DRIVEWAY PERMITCompany
Phone #
3 405 r�
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date8) l O 1 06
TypeInsp'n 1no I ,Dr1vc_WQ,i
Permit No. P , 1
Name LcuI
Address 970 Ni€ 9'Z SST
wive r p VO
(306)
Inspection Date 6
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Printed: 7/7/2005
Applicant: LOUISE GAINEY
Owner: GAINEY LOUISE
JOB ADDRESS: 970 NE 92 ST
Contractor PAVERPRO
Local Phone: 305 - 220 - 1531
Parcel # 1132060060130
Signed: (INSPECTOR)
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2005 -987
Contractor's Address: 3431 SW 143 PL
Legal Description: 6 53 42 AMD PL GOLDEN GATE PK PB 7 -54 LOTS 16 & 17 LESS S7.24FT LOT SIZE
Page 1 of 1
Fees: Description Amount
FEE2005 -9283 Building Fee $225.00
FEE2005 -9284 CCF $4.80
FEE2005 -9285 Training and Education Fee $1.60
FEE2005 -9286 Technology Fee $5.65
FEE2005 -9287 Scanning Fee $3.00
FEE2005 -9288 Builders Bond $300.00
Total Fees: $540.05
Total Fees: $540.05
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 12/27/2005 Construction Value: $8,000.00
Work: REPLACE EXISTING DRIVEWAY WITH CONCRETE PAVERS
AUG O1PAT
X5537
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
BUILDING Permit No. MS Ggi
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle): ldin Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) • Phone # , + ^,
Owner's Address
City
Tenant/Lessee Name Phone #
}
Code Enforcement $
Minus Plans Check Fee $
State
Miami Shores Village
Building Department
Zip
Job Address (where the work is being done) l J \i\- E 9'2 ..s-r. T
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES N¢-'
Contractor's Company Name :6 1=, t FL, �` Phone # , ' Si.- 1 '>
Contractor's Address ., t ! .;"�. I `r t '?.. ^t ,-
City r. State � . _. Z i p I , .
Qualifier _ '�
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
$ Value of Work For this Permit
„Stare Zip
Square Footage Of Work:' �-
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work: j ,: C� '- ., - ',ri -',,0 ° `) .yr4't- 0.1, : " t lit, ...I i ,I: r..1 ._ -,".= Ft.,' . ct='
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zip
Phone #
County Escrow Fee $ ' - 3 Permit Fee $ 226 Notary $
Education/Training Fee $- 1 o ( r !- Tech $ 5 b5 Scanning $ 3 DO Radon $
Bond $ Struct. $
Total Fee Now Due $
(Continued on opposite side)
Sign:
Print:
•
chc7/7 /03
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law broch a will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commence must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab ence of such posted notice, the
inspection will not be approved a reinspection fee will be charged.
Signature , — \
Owner or Agent
APPLICATION APPROVED BY:
Signature
The foregoing instrument was acknowledged before me this The fore
day of "cv c0¢ , 20 OS, by EA U p.Q \ 000 04 day of
/ ho is personally own to me or who has produced
As id n
NOTARY PUB
as identification and who did take an oath.
NOTARY PUBLI
My Commission Expires: My Commission E 255140
Evire October 31 2007
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************** s*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** «*** p* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
i/Voc
Contractor
dged bef e me this
wn to me or who has produced
Sign:.
Print: I � —t,�,
x p' My Commission D
7/ 5/ j
Plans Examiner
Engineer
Zoning
AD 20
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name and address:
Notary Public
Print Notary's Name
My commission expires:
123.01-52 PAGt4 &V2
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SRE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOUO NO,
STATE OF FLORIDA
COUNTY OF MIAMI - DADS
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property. and in accordance wIthChapter 713. Florida Statutes. the following information
is provided in this Notice of Commencement
e and street/address: Lai 1 ? �' 1 b �� D�� 6A re PA�k
1. Legal description of property
71AT 3 c t `1 ' DA ve c�� D� .
