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590 NE 96 St (9)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. Owner's Name and Address L F' AN Q S //'496Ei A' I L Registered Architect andlor Engineer (SEL ' ) Name and address of licensed contractor Location and legal description of lot to be / bu / ilt on: / / 3 02 e6 74(0&,6 6 3 Lot / 4-- `/ 2 Block 5 Street and Number where work is to be done "ate work to be done n ur ose of building (by floo ), sta xterior colors (submit samples) [ (U•itriat ( ".-IVA /..- ( New Building Remodeling Addition Repairs No. of Stories ' /A" L /6/ X (. To be constructed of "" L Kind of foundation /6 CO �� Roof Covering Estimated Total cost of improvements S 0 v 2 Amount of Permit s 3n_ e)Z) 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 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 inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to Rmploy only such sub Qntractgfs. 9n work to be performed 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 appeared 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. `r 91 4 7 1 Date 4 v / Read. Sworn to and Subscribed before me. Disapproved t ( Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Subdivision 111/4/1i l S U/, S 1° 7 /1 Date 6/ 19 F? No. � Street /lVL 76 ST C S R1c. 'FfNc'G Notary Public, State of Florida (Signed) and for no other purpose. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved pate 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and:or workmanship. • Y,111°,4!/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / Job Address j92 A/g r6 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ( .L avi.) Ro� Owner's Address ..3" /LJ 767 q Contracting Co.uDij Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN WORK DESCRIPTIONS 132Gle- ) /eft( Square Ft. Notary as to Owner and/or Condo President Date My Commission Expires: RADON Address Die - Z - 1& / X Estimated Cost (value) Master Permit # y9,05 Ph no a 0�) 75 ?_0 4126 Electrical Jod WARNING TO OWNER: YOU 1 '1 CORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF 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 contractor to do the or . stated. /d 1 I Signature of owner and/or Condo President Date Si,' : ture of Contractor or Owner - Builder l ate, Z DL ; . 4 q �_5' y ,y�a� it bz o otary . to Con ctor .r • er- Builder Da e My Commission Expires: OF- "spit - 6,. PUe L1 i.: 3= H:(EF2 Z. )., 0 � : o:a Pa:r�11a - gp s`a, a C %786€ ■ C.C.F. ' / 0 NOTARY BOND /9 ,...,i,t3FiL ENCE SIGN APPROVED: Zoning Building Mechanical ( j Plumb Structural Engineer a PERMIT NO. ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE • • PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. SubJed to cocepllance with eft Federal, State. Coc nty,Yctlage M os end regulations. Village MAIMS no responsibility for accuracy oflor resuits (coo these Flans. 2. This copy. of plans mat be available oe building cite or no Inspection Ydil be condacted JOB ADDRESS 9O Neogsv- APPLICANT PHONE ff APPUCATION # SHEET OF • MISCEU.ANEOUS GATE eLr 4 Iva --& VVv CRITIQUE SHEET COMMENTS INITIALS i®+ , � feX/d -I (do .3.5.' TRIANGLE OF VISIBILITY: All driveway /roadway entrances and exits shall be constructed so that vehicles may enter and exit without posing danger to occupants, pedestrians, or other vehicles. Structures and landscaping shall not obscure vision above 2.5' within the triangle commencing at the point of intersection . of the driveway and sidewalk/right -of -way for a distance of 10' along the Iriveway and 10' along the right -of way. May 2000 RESIDENTIAL FENCE/ WALL TANDARD S - TNTE RIOR LOT REAR AND SIDE YARD : 5' HEIGHT LIMIT Swale — Sidewalk FRONT AND SIDE YARD : 3.5' HEIGHT LIMIT SUOOI All walls and fences in the front yard require approval by the Planning and Zoning Board. PROPERTY LINES I REO. 1 ! ICTR��' ABBREVIATIONS A/C A or L C B. P D or D. E. EL. OR ELEV. EXIST. FD F.F. OR. P P P8. P P.O.B. P.O.C. PROP. R U.E NI DENOTES AIR CONDITIONER DENOTES ARC LENGTH DENOTES CALCULATED DENOTES CENTERLINE DENOTES DEED BOOK AND PAGE DENOTES DELTA OR CENTRAL ANGLE DENOTES DRAINAGE EASEMENT DENOTES ELEVATION DENOTES EXISTING DENOTES FIELD MEASURED DENOTES FOUND DENOTES FINISHED FLOOR DENOTES OFFICIAL RECORD BOOK & PAGE DENOTES PLAT DENOTES PLAT BOOK & PAGE DENOTES POINT OF BEGINNING DENOTES POINT OF COMMENCEMENT DENOTES PROPOSED DENOTES RADIUS DENOTES UTILITY EASEMENT SIGNED' LEGEND DENOTES 44- DENOTES A DENOTES • DENOTES • DENOTES • DEN DENOTES /42.50 YD 0. M:I.EAI PROFESSIONAL LAND SU FLORIDA CERTIFICATE NO. LOS 2883 EXISTING CONCRETE FENCE FOUND NAIL SET NAIL FOUND REBAR OR PIPE SET p4 REBAR & CAP. LB 6135 ELEVATION (P /f) /4Z. 50 ' (pi A9 Ns" C ry Avs - it/UE r SURVFYOR'S CERTIFICATE (NOT VAUD UNLESS EMBOSSED WITH THE SIGNING SURVEYOR'S SEAL) I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYS AS SET FORTH THE FLORIDA BOARD OF LAND SURVEYORS IN CHAPTER 61017 -6 OF THE FLORIDA ADMINSTRATIVE.006E RSUANT TO SECTION 472.027. FLORIDA STATUTES. A'oe/A/6 ',eon/ ,4 Z' /L /141/6. NOTES 1. PLAT BEARING BASE. THE UNE MARKED A AS REFERENCE UNE 2. LEGAL DESCRIPTION PROVIDED BY CLIENT. 3. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4. UNDERGROUND PORITONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE 1107 LOCATED. 5. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM 1929 (NGVD 1929). 6. FENCE TIES ARE TO THE CENTERUNE OF NE FENCE. 7. WALL TIES ARE TO THE FACE OF NE WALL 8. N SOME INSTANCES. GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE RELATIONSHIPS BETWEEN PHYSICAL IMPROVEMENTS AND /OR LOT LINES. IN ALL CAS DIMENSIONS SHOWN SHALL CONTROL THE LOCATION OF NE IMPROVEMENTS OVER SCALED POSITIONS. LOTS 1 AND 2, BLOCK 54, MIAMI SHORES SECTION 2, ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. N FLOOD ZONE: "X" 120652 0093 J U \ DATE FIELD WK: 07/17/95 INVOICE NO: 14163 LEGAL DESCRIPTION COMPLETION DATE: 07/18/95 CERTIFIED TO: SHARON AND LEON ROT,T.F, ; HOMESTEAD MORTGAGE COMPANY, AND /OR ITS SUCCESSORS AND ASSIGNS; GOLD COAST TITLE COMPANY; COMMONWEALTH LAND TITLE INSURANCE COMPANY PROPERTY ADDRESS 590 N.E. 96TH STREET MIAMI SHORES, FLORIDA 33138 2240 Palm Beach Lakes Blvd., Suite 300 West Palm Beach, FL 33409 PHONE (407) 640 -4800 FACSIMILE (407) 640 -0576 DADE 93 ST SERVING DADE • BROWARD • PALM BEACH MARTIN • ST. LUCIE COUNTIES TARGET SURVEYING, INC. STATEWIDE NUMBERS PHONE (800) 226 -4807 FACSIMILE (800) 741 -0576 STATE OF FLORIDA) COUNTY OF DADE) attached survey, performed by Further, Affiant sayeth naught. Witness(sign and print) SIzorei Vi��ac�e The undersigned Affiant, OW/1V--°A1 ROLLS , does hereby attest that the (property owner) e er Sa_2vtV /•vim -, 1 JC (name of surveyor's company) performed on is an accurate representation of the existing conditions and (date of s vey) 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.. SWORN TO AND SUBSCRIBED before me this / / day of Affiant is personally known to me, t/produced) &DL #Y00•"I9.P idcn P Ry Po t OFFICIAL NOTARY SEAL ANGELA BECKER _ � iJ COUMl SO N RUMBER 2o o/ UP- a CC786697 - cis MY COMMISSION EXPIRES O F f\:O NOV. 15,2002 r • STATE OF FLORIDA ) SS. COUNTY OF MIAMI DADE ) The foregoing instrument was acknowledged before STATE OF FLORIDA ) ) SS. COUNTY OF MIAMI DADE ) (ACKNOWLEDGEMENT-INDIVIDUAL) identification and did (did not) take an oath. Signature of Acknowledger: Name of Acknowledger: , who is personally known to me or who has produced F41)2_, (R yo 0 ^ O `(' -S /- q0 Q-- Qas ident' . n and who 'd (did Signature of Acknowledg - r: L 11 • I take an oath. Name of Acknowledger: (Typed, Printed, or Stamped) of (Typed, Printed, or Stamped) (ACKNOWLEDGEMENT - CORPORATION) by Title or Rank: Serial No.(if any): The foregoing instrument was acknowledged before me on by a corporation, on behalf of the corporation. He/She is is personally known to me or has produced as Title or Rank: Serial No.(if any): BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby umdc for the approval of the detailed statemenr ur t 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. Date....,, A ...�._ _.__ ......_._.._ .. ,181 S Owner's Name and Address ,!.' ... 4�t? .£0211( :.1�(..A�d1.S�No... ..` Street. a ...S. Registered Architect and /or Engineer nl L? Cry e f?V C e x.2,8', � i✓c�/ 0/ 0660 3 Subdivision 1 E.� • � C Z Street and Number where work is to be done . — .9. 1i�� _`lam ZZ1 _(�?/ H_L �ti213�.5 Fi fi — State work to be done and purpose of building (by floors) C Cy /Ile /; .0 re ...... Name and address of licensed contractor...A.... Location and legal description of lot to be built on: Lot .1 — 2.. Block J �' and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Aoo f vering — Estimated Total cost of improvements $....3..2..Q.C2 Permit No..__ Disapproved (Signed) MIAMI SHORES VILLAGE - e'7".5 . / Date.. Amount of Permit $,.. 9G SAT m i I piss 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 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 Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by bins in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor ch ubli , notice or notices as are required by the Act. The undersigned agrees to employ only such subsontractars, on work to rfo e u •er this pennit, as are licensed by Miami Shores Village. Rem:uks (Signed) notices with reference to the building and its construction may Notary Public, State of Florida 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 ---- ._..._...._.._ Read, Sworn to and Subscribed before me. ..... 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.. 1 � n- ���• � !Date Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member — Member.. ... — - ....._..._._ ...._....... Member __ ............._._...._ .__... Council Approved Date Disapproved Date NOTE: A charge of $I.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir.:; Board. A rc- in >pection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. E RePLAC i EX l 5 777 HO dSW © cd/,/e R MA A R Q 7 SO V c L075-i &l rr Q- 1%.1//4141$ //®R /S s 2- C p /VCR D R We s&M i t 7 ' . 7 6 - L- e avles 2500 c oeVcR 'r� " S IDe�'AL/ , t( 76 7