead.dp�at' as ot c. are '
r Qt<R.t : repro duced °, .ccpCed , du l etc: ; jr .,whbla„ qr
l° arrt N /thou he` expreaar.`Hac t en 'e►rmto` ton_f ELR
A8S:4 IA'TE :.WOR'-4Y�t'' `` :'t4 be loaned dr a�i *i' rigid t an •
!' ; °: j4:0 oidtElon or " ' td s ato•. "w hou .
�! O �r`a a4t n #t
°:Llrst .ob atnin t A
`them :Hilt a r,a_i itc�ri rop sta . R. $ SOCXAT 4
t.. g tApd
k e `d aver # n4. ane -
y qy •
°futlder `a.h 1t� - i`'ovi'`d' atabl a nk4t : -1 o halt mr _ =r.
'(rQ11ed, paporbdckud) ttberrglaa4'f n thrdu Hoyt
ontjr4' t . ia�..Ye 0..f-.e 'ovi d�i
• tt.4e .'co00.
Al) et�e beak' �r 411a
1" 44terlct , ahowi ; 'or Dal led fSrr''Rn:; hest draNhi d
$he 1
)04 ed; tQaill uii .dctukerer>cecc,autondations ` .e►id� :0009
i.
ns
P
All is taI used Co >r conn ng- Hdod raautbgYs sahatl i ` bo
• galvanize4 ter^ corYdetorl rrq,iatant `
`( /(4l sutiveV
L,h. i•ti } } i �f 1 ' .. a
eikthat thw`fyrvey a.
t`e9A „ meets the minl
(tkel tirqvirementi Sd4ptedi
S P r$ s F.L end the
AI UUrd S�iry ycr *:,There 4r0 ".:t
�rdac 1 At/. ovlrttps„•H •
u a *r t g nth. 1st or Isi01es
�r�. ,,er • hlu �i 1 ' ti ow11
This property described' as: ,
Lot, 9, and the West` };,of
, s t Lot 8,... 1 ock 113,
MJAMI SI{ORES� `' `
acco 'd.ing to the Plat{
,
there'of.;'' recorded i
Plat' Book • 10,' Page 47'4 !'
of the Public Records•iof,; ,=
Dade :County, Florida: *� z
FLOOD LONE: X' Y r }
NOT 4:: Uncdegrourid ,'encro
merits; `�> anyr: not6' lacateda:
R
Surv , Note s. °,
P14 :€k t i tl e..Stat,ea:�`
ANA E DED PLAN'`- -0 SSC'rLON
.0 OF MIAMI SHORES.
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feE 4 5 ' eVii✓,re6 -17_85 SubdiViSion �I,me pdviseri'�.
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.
Owner's Name and Address
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Location and Iggal description of lot to be built on: f�� ,/
Lot / g �� c Block // t Subdivision ) •v f� ✓.lr�/N ,� 1/ 0 ? /5 /
Registered Architect and, or Engineer
Name and address of licensed contractor
Street and Number where work is to be done
Permit No.
Disapproved
(Signed)
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APPLICATION FOR BUILDING PERMIT
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DIAN6 WN u 'i'AtO, ,5 2.
tk
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
330N.6.1046.
State work to be done and purpose of building by floors), state exterior colors (submit samples) - J-ly 4
1 ") . 4)%49
t Date
Read, Sworn to and Subscribed before me.
Date ' .19 /7
No 30 Street IV•e• 104- '/v'
Notary Public, State of Florida
and for no other purpose.
No. of Stories
New Building Remodeling Addition Repairs
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ . r - Z2,_____6 , Amount of Permit $ f � 41 `\(' , (
Zone cubage required Plan Cubage �''/ 1 f� 1 1 b ,i.11V /
t r
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) _
STATE OF FLORIDA
COUNTY OF DA DE, } ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved late 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.
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