FENCE4 1 , 0 5 c ) rS .✓ '�
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 10/499 Job Address /035 W E ` i L 5r Tax Folio
�/ /f'I i A l i 5 /f-O2,E.s 3 GC .3
Legal Description t OT 1 W ! 2 5 ,el, ga. Historically Designated: Yes No
Owner/Lessee / Tenant C IfiZ l5 Tt 4 „1 c CCJ Master Permit # �� 0
Owner's Address 1 35 IV -6 4.G0 57
Contracting Co. 5 IA
Address 355 C.J oR r $ j /7 4 ,0
Qualifier P /a.uedo Lopez Phone 3 Faa 4 ,PO c ?O A/
State # Municipal # ( g 65 00A47Competenc # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Scpoe Ft. 111
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 -named contr or to do the work st
/99
ature of owner and/or Condo President ate
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical
Pe rce Or Pc-oe. o o
1 ' 1 1 1 WOOb EDe-E- urn f717
RADON
C.C.F. NOTARY BOND
Estimated Cost (value)
P h o n e . 3 " . ) 0 . 5 - 7 , 5 4 ) -5 73
/1500
Signature of Contractor or Owner - Builder
Notary as to
My Commi
ontractor or Owner - Builder
ion Expires:
Electrical
,,;,Fi %V :ii91." EVELYN L. PASCAL
`' = MY COMMISSION # CC 889101
. :tl EXPIRES: January 2, 2002
' $ ,' Bonded Thru Notary Public llndenwrilets
60
TOTAL DUE
/°/5/9"
Date
/ ° /%y
Date
Plumbing Engineering
10/01/99 FRI„ 12:14 FAX 305 536 7465
SSA3 N.W 7TH STREET, SURE 202
MIAMI. FLORIDA 33126
TELEPHONE: 0305) 270.3171
FAX. (305) ' +'+ -7022
DRAWN 0Y.
SURVEY OF LPl_/ / :'' T e/ 4T /6—
suBomsloN, RZILL -1 ffoRE sec pow iv.2
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK NO 0
RECORDS OF COUNTY. �RI(aA� 7/Z` ATE'
PROPERTY ADDRESS: .. 5-72.– . • -- '
Christian R. Bartholomew & Ana B. ?Brhhalomew
Z/7:
Scale 1 ' a
FOR
. AFC.
ACT AIR COIIOI710NER PAO.
ANCH0H EASEMENT.
NYI - ALLU.N4U1.1 ROOF.
• ALUra :NUtl SHED.
L ^I•. .• ASPHAEI
D C. • 010014. CORNER.
eLOi: - DU:LCINC.
Ex%• AEF:CII MAPK
O.i . EASS2 OF DEARINOS
C. C= LC.uL6TCD.
0.0. CATCH RAGIN.
0.5,7: • CONCRETE BLOCK
STRUCTURE
0(4 - CONCRETE BLOCK WALT
CI I - CHORD DISTANCE.
CH. E 044030 BEARING.
01. • CLEAN
C I. f . CHANT LINK PENCE.
0 M.2. • CANAL MAINTENANCE
8 (41.1ENT.
CONE CONCRETE.
▪ 1:0:40. PORCH
I.1/ . COr.CFP1E SUS.
'•. r • Or+4e:AGF EASEMENT
. O1AI'14 P 0AINTENANCE
• C FA; CME4T.
Dgiv •C.RIVE AY
7 r . !LEE I RIC TPAN(FOHr.1ER
• CLE
414CM - 001 R7A0444EN1
H • :IRE MYI1R.ANT.
IRON PIPE
(4.4 R . PT IRON ROD.
P P 4 - 7141 P100P
ELEVATION.
Pion Ouruelort
J� LAND SURVEYORS
AODHEWA /ION AMD .E.thEt0
L.N.O. - POUND NAIL A DISK. P.R.C. - POINT OF REVERSE
FR, - FRAA15 CURVE.
FT. A FEET. PROP. CDR. - PROPERTY
CORNER.
P.8.. PLAT ROOK
PG. = PAGE.
Ayr' PARKWAY.
