520 NE 92 St (12)MIAMI SHORES VILLAG 3 �I
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
D
Type Insp'n
Permit N
Name
Address
Company el5r1L2
Phone #
<3 / / 6-: 8
For Inspector: Name & Date
Approved
Re- Insp'n Fee
(7_
p s e
J rt
- 7 -
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date‘)
Approved
Correction
Re- Insp'n Fee
Time
Type Insp'n
Permit No.
Name
Address5 c� U L/ l c))\-
Company
Phone #
1
D
For Inspector: I 3 y Name & Date
Dat
Type Insp'n
Permit N F 2 Obi --cL S
Name Alt". )
Address 5 0 ` 9 DJ-
Company CTLAYI -4
lone#
For Inspector: D ame & D
Correction
MIAMI SHORES VILLAGE
BUILDING DEPART
305- 795 -2204
Building Inspection Re
Re- Insp'n Fee ❑
0 Time
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dat. Time
Time
Type Insp'
Permit
Nam
Address S. 0 s C . l lAs
Company
Phone #
For Inspectoq /2? i b3 dame & Date
Approved
Correction
Re- Insp'n Fee
o
7
0
_../c-Srki )■re-elv■ AD r.ft C s t /d
64iTnty
31037
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date sc9 a Time
Type Insp'n q(U1 Dt P LL.)gU1
Permit No. - 5 P2...003 - f c S
Name
Address
Company C (; q
Phone # r 2n �' 9 l
Name & Date
For Inspector: X19
Approved
Correction
Re- Insp'n Fee
mey vnar9 e
916 4 S� .co 2L' iylSr
at 00,10 .
'Mon.
523 NF__ 92 s- .
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305+17,f972
D o 2 s-�—
Date d 3 Job Address 5 20 N1, Tax Folio
Legal Description Historically Designated: Yes
`
✓/Owner /Lessee/Tenet I U � eP/� AO )91_5'
Master Permit #
Phone
Contracting Co. Address
Qualifier SS#
State # Municipal # Competency # Ins. Co.
"O ��
"Owner's Address 5 -2— " 15 ' 5 -2— " 15 ' N 9 J
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
WORK DESCRIPTION:
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
?T
Square Ft. Estimated Cost (value)1� -e, ' O o
Phone
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 ANY ATTORNEY BEFORE RECORDING TOUR 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 all disciplines.
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.
6 2 0 3
Sig
N� astoO
My Commission. M Commission DD150048
' P d Expires November 15, 2006
APPROVED:
I7 6
Zoning eL://' ��'��? Building
Mechanical
Plumbing
Signature of Contractor or Owner Builder Date
dent Da a Notary as to Contractor or Owner Builder Date
My Commission Expires
FEES: PERMIT 6 a > ' RADON C.C.F I ).O NOTARY-C-• U
TOTAL DUE
BONS00 ,
4,vo
Electrical
Structural Engineer
0.20'
LOT 6 a_
8LK 58
N
. .1
,r,
0.40
F.I.P 1/2°
ei NO I 0
10.00'
< 10.00'
0
30.06'
UTI
co
1 o
( NC
20.70'
21.40'
CONC.
DRIVEWAY
5' R/W (PER PLAT)
LOT 5 BLK 58
14.70'
12.90'
N.E 92nd STREET
ONC.
ALK
20' ASPHALT
22.50' PARKWAY /�
/ o
/ 6
100.00'(P &M) 5' CONC. WALK
J
N■
O.H.L
CONC.
CONC.
ROCK
WALK
0.40' 1 1 J '=
�4,00�0.7 40 22.20'
o c
ONE ST RY RESIDENCE
520
P.F. = 11.62'
33.90'
M ALR
T Rflr
CONC.
a?�
1N.P.
. &M)
1' ASPHALT ALLEY
LOT 4 BLK 58
■
F.I.P 1/2° o..
NO 1.0. 8
3
83
k
a. LOT 3
M BLK 58
N
0.60'
Legal Description
Lot 4 & 5, Block 58, MIAMI SHORES SECTION NO. 2
::_ccording to the plat thereof as recorded in Plat Book 10,
(I Page 37, of the Public Records of Dade County, Florida.
Certified to:
L ucrecia Adams.
