BUILDING (4)PERMIT NO.
ADDRESS:
MIAMI SHORES
BUILDING 1 ZONING
VILLAGE
DEPARTMENT'
BY
DATE
SECTION
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliancy; with att Federal. State.
County.V'ulage rotes tad (Notations. Wage essuates
noor m
responsibility tor accurecy of/or resutts fro
2. This copy of plans most be available on
building site or no Inspection will be conducted.
JOB ADDRESS CJ '3 J
APPLICANT 04 -- 1 . c -cA I'e Q A
CRITIQUE SHEET
PHONE ft
APPUCATION Wood Lcp (€ . c (c
SHEET OF
MtSOELLANEOUS
DATE
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ZUJ11INy
COMMENTS
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INITIALS
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NOT VALID UNLESS EMBOSSED WITH
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REVISED:
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BOUNDARY SURVEY
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LEGEND : FIP= Found Iron Pipe
S.P.0 =SET 1/2" PIN & CAP LEt4789 F N/D =Found Nail b Disc
S.PCP= SET PERMANENT CONTROL POINT L84
q N
MR= MANHOLE. WM WATER O
METER. PP= POWER POLE
F.C.= FENCE CORNER, R= RECORD, M= MEASURED
CHAIN UNK OR WIRE FENCE= •
WOOD FENCE= ♦ • -
MASONRY WALL=
• CONCRETE= s DRFI�AGE • F x S f t = H & D .. —
t
NOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES APPLY.
1) and measured calls are in substantial agreement. 2) Bearings, if shown are based on Plat data. 3) The lands
shown hereon were not abstracted for Easements or other recorded emcumbrances not shown on the plat and the same, if
any may not be shown on this sketch. 4) Underground portions of Footings, Foundations or other improvements were not
located. 5) Elevations are based on Nationa_1 Geodetic Datum. 8) Fence Ties are to the Centerline of tine ce. 7) Wail
Ties to the face of the Walt. 8 EFARIAId WEN ARE RBFERED TO AN Assr3 D VALUE SAID PB ?AG fen
Elevations based on
CBM #
Elev. NGVDatLm.
Locator Index #
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I HEREBY CERTIFY That the survey represented
hereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant .lo Section 472.027 Florida
Statutes.
There are no encroachments. overlaps. easements
appearing on the plat or visible easements other
than as shown hereon
MARK M. KRAJMZK
Registered' Land Surveyor No. 3371
State of Florida
L U l: ti 1 s -•
SCALE: N T S
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15
14
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FLOOD ZONE:
DATE:
1- 97
A
a
0
Certified to: Sheryl Cucciella, 948 N.E. 92nd
St. Miami Shores, Florida 33138., Christopher P
Kelley, P.A., Attorneys' Title Insurance Fund,.
Inc., GreenPoint Mortgage Corporation, its
successors and/or. assigns as their interests
may appear.
LEGAL DESCAI1=TI31 : (Furnishe bj■ Ci ent)
LEGAL DESCRIPTION: LOT 12 and the West of Lot 13
OF AMENDED PLAT OF GOLDEN GATE PARK
BLOCK
SUBD IV ISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 7__ AT PAGE 54
OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA.
BLANCO, DANIAL
Land Surveyors
4100 Aurora St.
Coral Gables Fl. 33146
Suit B
(305) -1200
DWN. BY:
�• 81A1't CO
& ASSOC. INC.
• Planners
(Mailing Address)
555 N. Shore Dr.
Mia. Beach F1. 33141
Fax (305 865 -7810
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GENERAL CONDITIONS:
The.Contractor shall verify g all cpnditions_and dimensions at._
the job site.prior to commencing the work. Submittal of Bid
for consideration will constitute Contractor's acceptance of
the drawings and confirmation of Contractor's inspection of
the site for construction of the Work.
2) All dimensions shown are nominal. Do not scale the drawings.
,3) These documents, as instruments of service,. are the property
of the Architect and may not be used or reproduced in any -
manner without the expressed written consent the Archites ,.
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SHEET NO.
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Located at:
OWNER BUILDER DISCLOSURE STATEMENT
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
Geeing the legal property owner, for the property
Legally described as ,
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),ed I have read and understand the following disclosure
Statement, which entitles me to 3rork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two - family residence or a farm out - building. You may also build or improve a
commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not licensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this v3 day of , 20
B who is personally known to me or who has
Produced • as ident Lion and who did take an oath.
DISCLOSURE STATEMENT
Not
oP,,„ Mabel `� - :.rgas
6-: Commission #DD23198
°= Expires: Tt 3, 2007
;' , °„ o Atlantic Bonding Co., Inc.
X
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned
attached survey, performed by
performed on
�1 • Miami ShoNe3 (J
(n e of surveyor's company)
Witness(sign and print) Witness(sign and print)
Affiant is personally known to me, produced
oes hereby attest that the
is an accurate representation of the existing conditions and
e y f survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
SWORN TO AND SUBSCRIBED before me this a�day of0 OCC
as identification.
a 'Vargas
' 'los' Atlantic Bonding Co., Inc.