PRM - PERMANENT REFERENCE
MONUMENT.
P.L.S. PROFESSIONAL LANG
SURVEYOR.
R. a RECORDED DISTANCE.
RH. a RAILROAD.
RES. RE 10(4405
P/LV, c RK{HT•OF -WAY.
RAD. a RAONS OR RADIAL
R.P. a RADIUS POINT.
RGE. a RANGE
SEC. - SECTION.
STY. - STORY.
5wK. a 5(OEWALK
51.P. - SET IRON PIPE
L.B. •004:
S. - SOUTH.
S.N.O. = SET NAIL 5 D15K LB.'00
SP. - SCREENED PORCH.
- SECONDS.
7 - TANGENT
TWP. - TOWNSHIP.
U.C. 4(714110 EASEMENT.
UTIL • 11T1UT'.
U.P. - UTILITY POS.
W.M. .. WATE3 45TER
w.f. a WOOD FENCE.
e CENTRAL ANGLE.
LY - WEST.
• CENTER LINE
4 A ANGLE.
PNIP. • FCDeRAL NATIONAL
IN4044806 PROGRAM.
P .N • FOUND NAIL.
N - NIGH (11EIGH1).
IN. A CG... INGRESS AND ECReSS
EASEMENT.
L.P. a LIGHT FOLE.
L F 6 - LOWEST FL00P
ELEVATION.
LATE. • LAKE MAINTENANCE
EASEMENT.
• e MINUTES.
M. a MEASURED DISTANCE.
MON. • MONUMENT.
2(11. • 41ANNOLE.
MONUMENT UNE.
N A.P._ NOT A PART OF.
N'G50 = NATIONAL GEODETIC
VERTICAL 00.TU..
N - YTORTH
N.T.S. a NOT TO SCALE
- NO.+ NU0SF3.
G'S. UFF3FT
OH. a OV'OHMIUD.
Ov44.. OVERHANG.
0 R.6 •OFFICIAL RECORD ROOK.
NJMT. - PAVEFrEN1
PL - PLANTER
F:L = PROPER7Y UNE.
P C.0 - POINT OP 001aPOUNO.
CURVE.
P.0 - POINT OF CURVE.
PT. _ Po/4T OF TANGENCY
FOE. a PONT of COMMENCEMENT
POS. a POINT OP 620 44INO.
LOCATION SKETCH
LEGAL NOTES TO ACCOMPANY SKETCH OP SURVEY IUURVEY):
CAALCN4710N OP THE ABSTRACT OP TITLE WILL HAVE TO EC MADE TO 064444/4 44 RECORDED
INS 1H.:'.1C11TC,.IF ANY. AFFECT NU IHh PI4VI'CHI T. I HQ) Ruhr ET l av0*CVI .v •w -V.
P.IITATInN:< RESTRICTIONS. RESERVATIONS OR CASEMENTS OF RECORD 6GAL DESCRIPTIONS
PROV:083 AT CLIENT OR ATTESTING TITLE COMPANY
5KETGH DE SV"VPY MEANS A DRAWING AND'OR A GRAPHIC R?PPESF OP 7■5 SURVEY WORK
Pe RFr1.R7.ICR 1:4 'NE FIELD. COULD BE DRAWN AT* SHOWN SCALE 4N0/OR NOT TO SCALE.
N-F. LIAD.LITY OF THE SURVEY IS LIMITED TO THE, COST OP THE SURVEY.
H6 TEHM';NCROACKMENT MEANS VI518LE two ABOVE GROUND ENCROACHMENTS.
ARC IS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AN0 T HEY WILL
D_ RE5P0r:z10LE OF SURMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR 114£1R
A ^PTINAL. 00:1 AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION. UNLESS OTHERWISE
N0: EU, THIS PIaM HAS NOT ATTEMPTED TO LOCATE FOOT(NG5 *00/03 FOUNDATIONS.
FENCE OWP•'SRSINP NOT DETERMINED.
