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FENCEDate y J ,/, ! T ' Job ,Address 91,1 is G q-17 V Tax Folio 9 w Lai' 8 ilAtNOE0 F &1' of Legal Description &4cJtd 6,l i P® '7 P c4- Historically Designated: Yes No Owner/Lessee / Tenant -F/ £ / C,t V4 ae to Owners Address 92 J ! 'J 1 9 Contracting Co. Ca- di natI 5,0 Qualifier .F148,11 ."1- &/4i State #ajlezcift Municipal # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING , ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft 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-name • contractor to • e work stated. Signature of owner and/or Condo President Date No as to • wner and/or Condo President My Commission Expires: ; � ui t' Joel Broiler . MY COMMISSION CC886845 EXPIRES , BONDED TROY FAIN IN INC gth Date Address SS# Phone 3 0 ,r s" Competency # Address Address Estimated Cost (value) ( 6.0 4 e o "Contractor or t wner- uilder Date N as to Contractor or Owner - Builder My Commission4xpires: Master Permit # 4 Phone 3, J 7 J'¢ 9 9 Ins. Co. Joel Broile : += MY COMMISSION. CC886845 E%PIRM BONDEpF ryAI 2004 INC Date • r o . LEGEND: A .ARC A.E. - ANCHOR EASEMENT NC .AIR CONDITIONER ASPH. - ASPHALT BLK. -BLOCK B.M. -BENCH MARK BCR - BROWARD COUNTY RECORDS B.S.L. - BUILDING SET BACK LINE Q - CENTER LINE C.B. - CONCRETE BLOCK C.B.S. - CONCRETE BLOCK STRUCTURE C.O.R. - CORNER C.L.F. -CHAIN LINK FENCE CONC. - CONCRETE D.C.R. -DADS COUNTY RECORDS D.E. - DRAINAGE EASEMENT D.I. . DRAINAGE INLET P+crT il Ts 2 © - X ) - - - c � CA_�N I ot( l Lil w / z OP C4-6 r yitarld ti Goy � q5 / 0 D/H EL. EP EW ESMT. F.B. END. F.P.BL TIE. E. INT. I.P. I.R. L. B. L.S. N. M.M. y -Z N /1• D$ .DRILLED HOLE - ELEVATION - EDGE OF PAVEMENT - EDGE OF WATER - EASEMENT - FIELD BOOK -FOUND - FLORIDA POWER 8 LIGHT - INGRESS/EGRESS EASEMENT - INTERSECTION -IRON PIPE -IRON ROD - LICENSED BUSINESS - LICENSED SURVEYOR - MEASURED / . MAN HOLFJ 25 Go � go o A SCALE // 0 I DRAWN On I CHA Br. FB./P0.: I DAT /, A / `REVISIONS: M.E. .MAINTENANCE EASEMENT WD -NAIL 8 DISK N/T -NAIL 8 TAB NO. (or/1I - NUMBER 0/H .OVERHEAD O.M. - OVERHANG O.R.B. - OFFICIAL RECORD BOOK & PAGE P -PLAT PB -PLAT BOOK PER -PALM BEACH COUNTY RECORDS P.C. -POINT OF CURVATURE PCP - PERMANENT CONTROL POINT P.T. -POINT OF TANGENCY IL - PROPERTY LINE P.O.B. =POINT OF BEGINNING NORTH ARROW, ORIENTA'T'ION FIELD DETERMINED ONLY EASEMENTS, RIGHT OF WAYS ETC. READILY KNOWN ARE SHOWN. NO RESEARCH OTHERWISE HAS BEEN MADE. PROPERTY ADDRESS; 925 NE 92nd STREET MIAMI SHORES, FLORIDA r P.O.C. -POINT OF COMMENCEMENT P.P. -POWER POLE P.R.M. - PERMANENT REFERENCE MON PVMT. - PAVEMENT R - RADIAL R.P. -RADIUS POINT RAN - RIGHT•OF•WAY S.S.T. - SOUTHERN BELL TELEPHONE SET LA -SET I/7 IRON ROD. CAP /18877 SET N/D =SET N/D LB/1 8877 S/W =SIDE WALK TB -TOP OF BANK U.E. =UTILITY EASEMENT W.C. - WITNESS CORNER W.F. -WOOD FENCE WI.F. -WIRE FENCE • - CENTRAL ANGLE BEARINGS USED IN THIS SURVEY ARE BASED ON ELEVATIONS ARE RELATIVE TO N.G.V.D. OF 1929, �l - �► Ar\c}L1..NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER MARK D. STURCIS, P.S.M. ` REGISTERED LAND SURVEYOR AND MAPPER No. 4829 STATE OF FLORIDA ALL COUNTY SURVEYORS PROFESSIONAL SURVEYORS AND MAPPERS License Number 6677 PHONE: (954) 777 -4747 FAX: (954) 777 -2707 5950 W. OAKLAND PK. BLVD. • SUITE 108 • LAUDERHILL, FL 33313 BOUNDARY SURVEY FOR ELISE MASCIOVECCHIO PROPERTY ADDRESS: 925 NE 92nd STREET MIAMI SHORES, FLORIDA LEGAL DESCRIPTION LOT 9 AND THE WEST 1/2 OF LOT 8 OF "AMENDED PLAT OF GOLDEN GATE PARK" ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 7, PAGE 54 AS RECORDED IN THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA CERTIFICATIONS. ELISE MASCIOVECCHIO FLOOD ZONE INFO: COMMUNITY # 120652 PANEL & SUFFIX 0093 J FLOOD ZONE X BASE FLOOD N/A LOWEST FIN.FL. HOUSE 16.10 GARAGE DATE OF FIRM: 7/17/95 PREPARED BY: ALL COUNTY SURVEYORS 5950 W. OAKLAND PARK BLVD #108 LAUDERHILL, FL 33313 1(800)860L9119 MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. Date..._... m Owner's Name and Address / f .4.6111......F fiF .... No../J! " $2( streed2r 1 Location and legal description of lot to be built on: BUILDING INSPECTION DEPARTMENT Registered Architect and /or Engineer 111 2. Name and address of licensed contractor.... m -rf '72 0 i✓G/ 10' W / - irC Lot. .Z.. 4r. . 'wile Lo %d' Block Subdivision .... - ®Clir 2i1d ___....._. :L/'E ,Y Street and Number where work is to be done ;2.lZ: State work to be done and purpose of building (by floors) 2..J. f d C 7 f E.et f 9vil 'roe P. /i:7.G 1..'.4( t . f E^ir.� 4t/7 .Z J A. 9. c. ' G 7ef 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 Amount of Permit S. 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.. , 4- ey.0 X tl 76 2 7j s 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 Vorkmen'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 arc required by the Act. The undersigned agrees to employ only such subt�ntractors, on wpik to J performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J 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 s t e roue. Permit No.___.__ _ Date.._ d _ 2 Read, Sworn to and Subscribed before me. Disapproved ( Signed) 1.._ - =.... ..`. Building In pector to me well known, Notary Public, State of Florida My Commission Expires PLANNI 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 inspectitm or faulty materials and /or workmanship. / ?f CA 1 70' iv/7/(4x 6 V/ 7 Yr ' 4 7 E f 7 yfi(4t /i'-t • / M P'c 7? r "(e. 51 /} 1/? pqo -e i c-,' F' "1r 7 /(2 EC iNp *4/4 re 7 >'6