75 NE 92 St (11)BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
❑ Date `�' >I9
PLUMBING ❑ PERMIT N? 10716 Contractor's
License No.
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description _
Address of
Building
.11
4
!(
,- ; � .
n .
Lot I I
II Bl
CONTRACTOR or BUILDER
t ` ,3 ./7
Subdi-
vision
Sq. Ft.
Value of
Project $
7
4
ri f '
II Amount of
11 Permit $
•ems ,r, '1
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees?
a� �J e u o
Signed. „r, Ch. -- . -- ,' , ' NSPECTOR) BY
In consideration of the issuance to me of this permit I agree to p` rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, st tements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by; eiiher, Thyself, my agent, servant or employee.
4r . • ;r
BY AUTHORITY
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 91191.9 6 Job A d d r e s s /..f &I t & 9 2." 6 J-1--ree f " Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant P/, b 14 S /1.1? Master Permit #
Owner's Address 7.( NI .6 . 9 Q ' d 6-1- tree t Phone 7 -6 - 0 9 60
Contracting Co. lid ✓ I-. /1 c e (J9
Qualifier niitel A- iI Jnas
'/D 4-/18
Address (D15 / N !A/ • 111 S . /1 rd
6.11 33/6 8
ss# Phone 7.i 7 - SI b,J�
I SO Ins. Co.
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION (AI/ a1 el Ls r . I- ;, G l S'
Square Ft. 104- - L • r -
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 wort: 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
lam regul: ting cons ru and : 'ng earn, I o . a the above -named contractor to do the work stated.
„06
4114116
APPROVED:
Zoning
Mechanical
and/or Condo President Date
91191%
wnerandior Condo President Date
ExP YCIEL BRODER
My Comm Exp. 2/21/00
ponded By Service Ins
No. CC534717
J) hn.nill, KMwn I J Ohs 1. D.
FEES: PERMIT 1 10 _ RADON
C.C.F.
oww„ p
Estimated Cost (value) 9 ( —
ture of Contra r or Owner -Bui
NOTARY
Plumbing
ntray
1015Potitin Exp. 2/21100
Bono By Service-Ins
No. CC534717
paeond Known 11
& R
Electrical
TOTAL DUE
?— -
Date
Date
6
Engineering
r1'hi^ property described as: Lot 21 and the East 1/2
of lint 20, Block 2, AN AMENDED PLAT OF MIAMI SHORES
SECTION ND. 1, according to the Plat thereof, as
recorded in Plat Book 10, Page 70 of the Public.Record
of Dade CDunty, Florida.
FLOOD ZONE: X
9 \k
.I 0
d� r$ '
Not valid unless embossed
with Surveyor's Seal.
Meets min. tech.
standards set
forth by the Bd.
of Land
Surveyors'
pursuant to
Sec. 472.027,
- Fla. Statutes.
�,4fP PN/''K6.tir (/3 1 .461 , 4V)
( 75 ' �o (( I
o. /0
fs
' Aspu4cr f
appe
sh
- lo t
tJ
Lor Zl
g onthe
hereto.
YJO
\ ,t
4 70
VI
nt'
/- 571)rc y
,QES /c.(5ti/CE
5.9o
•
.. 1 3.so'
. ���
Q
/5.75
'r, Lo '
2 7100'
,75, Oo 'CH);
1
GC-
0 .ti
PROPERTY OF: Blankenship, 75 N.E. 92nd Street, Miami
A BOUNDARY
SURVEY
I hereby certify that the survey repre-
sented hereon meets the minimum
Iochnical standards set forth by the
Board of, I and Surveyors pursuant to
Section 47 r ,•fla. Statutfrs. rhere are
noencro ments,bvP .fis.easemenis
other than as
Fla. Reg. L. d Surveyor No.
'
L � ,
6 -13 -9i "Recertified"
revised.
g (J od Zone added
(Sir
1 ,7 '7
DATE
SCALE
Shores, Florida.
z
XiE. ) J ' L
i
•)GQ.L.E. I oo '
z 0 4j
NOTE: Underground encroach-
ments, if any, not located.
` L E..EOV
N
ss vi
(� L . N f J ' 00IJ t?- )0 riFe
( 4 ) f -U -- 1 s - k.
G I-4 , - 1--f E.1- . J(=t v
- oto yoLE,
. = GE►JrE F Lf►JE
GOIUG = Gouge,
(a)--- pie. r OF U- /
CerL fled 1'o: Gu1LsLr'ealrt Title
Company and R.L. Schmidt
Mortiyaye, Inc., its successors
n and /or assigns.
LANNES and GARCIA, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
Office address: 4000 S.W. 84th Avenue, Miami, Florida 33155
Mailing• address: P.O. Box 561131, Miami, Florida 33156
359 Alcazdr rIvenue, Coral Gables/
Phone: (305) 666 -7 33j.34
DRAWN BY
L, G�
and CertiLied To and Name
r
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a
vi
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w
DRWG. NO
_107 -6016
i`1i -6000
1
i
Street and N ember w re work is to be done
State work tc. be done and purpose of building (by floors) --
MIAMI 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 Villa, ;e, 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.
Date---------- y �y ,19
Name
Owner's Nae and Address - i'S No. /� Street_ 27
C / 2
_ -- �! 1 - -
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and Ie al description of lot to be built on: pp �
Lot.-/- Lot.A I ct sgO Block p5. Subdivision. -.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constn cted of Kind of foundation Roof Covering
Estimated Toi:al cost of improvements $- 6. C)
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 pennit 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, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contra on or sub - contract. 's employed by him
in the work to be performed under this permit; and will post or cause to be posted for in pectio on he site of the w.rk such public notice
or notices as rce required by the Act. The undersigned agrees to employ only such sus .• :ct. s, o. work to • performed under this
permit, as are licensed by Miami Shores Village.
Remarks_ -. _ . (Signed)
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 :;tated are true.
Permit No c=.7 f Date r 2 ---.--- Read, Sworn to and Subscribed before me.
Disapproved � , r Date
(Signed) Z ,, 1
ct
PLAN .i NG BOARD DATE
Chairman _ Member
Member Member
Member ._ Member
Council Appros ed
o/
to me well known,
Notary Public, State of Florida
Building Inspector My Commission Expires
Date Disapproved Date
NOTE: A ,;harge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Bor.rd.
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.
A/, -•_. 9, -tr-i--