T1 /0 r ;1" F1 CCD MOPS HAVE OCSIGN4TE0 THE HEREPJ DESCRIBED LAND TO 0E
SITUATED :N BONE _ x � CO /-IMUNI . 1 2 .. PANEL, 0093 - SUFFIX �
JJ / OASE FL000 ELEVATION —, N /A
DATE Cd DRL) .---- . -- ...—
cEF1;.IF0 TO Christian R. Bartholomew & Ana B. Rarthalomew
At'tlu— neys''- Title- iltsur'ance FUr InC.
. . . Legal- Title-Services -.. ...__. _. _. --....
• _. . Standard..Federal Bank, its successors dior- assigns
US SEC & EXCH COMM -SERO
ant
AT PAGE NO OF THE PUBUC
7
33/ C
A^
IY -37 1
7m
0.00 X
W.0
SIVRY.EXORS 2 NOTE 1), IF SNOwN, BEARINGS ARE
REFERRED TO AN ASSUMED MERIDIAN. GT SAID PLAT
w THE OESCRIPTON OF THE PROPERTY. ■ NOT,
THEN BEARINGS ARE REFERRED TO COUNTY
TOWNSHIP MAPS.
7) IF SHOWN. ELEvAT10NS ARE REFERRED TO
8.4./ ELEV
OF N.G.V.O. OF 19'49.
3). THIS 'SKETCH OF SURVEY' REPRESENTS A LAND
546467, ALSO REFERRED AS A BOUNDARY SURVEY.
3A.) THIS IS A SPECIFIC PuRPOSe SURVEY,
Jy1E CLOSVR6 THE SOUNOARY SURVCY 15
ENE 1:7500 FT.
4 44 7 (4 (4 1 (4 7 1 7 ) 4 4 7 30 ( 5 THIS 'SKETCH OF SURVEY'
OF THE PROPERTY OE5CR1860 HEREON, AS
RECENTLY SURVEYED AND DRAWN UNDER MY
SUPERVISION. COMPLIES WITH THE MINIMUM
TCCHNTCAL STANDARDS AS SET FORTH BY
THE FLORIDAOOARO OF PROFESSIONAL LAND
SURVEYORS IN CHAPTCR 610174 FLORIDA
ADMINISTRATNE CODE PU38L14 4T
TO *711.027, PLORID4 STATUTES.
r4 IBARRA MATE OF FIELD Z�97
PItO $gK)HAL LAND SURVEYOR NO. 5Z04-
STATE OF FLORIDA. (VALID COPIES OP 1(15 SU'V0Y WILL
SURVEYOR).
REVISE0
REVISED ON
ND /Of
SURVEY NO
LFGFND TYP5C .
WOOD FENCE.
CHAIN LINK FENCE.
C.B.S. WALL (C.B.W.)
EXISTING ELEVATIONS.
2002
PAOPOSED ELEVATIONS.
n
t•T
a1
\ //
4� J
91
,
11.t.
I z±1
4C
,
dl
10/01/99 FRI„ 12:14 FAX 305 536 7465
SSA3 N.W 7TH STREET, SURE 202
MIAMI. FLORIDA 33126
TELEPHONE: 0305) 270.3171
FAX. (305) ' +'+ -7022
DRAWN 0Y.
SURVEY OF LPl_/ / :'' T e/ 4T /6—
suBomsloN, RZILL -1 ffoRE sec pow iv.2
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK NO 0
RECORDS OF COUNTY. �RI(aA� 7/Z` ATE'
PROPERTY ADDRESS: .. 5-72.– . • -- '
Christian R. Bartholomew & Ana B. ?Brhhalomew
Z/7:
Scale 1 ' a
FOR
. AFC.
ACT AIR COIIOI710NER PAO.
ANCH0H EASEMENT.
NYI - ALLU.N4U1.1 ROOF.
• ALUra :NUtl SHED.
L ^I•. .• ASPHAEI
D C. • 010014. CORNER.
eLOi: - DU:LCINC.
Ex%• AEF:CII MAPK
O.i . EASS2 OF DEARINOS
C. C= LC.uL6TCD.
0.0. CATCH RAGIN.
0.5,7: • CONCRETE BLOCK
STRUCTURE
0(4 - CONCRETE BLOCK WALT
CI I - CHORD DISTANCE.