2. Description of Improvement Y EfGrtc,E
�l 33r3f
S Pcoa
1
PAv era
� � � �.v
3. Owner(s) name and address: l�►v�1z �vDS� °�v
b. Surety (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond
6. Lender's name and address:
1 1 111111 111 11111 111 111111 11 111111 1
CFN 200580789206
DR Bk 23619 Ps 3720; (1ps)
RECORDED 07/28/2005 14 :10:23
HARVEY RUVIN► CLERK OF COURT
MIAIII —DADE COUNTY? FLORIDA
LAST PAGE
7. Persons within the state of Florida designated by Owner upon whom notices or othe • - �•
=ins may be served as
provided by Section 713.13(1)(47., Florida Statutes;
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a • • e :rot's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name end address:
9. Expiration date of this Notice of Commencement: (the expiration date is
differs a is)pecifled)
i� of corner f
Print Owner's Name el t Is AP 1 v-1 " aL
Sworn to and subscribed before me 6 da of S u • 20
.�J
QS
the date of recording unless a
Prepared by v 0 \ .
Address: � ti , `�
89 °6'0 '
9.50'
ON PL
90 °511'0°
20.10'
19.45'
LOT - 16
35.05'
c 20.60'
in
40.00'
F.I.P 1/2"
NO CAP
'CARPORT...
LOT - 17
90°54'0
a U
$ F.I.P 1/2" O o
b NO CAP 8 6'0
17.20'
89 °613" ! O . 00 LESS OUT (N.A.P.)
0.30' ENCR
0.60' CL
LOT - 15
F.I.P 1/2"
NO CAP
O
0.35' CL
N
F.I.P 1/2" 50.00'
NO CAP
b LIMIT OF PLAT
° (N.A.P.)
SURVEYOR'S NOTE:
- There may be Easements recorded in the Public Records not shown on this Survey.
- The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes.
F.I.P 1/2°
NO CAP
N
v
O)
0.05' CL
0.10' CL
F.I.P 1/2°
NO CAP
63.00
LOT - 18
F.I.F
NO
P
5582 N.W. 7th STREET SUITE 202
MIAMI, FLORIDA 33126
TELEPHONE: (305) 220-3171
FAX: (305) 264-0229
DRAWN BY: TULY
LOT -15
F.I.P 1/2*
NO CAP
0.30' ENCR
0.60' CL
O
C
O
0.35' CL
F.I.P 1/2"
NO CAP
nun Pururgors ,Jura
criv3 ti rya
50.00'
LIMIT OF PLAT
(N.A.P.)
LAND SURVEYORS
BOUNDARY SURVEY
SCALE =1' : 20'
F.I.P 1/2"
NO CAP
0.00'
LESS OUT (N.A.P.)
SURVEYOR'S NOTE:
- There may be Easements recorded in the Public Records not shown on this Survey.
The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes.
peAw
5 u o rnz
F.I.P 1/2"
NO CAP
0 2
0.05' CL
0.10' CL
F.I.P 1/2"
NO CAP
63.00
LOT -18
SURVEY No. 05 -2270
SHEET No. 2 OF 2
90'511'0 "'
LOT -16
89 °6'0"
90 °54'0 "'
m
LOT -17 0
F.I.P 1/2"
NO CAP
P.0
.00
• •
• • 0
• 0 •
. • • 00
• • •
•0 •
0 .0. • • • •
• • • •
▪ •.0• 00 00
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0000
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5582 N.W. Nh STREET SUITE 202
MIAMI, FLORIDA 33126
TELEPHONE: (305) 220 -3171
FAX : (305) 264 -0229
DRAWN BY:
utta Purtieuvrs
SURVEY No 0002270
LAND SURVEYORS SHEET No. 1 OF 2
Survey of LOT 17 LESS THE SOUTH 7.24 FEET THEREOF AND ALL OF LOT 16 OF AMENDED PLAT OF LOT 16
Subdivision: AMENDED PLAT OF GOLDEN GATE PARK
According to the Plat thereof as recorded in the Plat Book No. 7
at Page No. 54 of the public records of MIAMI -DADE County, Florida.
