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260 NE 95 St (10)Date S 30/ Job Address ;,46) /7� (7S ST Tax Folio Legal Description Historically Designated: Yes No // Owner/Lessee / Tenant RialS% Master Permit # 7 f Owner's Address /6/C /174,9 i AA O 'c , fri ' Phone 9S 5‘3- /5 0 3 Contracting Co. aa//✓P Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company ' Address Mortgagor " R Q CANS /. /1436 C // 6 C N/9/Vee c /� ') s Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROO G PAVING FENCE SIG ( EIN WORK DESCRIPTION ' Mix2 - ovPs l' Sio e f ,c o & 72 Square Ft. Estimated Cost (value / So o 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 AFF VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating � .f ` s ction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT ( f)• RADON APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Building ,;2,-,1.15 �- r Date Notary as to Contractor or Owner - Builder Date — 3 0- My Commission Expires: C.C.F. NOTARY S�Dt' $/hor 01a0 Signature of Contractor or Owner - Builder Date Electrical BOND TOTAL DUE 1- Plumbing Engineering 4. : a� • • \ � ; y ∎ 1 ‘NS. `• • • • Z ■ • a n . 1 • Toad Past t 2"n'4 7cad t z Toad Picks ;.a A moo ■111 . f • . Tocd ?c4 is 4 P-Off E` Or bh 0+ . 2915 ?ences • • Lets = t 0 Less 5'-1" O.C. . • -.1 2915.1 Ylocd Fences, as 'located on a prcpe_ tT 1� /,` thZ t bT zoning regulation:: they c: nno t the used . .:Jr. is Tan c.' e. building, shyl be constructed . Q to meet the fallowing m m specifications. (a) Pamoes not exceeding j''. *eet In height - shrii.; be constructed 1:41 meet the tc1? o,rin minimum requirements: f cm nomanaI 4 inch by 4 inch by 8 ffet 0 inch long ?cats 3p aced 4 feet 4 i:caea on cen tee, h~ ring a fiber s trezo of 12e0�,s. iu bending, and sha.11 be embedded 2. • • feet 0 inches in, a er.conc.-e to tcotil-6 1 ••eat 0 • ;chas in diameter.mnd 3-'tee: 0 inches deep. • . Otte: camponeats -ehs? ? li zme.i to comply with the pror_siers of this .Chap ter and Chapter 23. . (h) :encec ::c: eicee -/i::6 5 feat .;;d 4 '. -_. ,.ec T e = r _%•: 17 cc:...:_ er.ozp: .t z• �� •�. .�..��.. rs o. 10-•.x... .'' J ;7e -; : -�:�:5 o :tc ^ r.: �� - ee t 0 S.:cilez c:, cen ..trA he & hte e= .. FD DRILL HOLE BLOCK COR NER N 245.20' (M) FD NAIL d '0 1 co N • F.I.P 1.2" 3 0' 62.8' o" 6 LOT 20 80.0 RNW NE 95 ST 30' ASPHALT 5' CONC. WALK 10.0' 25' PARKWAY 125.00' P &M c 15.0' 15.1' 10.0' 0 10' ASPHALT ALLEY 125.00' P &M PORCH 22.0' ONE STORY RESIDENCE #260 i - 5.0' 15.0' 0 WOOD POLE LOT 21 9.4' NC n° 3.0' F.I.P. 1;2" 3 0' t} F.I P. 1'2" 25.0' REMAINDER OF LOT 8 25.0' BOUNDARY SURVEY cza ts� I -J JJ w i J O J PAGE2OF2 G -12246 s e Cor LOCATION MAP not to scale THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESIONAL LAND SURVEYORS IN CHAPTER 81G17 FLORIDA ADMINISTRATN�COQE PURSUANT TO SECTION 472.027, FLORIDA STATUES. SIGNED SAM G. PAULSON REGISTERED LAND SURVEYOR NO. 2083 STATE OF FLORIDA FIRST FINANCIAL SURVEYOR:. INC LBO 8387 LFAFNQ 0 R M C CL ENCR C.M. F.I.R. F.I.P. RiW STREET WOOD FENCE WIRE FENCE NAIL PROPERTY CORNER RECORD FIELD MEASURED CALCULATED CLEAR ENCROACHMENT CENTERLINE CONCRETE PROPERTY LINE CONCRETE MONUMENT FOUND IRON ROD FOUND•IRON PIPE RIGHT OF WAY D.E. U.E. FD. P O.M.L. P.P. TX CATV W. M. TEL. B.R. CH RAD N.R. 1) BEARINGS SHOWN ARE EITHER ASSUMED, PER PLAT, OR PER RECORDED INSTRUMENT. 2) LEGAL DESCRIPTION PROVIDED BY OTHERS. 