CH. E 044030 BEARING.
01. • CLEAN
C I. f . CHANT LINK PENCE.
0 M.2. • CANAL MAINTENANCE
8 (41.1ENT.
CONE CONCRETE.
▪ 1:0:40. PORCH
I.1/ . COr.CFP1E SUS.
'•. r • Or+4e:AGF EASEMENT
. O1AI'14 P 0AINTENANCE
• C FA; CME4T.
Dgiv •C.RIVE AY
7 r . !LEE I RIC TPAN(FOHr.1ER
• CLE
414CM - 001 R7A0444EN1
H • :IRE MYI1R.ANT.
IRON PIPE
(4.4 R . PT IRON ROD.
P P 4 - 7141 P100P
ELEVATION.
Pion Ouruelort
J� LAND SURVEYORS
AODHEWA /ION AMD .E.thEt0
L.N.O. - POUND NAIL A DISK. P.R.C. - POINT OF REVERSE
FR, - FRAA15 CURVE.
FT. A FEET. PROP. CDR. - PROPERTY
CORNER.
P.8.. PLAT ROOK
PG. = PAGE.
Ayr' PARKWAY.
PRM - PERMANENT REFERENCE
MONUMENT.
P.L.S. PROFESSIONAL LANG
SURVEYOR.
R. a RECORDED DISTANCE.
RH. a RAILROAD.
RES. RE 10(4405
P/LV, c RK{HT•OF -WAY.
RAD. a RAONS OR RADIAL
R.P. a RADIUS POINT.
RGE. a RANGE
SEC. - SECTION.
STY. - STORY.
5wK. a 5(OEWALK
51.P. - SET IRON PIPE
L.B. •004:
S. - SOUTH.
S.N.O. = SET NAIL 5 D15K LB.'00
SP. - SCREENED PORCH.
- SECONDS.
7 - TANGENT
TWP. - TOWNSHIP.
U.C. 4(714110 EASEMENT.
UTIL • 11T1UT'.
U.P. - UTILITY POS.
W.M. .. WATE3 45TER
w.f. a WOOD FENCE.
e CENTRAL ANGLE.
LY - WEST.
• CENTER LINE
4 A ANGLE.
PNIP. • FCDeRAL NATIONAL
IN4044806 PROGRAM.
P .N • FOUND NAIL.
N - NIGH (11EIGH1).
IN. A CG... INGRESS AND ECReSS
EASEMENT.
L.P. a LIGHT FOLE.
L F 6 - LOWEST FL00P
ELEVATION.
LATE. • LAKE MAINTENANCE
EASEMENT.
• e MINUTES.
M. a MEASURED DISTANCE.
MON. • MONUMENT.
2(11. • 41ANNOLE.
MONUMENT UNE.
N A.P._ NOT A PART OF.
N'G50 = NATIONAL GEODETIC
VERTICAL 00.TU..
N - YTORTH
N.T.S. a NOT TO SCALE
- NO.+ NU0SF3.
G'S. UFF3FT
OH. a OV'OHMIUD.
Ov44.. OVERHANG.
0 R.6 •OFFICIAL RECORD ROOK.
NJMT. - PAVEFrEN1
PL - PLANTER
F:L = PROPER7Y UNE.
P C.0 - POINT OP 001aPOUNO.
CURVE.
P.0 - POINT OF CURVE.
PT. _ Po/4T OF TANGENCY
FOE. a PONT of COMMENCEMENT
POS. a POINT OP 620 44INO.
LOCATION SKETCH
LEGAL NOTES TO ACCOMPANY SKETCH OP SURVEY IUURVEY):
CAALCN4710N OP THE ABSTRACT OP TITLE WILL HAVE TO EC MADE TO 064444/4 44 RECORDED
INS 1H.:'.1C11TC,.IF ANY. AFFECT NU IHh PI4VI'CHI T. I HQ) Ruhr ET l av0*CVI .v •w -V.