Property Address: 970 NE 92 ST, MIAMI, FL 33138
For: EDWARD WOODSON
arm
SUBJECT
PROPERTY
AMENDED PLAT OF
ryr r' DA D I%
ABBREVIATION MEANING
+ MINUTES.
(M)+ MEASURED DISTANCE.
M.H. o MANHOLE.
N.A.P. + NOT A PART OF.
NGVD + NATIONAL GEODETIC VERTICAL DATUM.
N.T.S.. NOT TO SCALE.
11-210.+ NWIBER
0/S a OFFSET.
A . ARC.
A.C.= AIR CONDITIONER PAD.
A.8.= ANCHOR EASEMENT.
A.R. a ALUMINDId ROOF.
A.S. = ALUMINUM SHED.
ASPS .+ ASPHALT
B.C. a BLOCK CORNER.
BLDG.= BUILDING.
B.M.= BENCH MARK.
B.C.R. m BROWARD COUNTY RECORDS.
B.O.B.+ BASIS OF BEARINGS.
(C) = CALCULATED.
C.B. = CATCH BASIN.
C.B.S. = CONCRETE BLOCK STRUCTURE.
C.H.N.= CONCRETE BLOCK NALL.
CB = CHORD.
CH. B.= CHORD BEARING.
CL.= CLEAR.
C.L.F.= CHAIN LINK FENCE.
C. M.I = CANAL MAINTENANCE EASSl1E'NTS
CONC.= CONCRETE.
C.P. = CONC. PORCH.
C.S.= CONCRETE SLAB.
D.B.= DRAINAGE EASEMENT.
D. M. 8. = DRAINAGE MAINTENANCE EASEMENTS .
DRIVE m DRIVEWAY.
• = DEGREES.
E .T.P.= ELECTRIC TRANSFORMER PAD.
ELEV.= ELEVATION.
ENCR.a ENCROACHNENT
P.H.= FIRS HYDRANT.
F. I.P.a FOUND IRON PIPE.
F.I.R.= FOUND IRON ROD
F.F.E.= FINISHED FLOOR ELEVATION.
F.N.D.= FOUND NAIL L DISK.
I. FEET.
'NIP .= FEDERAL NATIONAL INSURANCE PROGRAM.
F. N. = fOUMND NAIL
H.= HIGH (HEIGHT)
IN. LEG .+ INGRESS AND EGRESS EASEENT
L.P.= LIGHT POLE.
L.F.E.= LOWEST FLOOR ELEVATION.
L . M. E.a LAKE MAINTENANCE EASEMENT.
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY):
1).THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY.
2). THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING AND SHOULD NOT BE USED
FOR CONSTRUCTION PURPOSES.
3).EXAMINATIONS OF THE ABSTRACT OF TIRE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY,
AFFECTING THE PROPERTY.
4).TH1S SURVEY IS SUBJECT TO DEDICATIONS, IMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD.
5).LEGAL DESCRIPTIONS PROVIDED BY CUENT OR ATTESTING TITLE COMPANY.
6).BOUNDARY SURVEY MEANS A DRAWING AND/ OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE
FIELD, COULD BE DRAWN AT A SHOWN SCALE ARMOR NOT 7O SCALE.
7).EASEMENTS AS SHOWN ARE PER PLAT BOOK UNLESS OTHERWISE SHOWN.
8).THE TERM ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
9). ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS, SETBACKS AND WILL BE RESPONSIBLE OF SUBMITTING
PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUT HOR/TTES IN A NEW
CONSTRUCTIONS.
10).UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR FOUNDATIONS.
11).FENCE OWNERSHIP NOT DETERMINED.
12).71113 PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATE
DOES NOT EXTEND TO ANY UNNAMED PARTY.