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON PLAT. 4) UNDERGROUND PORTIONS OF FOOTING, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 5) ELEVATIONS ARE BASED ON NATIONAL GEODETIC DATUM. 6) FENCE OWNERSHIP NOT DETERMINED. 7) WALL TIES ARE TO FACE OF THE WALL. 8) NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 9) ONLY VISIBLE ENCROACHMENTS LOCATED. 10) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. First Financial Surveyors, Inc. AND AFFILIATED COMPANIES I a *..o •31C 1161 • DRAINAGE EASEMENT UTILITY EASEMENT FOUND PLAT ASPHALT OVERHEAD UTILITY LINE POWER POLE TRANSFORMER CABLE RISER WATER METER TELEPHONE FACILITIES COVERED AREA BEARING REFERENCE CHORD RADIAL NON RADIAL 7700 North Kendall Drive Suite 409 Miami, Florida 331 (305327I.3n55 Fax (305) :71.84uu 2201 Loc"•n W., Suitt- 4t:: M.uilanJ • :7 14071 y7i•14:i Fa. 14e: •' . ' N.n i••nW..1, 1.80t' : :: ' 1-.i. , nit' .. PI r 1`IO I ?IQ ID 1 11 A eo 014 70o - fl ccv I* I A�J - 0J 000 35r7 l: te ._zA l :ffwKr • s - pwIL • 1.141*. --� I . 0o o � 7.I 90 ' I @ov 10,8o M J�. 21.14 34,0 � I helm -n., Loo i o. J' 1rr 1oho :% kc s -� N • N. . 25.0 ›c ; 3 IOIo %35 1 01 0 o: I n Z 0 ;L. 5 ' gEtyve ••. • • • ..• .. .. • • • .. • • • • • • • • • • • • • • • ••• • • • • •. • • • • • • • • •• Z 1-- A00 t 'dJ Ncc • p lcc • • ... • • • • • • • • • • • • • • • • • PROPERTY OF: • • • • •• • • • • •.••.. hr lZ rjo 112 ry •�c:&s Zoning A-_ q1• proved .•• • • • • • • • • • • • . • • • • • • • • • • • • .•• NIr %Attu nit noel tilt SICNA rums: AND nu: uRlt:LNA I. *..USED SC.h I. of 11.URIDA 1J1 Silt% El oil arse IA /TV • • • • • ••• •• a Z li I t p _ • I Co • tr o,. A BOUNDARY SL•RVEY I nereo. certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Lane Surveyors in chapter 610•: -6 Honda .Admmntnnye Code pursuant to Section a. _O7i. Fla. Statutes. There are no encroarnments. overlaps. easements appean on the Flat other than as 010 ..1r 1 $ereto. This property described as: The West 1/2 of Lot 8, and all of Lots 9 and 10, Block 28• AN AMENDED. •PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. � K 71 G 4- -- r -Irs Kp Rasmussen, John P., 260 N.E. 95th Street, Miami Shores, Florida 3313 I. :AVV1N. `+I)(::1M 1:\.ISc. tli - E1010- :MAPPERS- 1.:*,N) F ERNESTO E. ESPINOSA #2946 Wive addrr,s: 35'► l l ,hlrs. i'101 3313: 13451 b6tr - 9119 1 9541 523 -8663 u - tl .. Q 5L u` N 11 0�1 411'411 ) _ 20 ZF, _ Z1 _ 2Z PI r 1`IO I ?IQ ID 1 11 A eo 014 70o - fl ccv I* I A�J - 0J 000 35r7 l: te ._zA l :ffwKr • s - pwIL • 1.141*. --� I . 0o o � 7.I 90 ' I @ov 10,8o M J�. 21.14 34,0 � I helm -n., Loo i o. J' 1rr 1oho :% kc s -� N • N. . 25.0 ›c ; 3 IOIo %35 1 01 0 o: I n Z 0 ;L. 5 ' gEtyve ••. • • • ..• .. .. • • • .. • • • • • • • • • • • • • • • ••• • • • • •. • • • • • • • • •• Z 1-- A00 t 'dJ Ncc • p lcc • • ... • • • • • • • • • • • • • • • • • PROPERTY OF: • • • • •• • • • • •.••.. hr lZ rjo 112 ry •�c:&s Zoning A-_ q1• proved .•• • • • • • • • • • • • . • • • • • • • • • • • • .