P.IITATInN:< RESTRICTIONS. RESERVATIONS OR CASEMENTS OF RECORD 6GAL DESCRIPTIONS
PROV:083 AT CLIENT OR ATTESTING TITLE COMPANY
5KETGH DE SV"VPY MEANS A DRAWING AND'OR A GRAPHIC R?PPESF OP 7■5 SURVEY WORK
Pe RFr1.R7.ICR 1:4 'NE FIELD. COULD BE DRAWN AT* SHOWN SCALE 4N0/OR NOT TO SCALE.
N-F. LIAD.LITY OF THE SURVEY IS LIMITED TO THE, COST OP THE SURVEY.
H6 TEHM';NCROACKMENT MEANS VI518LE two ABOVE GROUND ENCROACHMENTS.
ARC IS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AN0 T HEY WILL
D_ RE5P0r:z10LE OF SURMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR 114£1R
A ^PTINAL. 00:1 AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION. UNLESS OTHERWISE
N0: EU, THIS PIaM HAS NOT ATTEMPTED TO LOCATE FOOT(NG5 *00/03 FOUNDATIONS.
FENCE OWP•'SRSINP NOT DETERMINED.
T1 /0 r ;1" F1 CCD MOPS HAVE OCSIGN4TE0 THE HEREPJ DESCRIBED LAND TO 0E
SITUATED :N BONE _ x � CO /-IMUNI . 1 2 .. PANEL, 0093 - SUFFIX �
JJ / OASE FL000 ELEVATION —, N /A
DATE Cd DRL) .---- . -- ...—
cEF1;.IF0 TO Christian R. Bartholomew & Ana B. Rarthalomew
At'tlu— neys''- Title- iltsur'ance FUr InC.
. . . Legal- Title-Services -.. ...__. _. _. --....
• _. . Standard..Federal Bank, its successors dior- assigns
US SEC & EXCH COMM -SERO
ant
AT PAGE NO OF THE PUBUC
7
33/ C
A^
IY -37 1
7m
0.00 X
W.0
SIVRY.EXORS 2 NOTE 1), IF SNOwN, BEARINGS ARE
REFERRED TO AN ASSUMED MERIDIAN. GT SAID PLAT
w THE OESCRIPTON OF THE PROPERTY. ■ NOT,
THEN BEARINGS ARE REFERRED TO COUNTY
TOWNSHIP MAPS.
7) IF SHOWN. ELEvAT10NS ARE REFERRED TO
8.4./ ELEV
OF N.G.V.O. OF 19'49.
3). THIS 'SKETCH OF SURVEY' REPRESENTS A LAND
546467, ALSO REFERRED AS A BOUNDARY SURVEY.
3A.) THIS IS A SPECIFIC PuRPOSe SURVEY,
Jy1E CLOSVR6 THE SOUNOARY SURVCY 15
ENE 1:7500 FT.
4 44 7 (4 (4 1 (4 7 1 7 ) 4 4 7 30 ( 5 THIS 'SKETCH OF SURVEY'
OF THE PROPERTY OE5CR1860 HEREON, AS
RECENTLY SURVEYED AND DRAWN UNDER MY
SUPERVISION. COMPLIES WITH THE MINIMUM
TCCHNTCAL STANDARDS AS SET FORTH BY
THE FLORIDAOOARO OF PROFESSIONAL LAND
SURVEYORS IN CHAPTCR 610174 FLORIDA
ADMINISTRATNE CODE PU38L14 4T
TO *711.027, PLORID4 STATUTES.
r4 IBARRA MATE OF FIELD Z�97
PItO $gK)HAL LAND SURVEYOR NO. 5Z04-
STATE OF FLORIDA. (VALID COPIES OP 1(15 SU'V0Y WILL
SURVEYOR).
REVISE0
REVISED ON
ND /Of
SURVEY NO
LFGFND TYP5C .
WOOD FENCE.
CHAIN LINK FENCE.
C.B.S. WALL (C.B.W.)
EXISTING ELEVATIONS.
2002
PAOPOSED ELEVATIONS.
10/01/99 FRI 12:15 FAX 305 536 7465
NI
•
$912 7TH STMT. WTI 202
MMM . FLORIDA 23121
TELEPHONE 000) f3 .3
FAL ME 550922
US SEC & EXCH COMM -SERO
Nova Purnrqurs Att.
