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1259 NE 97 St (10)Legal Description tar /7 0y � / 6Ar PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4 0/ 9 Job Address 425-9 ' 776 rr Lessee / Tenant ye 26 ' 6;1) Owner's Address /- 26-9 'V 97 s ue7 Contracting Co. Ate/ ° Qualifier 6 v /'/' 2 SS# - Phone 5S 7 -/523 ege 7 State # Municipal # Competency # Ins .Co . Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBINGCCHANICAL OOFING PAVING FENCE SIGN WORK DESCRIPTION �� e d( r 4t1/1" �vG, -roue 3 /a Taxi ,u� / 6 // /D. O &o ..46d . Square Ft. Estimated Cost(value) .A2a 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 om•liance with a applicable laws regulating construction and zoning. Furthermore, I auth• ze the above -n ` co• ra o do the work stated. S Date APPROVED: owner and /or Condo i esident A Notary as to •- er.and /or Condo President My Commission'Expires: 6=6-9s FEES: PERMIT 100 RADON Zonin Mechanical Tax Folio it PDS 09 0 - e 4.1 577os 4i3 ,96"22 Master Permit # 3r57c Phone 75 'r° f 3 Address & 19'' t✓ 66 /.o. L ga0/2 der ignature of Contra Date: ilder Notary as to -infractor or Owner - Builder My Commission Expires: 5 -4- g$ * * * * * * * * * * ** C.C.P. NOTARY TOTAL DUE )V5 Fire Other Building Electrical q iumbing Engineering TELE 305- 821 -1281 305 - 821 -1220 4.3Bcw I L-'T su cZvEY Fo g 1- loGE►. k C— LEGAL DESCRIPTION: JQ - 1S 5 _ 1S 4 1S - -- 1S 3 to iq - ►S 1VI ANUCY f INC. LANO SURVEYORS 4694 PALM AVENUE HIALEAH. FLORIDA 33012 Lot 17, and the East one -half (1/2) of Lot 16, Block 3, of "EARLETON SHORES ", according to the plat thereof, as recorded in Plat Book 43, at Page 80, of the Public Records of Dade County, Florida. a /k /a 1259 N.E. 97th. St. Miami Shores, F1. NOTES: - Lands shown hereon were not abstracted for easements and /or rights of way of record, except as shown on recorded plat. - There are no encroachments onto the property, except as shown hereon, if any. - No attempt was made by this firm to locate underground footings of adjacent buildings or fences, except as shown hereon, if any. - Elevations shown based on N.G.V.D. (MSL). - Flood Information: - Flood Zone: "AE" - Map revised: 11/4/87 (125098- 0093 -F) - Base flood elevation: 8.00' � .E.• 8 E.. Gl"1 _LA...._" - - U7 In 4 Z l 0 11 FLORIDA (CHAPTER_ 21HM-6 FLORIDA ADMINISTRATIVE CODE) FOR THE TYPE OF SURVEY SHOWN HEREON AND IS TRUE AND CORRECT T HE BEST OFF KNOWLEDGE AND BELIEF. COPIES e g 'VEY R jl/ VALID UN( ESS E MBOSSED WITH T _ 1 / O HE NED. ' J.H Manucy. Processional Land Surveyor 01128 Robert Bloomster. Jr.. Professional Land Survey 4134 • State of Florida This survey is certified to: Hogen L. Grable & Jane H. Grable, his wife; ACTION TITLE COMPANY; COMMONWEALTH LAND TITLE INSURANCE COMPANY; and CHICAGO TITLE INSURANCE COMPANY. Date ? -/ 9'6 a oko F p MfillifellY LAOS Whin= wow SCALE 1" _ �71� Ti Lit T �1 A N / REV.: REV.: REV. ELEVATIONS: - Lowest living floor: 8.50' - Garage floor: 6.43' - Highest ground next to bldg:6.61 - ± wesb- -grear --next to bldg.. 5.3' t \2 u4 " . e II 7 ,a / e. a3 / / 1 - '( C.�.S. /f�.ES. -SC) q n 0 0 LAND SURVEYORS 4694 PALM AVENUE mmsA*.,uon/o^ 33012 rELs30o-82weu/ 305*21'1220 p"uL ‘-40G/v.- k ]&JJE LEGAL DESCRIPTION: '— � -- -—' 'uORmx/cH^PTEn n**-6 FLORIDA ADMINISTRATIVE uoos FOR THE TYPE OF SURVEY SHOWN HEREON ANO IS TRUE ANO CORRECT T.O--THE BEST OF KNOWLEDGE AND BELIEF. COPIES QC ��vs,,x3/ ��v^uo uw ssoE^aoosso WITH �* Manucy, Professional Land Surveyor "`/:o / Robert Bloomster. Jr Profess,onal Land s.""pfs.