•• NIr %Attu nit noel tilt SICNA rums: AND nu: uRlt:LNA I. *..USED SC.h I. of 11.URIDA 1J1 Silt% El oil arse IA /TV • • • • • ••• •• a Z li I t p _ • I Co • tr o,. A BOUNDARY SL•RVEY I nereo. certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Lane Surveyors in chapter 610•: -6 Honda .Admmntnnye Code pursuant to Section a. _O7i. Fla. Statutes. There are no encroarnments. overlaps. easements appean on the Flat other than as 010 ..1r 1 $ereto. This property described as: The West 1/2 of Lot 8, and all of Lots 9 and 10, Block 28• AN AMENDED. •PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. � K 71 G 4- -- r -Irs Kp Rasmussen, John P., 260 N.E. 95th Street, Miami Shores, Florida 3313 I. :AVV1N. `+I)(::1M 1:\.ISc. tli - E1010- :MAPPERS- 1.:*,N) F ERNESTO E. ESPINOSA #2946 Wive addrr,s: 35'► l l ,hlrs. i'101 3313: 13451 b6tr - 9119 1 9541 523 -8663 Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/6/2002 Page 1 of 1 Applicant: JOHN Owner: RASMUSSEN l Contractor Address: Local Phone: Cellular: Parcel # 1132060133720 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 W1/2 LOT 8 & ALL LOTS 9 & 10 BLK 28 LOT Job Address: 260 NE 95 ST Fees: Description Amount FEE2002 -708 Building Permit Application Fe$60.00 FEE2002 -709 CCF $0.60 FEE2002 -710 Notary Fee $5.00 Total Fees: $65.60 - Permit Status: Signed: Permit Expiration: 8/5/2002 Building Permit Permit Number: BP2002 -241 RASMUSSEN JOHN Construction Value: Work: EXTEND PERIMETER WOOD FENCE (OWNER BUILDER PERMIT) $640.00 Total Fees: $65.60 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 application 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 responsibility for work done by his agents, servants or employees. (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 responisibility for all work done by either myself, my agent, servants or employes. Signed: ' (Contractor or Builder) BY: 5'-O" MAX Owner's Side 2'-0" : .. : • : E'IUCES • • • • • • . • • • • • • • • •• • • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • ••. • • • • • • • ••• 41" X•.4 Wood post •• • • • • ••• •• • •• ••••• • • • • • Wood Posts • • 2''I X 4"•W ' ra ll••• •• • 4' -0" High or Less = 6' -0" O.C. 5' -0" High or Less = 5' -0" O.C. 1" X6" crI" X8" Wo,d PIcket5 Concrete 2915 Fences 2915.1 Wood fences, so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minimum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts speced 5 fee' -0 inches on centers, leaving a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete rooting 1 fcot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with .the provisions of this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 feet -0 inches on centers for these heights. • .. • • • . . . . . •• • • . • . • . • • . • • . ••• . • • . • • • •• • • • . •••. • • .. • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • •• ••• •• • • • •• • • • • • • • . • •• ••• • • • • • •• a ?--). /43 v S -(`- O �� ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water CEcset Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps • MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Weil lice Miner lump, Sump Utility - Water I1isinwas::ter :ncEirect Wastes Relay Repair Vacuum Pump Disposal :tnterceptcr 1[8coTlf4t Water CEcset IID^ntteslic Well Laundry Tray Septic Connection Water Heater Iran l e -t ., 4" '117.:e//ll es. Lavatory Septic 'lank Water Heater New Drains, Area Meter Se (Gas) Sewer Connection Water Re -pipe Drains, IF:oor IVIininmr.: ?ec Shower Water Service Drains, 'French Misce._aneou.s'Equipmruent Sink We^_l, Supply Page 2 o •rota STATE OF FLORI Signature of 0 SEAL: TY OF MIAMI -DADE Si ature • ame o d subscribed before me this day of e rr ), OF_IP: NOV. 1 ii,',49,9:L I Personally kno Oit, Produced Identification Type of Identification Produced:VT V Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Personally known OR, Produced Identification Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: PROPERTY OWNER ,�'1).. 