LAND SURVEYORS
9G
' -,anti P /
SKETCH OF SURVEY State 1" _
VONMY 99.-ggr
S+rtEY NO `' OP
®003
WOOD FENCE DESIGN DETAIL • .
N.T.S. 7., AR MAILS AND O NNECTORS
lot SHAII BE GAI.YAHQED
0
1
4
Supplement No. 3
2X4 Ms. 3 P.T. W000 RAILS p(
L WITI. ATTAU{ED TO WOOD POST
WITH WIS. (11101KM.S
VI Ka 2 P.T.WOOD POST •
-4— i t D4A, COItCRE 1 E FOOT I
(25co r 0 �')
FENCE HEIGHT POST
A30YE GRADE SPAiHS
6'47'( x ) 4' arc
S-0' do
4.4r 6'-0• ore
1,c C. of 1s8 .40— 41.0[1
W000 FicriiS. sir MIX. DRESSED
1H1CK}I ATIACH EACH PICI<E1
10 RAII WITH (2)1X6A STARES
1.3/1' LONG.
N
soakin skinuimprta CALL (1V 1SM 1944)
2973.2
Location and legs description of lot to be built on:
' W �Ob
Lot / �S Block
e- Street and Number where work is to be done
New Building
MIAMI SHORES VILLAGE 7s-44_ /(4.J
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 building 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.
D a et
Owner's Name and Address p �'e/1 �-�' ` � ( ' 1r^ ecI 5 No �� �. Street / b
Registered Architect and /or Engineer
Name and address of licensed contractor
..-State work to be done and purpose of building (by oors), state exterior, colors (submit samples)
�F c ep w w0
�� e v c. 1 5
Subdivision Pi/ , P�� // So / 3ZY/ J
l oL (,
d
and for no other purpose.
Remodeling Addition Repairs
No. of Stories
at.1,1"'%. II .1 LC.--
'lb be constructed of Kind of foundation Roof Covering
L.-Estimated Total cost of improvements $ 15 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 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 obligatons as an
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has com • ed w
compliance from all contractors or sub - contractors employed by him in the work to be performed under this
on the site of the work such public notice or notices as are required by the Act. The undersigned agrees
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
on& here
or cause
uc subcontra
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgrnents. personally appeared
er of Labor und-t e Florida Workmen's
• and will require similar
• be posted for inspection
rs, on work to be performed
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.
Permit No. 8 8®
Disapproved
(Signed) 9
Date_G L e Read, Sworn to and Subscribed before me.
Date
Notary Public. State of Florida
Building Inspector My Commission Expires _
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andfor workmanship.
% T
cz,7. \\
,.)
R -..
■N ‘ 'i
C IO •
Ag• g /70 ,
..36
/•
(Year
V
huoi AI/ Azle
SKETCH OF SURVEY SCALE: I".
7.31
THIS IS A BOUNDARY SURVEY
Ce
( N)
oo,/e
tr" 17;7* - 7 , flg - 4 0
Ade /-3
is /" SrAo/1 ver'neril
0
0'
z1/0
• \
1-STY- C.13.5 •
, es i/F?
L a ,ed es/ //oar cr/ev // 33 4 )
`.%
.4' 0
7 / PO ricu./
01
5.3 '/ /
x-
1
49%.C. Lo 05e_ 100
r
r
Lib
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 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 No Street
Registered Architect and /or Engineer
Name and address of licensed contractor .___',,___.;:______;
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 7
b –
State work to be done and purpose of building (by floors)
r " and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation 1 Roof Covering
, 7 A ;i' , i
Estimated Total cost of improvements $ __�_ _;?__ - = -) 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 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 5968, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the rovisions 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 are required by the Act. The undersigned agrees to employ only such s ontractors, on work to be perfo ed under this
Remarks
permit, as are licensed by Miami Shores Village.
Date , 19 w ��
STATE OF FLORIDA, ; p4 : " n✓'y �!�
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 :crown,
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.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
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.