- D w State of Florida Lot 17. and the East one-half (1/2) of Lot 18. Block 3, of "EARLETON SxOnES^, according to the plat thereof, as recorded in Plat Book 43, at Page OO, of the Public Records of Dade County, Florida. a/k/a 1259 N.E. 97th. St. Miami Shores, Fl. NOTES: - Lands shown hereon were not abstracted for easements and/or rights of way of recnrd, except as shown on recorded plat. - There are no encroachments onto the prnpurtv, except as shown *erpon, if any. - No attempt was made by this firm to locate underground footings of adjacent buildings or fnnces, except as shown hereon, if any. - Elevations shown based on N.G.V.D. (MSL). - Flood Information: - Flood Zone: "AE" - Map revised: 11/4/87 (125098-0083-F) - Base flood elevation: 8.00' This survey is certified to: Hogen L. Grable & Jane H. Groule, his wife; ACTION TITLE COMPANY; COMMONWEALTH LAND TITLE INSURANCE COMPANY; and CHICAGO TITLE INSURANCE COMPANY. Date _ w - -� 4~~ (2" 14901 LAall Surd YORE 1156 is x/ • J, � O. Al". �� � . ', � �� c� --.'1A (.7 ! � n* '.`~~ . =°s-_; II REV.: REV.: ELEVATIONS: - Lowest living floor: 8.50' - Garage floor: 6.43' - Highest ground next to uldg:6.6 ' - -- . � 1.1. Q. ��, ' 7 = 1 Fe, F"p� 0 Owner's Name and Address.. Registered Architect and /or Engineer.. Name and address of licensed contractor MIAMI S H ES VILLAGE BUILDING INSPE ION DEPARTMENT A-PLICATION 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, whethe ,'•rein specified or not. A copy of approved plans and specifications must be kept at building during progress of the wor Location and legal description of lot to be built on: Lot Block 00 Sub Street and Number where work is to be done __.._l-_�- State work to be done and purpose of building (by floors) Notary Public, State of Florida ,19 and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of. Kind off found Roof Cog ring Estimated Total cost of improvements $_.2 eel Amount of Permit $ .t /- e 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 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 inspectio 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 .cto , Q_.. . to ormed under this permit, as are licensed by Miami Shores Village. ` , Remarks (Signed) _ 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 stated teed are true. Permit No L_1 ___? Date 9 (' 7 — d Read, Sworn to and Subscribed before me. Disapproved (Signed) B ilding 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. MDAMO SHORES 8A9..AGE BUILDING INSPECTION DEPARTMENT APPLOCATD ®N Fs) F ; :LIILD NG 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 Villar shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during pregress of the work. ((3� r Date.. .,f L__ _.__._ ,19'. � 3 Owner's Name and Address G //'z4d 197 .�.bx E� . . Rio./2.�..,7.... street ...el '2 ... ... Registered Architect and /or Engineer _ Name and address of licensed contractor.. - e- L / y A f J r`e' ' ! ' _ m l . $ 3 ® PI I, . Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Zeg .. 5".f_..J E x..l...._ .=......e - - _ / � State work to be done 9nd purpos of uilding (by floors) if .W. ? G"� ' .._._ �f'—"' �'��`'° ' 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 $.) ! ? /mount 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 5066, 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on k o be performed under this pennit, as are licensed by Miami Shores Village. r - - - Remarks (Signed) 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 Disapproved .- Date- ._. (Signed) Bui ding Inspector Notary Public, State of Florida My Commission Expires 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.._._.� Date t I 3 �Read, Sworn to and Subscribed before me. PL NING 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 frcnn 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 et ,faulty materials and /or workmanship.