13).THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW, THE LOCAL F.E.MA. AGENT
SHOULD BE CONTACTED FOR VERIFICATION. THE FN11 FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO 8E:
O.H.
O.B.L.
O.R.B.
O.V.B.
PVMT
PL.
PAL
P. C.C.
P.C.
PT.
POC
P.0.B.
P.R.C.
FEY
PRE
P. L.3.
P.P.
P.P.3.
(R)
RA.
R83.
R/M
RAD.
RGE.
R.O.E.
SEC.
STY.
SWK.
S.I.P.
3.
TWP
UTIL.
LOCATION SKETCH
NOT TO SCALE
+ OVERHEAD
OVERHEAD UTILITY LINES.
a ORIGINAL RECORDS BOOK.
+ OVERHANG.
+ PAVEMENT.
a PLANTER.
+ PROPERTY LIDS.
+ POINT Ol COMPOUND CURVE.
+ POINT 07 CURVE.
+ POINT 07 TANGENCY.
+ POINT OF COMMENCEMENT.
= POINT OF BEGINNING.
+ POINT O7 REVERSE CURVE.
+ PARKWAY.
+ PERMANENT REFERENCE MDNWIENT.
= PROFESSIONAL LAND SURVEYOR.
+ POWER POLE
+ POOL POMP SLAB
+ RECORD DISTANCE.
+ RAIL ROAD.
+ RESIDENCE.
+ RIGHT -OF -WAY.
+ RADIUS OR RADIAL.
+ RANGE.
+ ROOF OVERHANG EASEMENT.
+ SECTION.
+ STORY.
+ 3IDENALK.
+ SET IRON PIPE L.B. /6011.
+ SOUTH.
+ SECONDS.
+ TANGENT.
+ TOWNSHIP.
a UTILITY.
LEGEND TYPICAL
—0H-
O2
- 0--0-
al -�-tt
• 0.00
BY:
REVISED ON'
REVISED ON:
REVISED ON:
JAORN N.LIY Owe J•
114.. .
.a e.JAne
S
JJS Ay.NL
U.I.a UTILITY EA3EDDNT.
U.P.+ UTILITY POLL.
N.M.+ WATER METE
W.F. + WOOD FENCE.
M .8.+ MOOD SHED.
W.R. + HOOD R007.
1 . NORWICH? LINE.
a CENTER LINE.
a CENTRAL ANGLE.
= ANGLE.
OVERHEAD UTILITY LINES'
CB S = WALL (CBM) .
C.L.I. + CHAIN LINK FENCE.
I.F. = IRON FENCE.
W.F. a WOOD FENCE.
= EXISTING ELEVATIONS.
PROFESSIONAL LAND SURVEYOR NO.:
Situated in Zone: X Community /Panel /Suffix: 120652 - 0093 -J
Date of Firm: 07/17/1995 Base Flood Elevation:
Certified to: EDWARD WOODSON
ASHLEY TITLE COMPANY
FIRST AMERICAN TITLE INSURANCE COMPANY
OPTION ONE MORTGAGE CORP., ITS SUCCESSORS AND/ OR ASSIGNS
Date: 03/02/2005
soy
10%
, , 84e.e. .'
o3 /Qq /ac
b IBARRA (DATE OF FIELD N'DRIQ
STATE OP FLORIDA
(VAUD COPIES OF THIS SURVEY HILL BEAR THE EMBOSSED SEAL OF THE ATTESTING
LAND SURVEYOR).
SURVEYOR' S NOTES:
1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT
IN THE DESCRIPTION OF THE PROPERTY, IF NOT, THEN BEARINGS ARE REFERRED
TO COUNTY, TOWNSHIP MAPS.
2). THIS IS A SPECIFIC PURPOSE SURVEY.
3). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT.
4). IF SHOWN, ELEVATIONS ARE REFERRED TO
BNB ELEV. FEET. OFN.G.V.O. OF 1929.