Cmmunity Number: 120652
P znel: 0093
Suffix: J
D :rte of Firm Index: 3/2/94
Fjrm Zone: X
B(rse Flood Elevation: N/A
D to of completion: 2/22/02
Property Address:
529 NE. 92 Street
1LIi Shores, Florida 33138
Survey S -1021
5 . H • 0 R E L - A N D-•! B V'0
N C 9 S• S T .7.1"
N F (( 94•^ 5"
•
Y 1 •• 7 7 v ^]�111 ^� =I In o
N E 9.3 O T
NE 9L ^• .2
r I
/7n /1EGG ari mn• Noii
aa
SIGNED
REPRESENTATION OF SURVEY PREP
S
ESP I OS
O. 5101
AT OFFLORI!'A
JI
SECTION NO 2.
ti
X / / )N /3r ' . f-i 77'/' .y. rwr to r
we rilnr rrnrr
'C.6.rJJJ F.
I) LEGAL DES C PY7'N ROVIDED BY OTHERS
2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER
RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT.
3) UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS OR OTHER
IMPROVEMEiVTS WERE NOT LOCATED.
4) ONLY VISIBLE ENCROACHMENTS LOCATED.
3) WALL TIES ARE TO THE FACE OF THE WALL..
6) BEARINGS REFERENCED TO LINE NOTED AS B.R.
7) NO IDENTIFICATION FOUND ON PROPERTY CDRRNERS UNLESS NOTED.
8) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED SELL.
9) DIMENSIONS SHOWN ARE PLAT AND MEAS ' D UNLESS OTHERWISE SHOWN.
10) ELEVATIONS IF SHOWN ARE BASED UPON .G. VD. 1929 UNLESS OTHERWISE
NOTED.
II) THISIS.4 BOUNDARY SURVEYLN / OTHERWISE NOTED.
I HEREBY CERTIFY 1' THIS BOUNDAR U VEYISA TRUE AND - ••CT
Lf • R MY DIRECTION.
GUE
FOR THE 17RM
THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY EVCLUSIVELY FOR
THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT TO BE USED FOR
CONSTRUCTION. PERMITTING. DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF
MIGUEL ESPINOSA.
MIGUEL ESPINOSA
LAND SURVEYING, INC.
6494 5.W. 24 STET
MIAMI, FLORIDA 33155
PHONE: (305) 740 -3319
LB # -6463
E n
iia T _
AE
s
J .
4 •
cY r2
1'') 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
( - Printed: 6/4/2003
Applicant: LUCRECIA
M Owner: ADAMS
f JOB ADDRESS: 520
O
0
l"
Contractor
Local Phone:
Parcel # 1132060141190
0
Permit Status:
—0
Fees:
FEE2003 -3376
FEE2003 -3377
FEE2003 -3378
FEE2003 -3379
APPROVED Permit Expiration: 12/1/2003 Construction Value:
Work: WALKWAY AND DRIVRA/nv
BEAIRIZ KHAN
ARID KHAN
LUCRECIA ADAMS
520 NE 92ND ST. 305-759
MIAMI SHORE S, FL 33138-3157
PAY TO THE
ORDER OF
Washington Mutual
� "
i21 l Bank. FA 1728
NaMII OMielel/125th SUeet Flnenelel cota9 -TOOL
900 NE. 125th Street 24 ro w GustenKw se.
North WWI. FL 33181
NOTES
:1 :267x84 L 3Ll:
3L11148?? Lqm
NE 92
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 4 & 5 BLK 58 LOT SIZE 100.000 X
Description
Building Permit Application Fee
CCF
Notary Fee
Builders Bond
Total Fees:
63_8413/2670
831487719
DATE Si/
Building Permit
Permit Number: BP2003 -905
$ 31019.a
ADAMS
LUCRECIA
ST
Contractor's Address:
217
DOLLARS LJ IT.. Bi°
Amount
$60.00
$1.20
$5.00
$300.00
$366.20
compliance with all ordinances and regulations pertaining thereto and in strict
9iami Shores Village. In accepting this permit I assume responisibility for all work
BY:
$1,500.00
Page 1 of 1
Total Fees: $366.20
Total Receipts: $0.00