49.s_y) (...Sce,„L) Name /Ul�i q ; S r Enclosure Address 6/k/ t it shy ,c.... Home Telephone 0... 751' 24)73 Alteration Interior Business Telephone Demolish Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CHECKLIST LI OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (¢.01 /sq.ft.) $ (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On Fil PERMIT FEES TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 1 w ti I NSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Folio Number Lot PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 26v. ,V6 q.�_sr /3 - Address Apt. 1131 0 CO D 1 33 9c 0 Description of Work Block PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit NooP ' a ©D o 2 ' eakii City PERMIT APPLICATION State Zip 6 o7 „11 G.)ov O Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work Ca YO -°-? Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name TYPICAL WOOD FENCE PANEL ATTACHED TO FRONT OF GATE. / s•I 15) 00" SLIDE GATE. METAL FRAME WITH WOOD FRRANT FRAME 2 "X 2 "X 1/8" WOOD 6" X 1/2" TYPICAL 18.00" , E '0 0' CO m m m r7 N 0 1- 7 U W 0 W F W E W d T CONCRETE BAND FOR GATE TRACK 144 _Oft ' ON RAISED PAD 5 REBAR 3 oco los.: C_] ) 1 6 UWUU GATE SUPPORT POST ( • • END VIEW OF GATE L w TIP I CAL P A K 111111 MINIM EMMEN MIME W OW MUM MUM MUM MTh 111111 IM AM MUM M UM 111111 SU M U MW M 4303 9) 32900" 0: 0\ FRO OF GAM 2 "X 2 "X 1/8" FRAME 6 " WOOD ON FRAME. if t OCR \T TYPICAL GATE SUPPORT POST. 3 "X 1/4" SO STEEL St) 1 ) -%I.ID N it hail l 1 I1E SIr:;U rurum,: 4 U TIIE tiRu;i . i. R. ISED NEA1. OF FLORIDA 1.1r'Y.`/S►:D SUM E1 1)N anu .lwrnt A BOUNDARY SURVEY 1 nereov certify that the survey repre- sented hereon meets the minimum technical standards set fortn by the &bard of Land Surveyors in chapter 6101' -6 Florida .Admmistnnve Code pursuant to Section a. =0r. Fla. Statutes. There are no encroacrlments. overlaps, easements appear on the Plat, / other than as sho ,(hereto. _ 17Am�N I-i GJe J3f�I4 • 1-4 ZI If .Ir, I SDO I %3 � PROPERTY OF: Rasmussen, John This property described as: The West 1/2 of Lot 8, and all of Lots 9 and 10, Block 28• AN AMENDED-PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. 260 N.E. 95th Street, Miami Shores, F 9 11 SO Florida 33138 I... N F :N AND ( ;. iu'IA. INC. x2119`( tiltill ORS -:lI.. I'I'Ellti -I.a 1) 1'1.A.N\r:its ERNESTO E. ESPINOSA #2946 l)tficr address: 359 alcnaar.1venur. ( Gables. Florida 33134 131)5) 606- -9 1951) - 3663 1 1107'71 APPROVED BY DATE _°MI J/G STRUCTURAL 70 Z3 /op ELECTRICAL PLUMBING MECHANICAL ROOFING BLDG. OFFICIAL SUBJECT TO COMPLIANCE WITH ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBIL U1ES FOR ACCURACY OF OR RESULTS FROM THESE PLANS. CAM. ?i':A GE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY AM' .SHORES VILLAGE IS RZQWRED. THE ARCHITECT, BU LO R : S`. P ;,, qk CT{ RS ARE CHARGED WITH THE KNOWLEDGE OF A.!.; '°!. ";liG ' := :. °:;rTIONS WHETHER OR NOT SPECIFICALLY INDICATED t:: -.::. . MIAMI SHORES V!LILAGE $ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n f e � ) Permit No. 6P. oO Ara 4 Name Address a 0 N& O5 6 Company a Phone# 365 • ")`� / `cJ3 For Inspector: Correction Re- Insp'n Fee & Date