SURVEYORS CERTIFICATION:
I HEREBY CERTIFY: THAT THIS 'BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED
HEREON, HAS RECENTLY BEEN SURVEYED AND DRAWN UNDER MY SUPERVISION, AND
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 810174, FLORIDA
ADMINISTRATIVE CODE PURSUANT TO 472027, FLORIDA STATUTES.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
Date 19
ELECTRICAL ❑ Q1
PLUMBING ❑ PERMIT N? 8176 Contractor's /
License No. 3 -
ROOFING ❑
? Ott. ❑
Work to be performed under this Permit
Owner of
Building -.4 r.. _ . 4 —
Architect
Contractor
or Builder (. ; :. .. _ r ' -
Legal Lot
Description
Address of
Building
C
/
or BUILDER
BI
J
ti
Subdi-
vision
Sq. Ft.
Value of - • ( Amount of
Project $ I Permit $
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.
Signed g e (INSPECTOR) BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
•
BY AUTHORITY
CappUCATH N 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 a rein 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 � _� _ _ -- - = &- d4'
Registered Architect and /or Engineer. _
Name and address of licensed contractor___1 !' t N5( tNc
Location and legal description of lot to be built on:
Lo, Block Subdivision.
Street and Number whole work is to be done 910 9 wO
State work to be done and purpose of building (by floors)__
Chairman
Member _
Member
Council Approved._
MIA
UIIL
Date__
P
I SHORES VILLAGE
Ibt9G UNSPECTION DEPARTMENT
(Signed)
y 1
Date
ze
No... 9 1° Street NE
o_DS.7 ! SZA� ► ° = L“... D ∎ 04
- - - - - -- and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of fou'dation Roof Covering
ca e)
Estimated Total cost of improvements $ (8 Amount of Permit $ • p�
Zone cubage required plan Cubage
Distance to next nearest 'building -.. Size of Building Lot-_
Maximum live load to be borne by each floor__
: hereby submit all t c plans and specifications for said building. All notices with reference to the building and its construction may
be sent to- -- - --
The undersigned appl'_cant 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 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 i spection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sub •ntr .ctor: on wort to be gterformed under this
permit, as are Iicensed by Miami Shores Village.
Remarks _____
C.
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
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 at // ed are t
P e r m i t No._ —_ __r_. (`' - - - Date. /(-- e"
Disapproved _
( Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
L3u:lding Inspector My Commission Expires
PLA G BOARD DATE
Member
Member
Member
._Date Disapproved Date
NOTE: A charge of $I.CO 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
tl E 2 N' S-ret ET
. •:•
• .
BUILDING
ELECTRICAL
PLUMBING
ROOFING
r
Owner of
Building <i -
Architect
Contractor
or Builder u.
Legal
Description
Address of
Building
Lot
❑° PERMIT ■9 4958
E
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
m
DATE i 19
Contractor s
License No.
BY AUTHORITY
Subdi-
vision
Value of 1 Amount of
t' ' Project $ ... < ' ;! Permit $
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.
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliaul:e with all ordinances dad regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
' li OT �.�
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 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._
Registered Architect and /or Engineer
Name and address of licensed contractor___ _ =_ v...... r_la
Location and legal description of lot to be built on:
Lot Block Subdivision
7Q
Street and Number where work is to be done
Stat work be done and purpose of building (by floors)_
/` e l°.4,, ° ,;.
v /
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR BUILDING PERMIT
ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date f — , 19 04
No. Street
Notary Public, State of Florida
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 $ P
Amount of Permit $
Zone cubage required _Plan Cubage
Size of Building Lot
Distance to next nearest building_
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 permit 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, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance fr. all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be poste. .. inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only suc j bcontractors, on k to .e performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
v -� - ,
Permit No u Date____ ______ Read, Sworn to and Subscribed before me.
Disapproved '■,-'r __ r _',% Da__
',
(Signed) - - - -1 . 4 �rv.
Building Inspector My Commission Expires
/PLANNING 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 inspection or faulty
materials and /or workmanship.
u
14 ' ti -ice
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