71 NE 97 St (8)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 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 A AGGIE A xToM ID CUQ LLAS
Registered Architect and/or Engineer �+ n
(240 1.1 L FE. NcE , . LL ! A/ IN / / /'TV Y. ! 4,
757- 4/8/ 23
Name and address of licensed contractor
Location and legal description of lot to be built on: /7 ,f„20 / 3 / eil A`''
Lot 2o ( c/ Block 7 Subdivision M /A � Silos SEC77o No
Street and Number where work is to be done 7/ A/ £ 9 7 T61 .S]'
State work to be done and purpose of building (by floors), state exterior colors (submit / samples)
lAs ALL. 1 £l IN FT. 4 7 6 L v 1 I-/4 i £ mfg. eve e
(see Su2ve.Y See eL)
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S 7 5^ • 6o Amount of Permit. S 7 F/ t "®
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot /0) K
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 he 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 undersigne gre . to employ only such subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Permit No. 3 00
Date
Disapproved tZteAki
(Signed)
Building Inspector
PLANNING BOARD
Chairman
Member
Member
Council Approved
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.
Read. Sworn to and Subscribed before me.
Date MA/ I4 19 q'
No. 7! NE. Street / 7 rag 57
-fr.., a.
Notary Public, State of Florida
My Commission Expires
DATE
and for no other purpose.
Member
Member
Member
Date Disapproved Date
NOTE: A charge of 525.00 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.
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LEGAL DESCRIPTION
LOT do s t L -)-( 2 i '"LOCK 7
OF MIAMI SHOrz.ES' E-c,Ti N r� 1 SUBDIVISION
ACCORDING TO THE PLA T THEREOF AS RECORDED Il PLAT BOOK 10
AT PAGE 70 OF THE PUBLIC RECORDS OF DL 06. COUNTY,FLORIDA
L OCA TION SKETCH
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FOR ® rc?blto.. _ tt GUSt C IFY re _ MA Ag• T°re..1
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r 71 Kl E. c - rh ST v. CU ,L..rLA d, AA& &tom
- - -- - ._ l .t A Mt S t--1 O l.. t;S FL,.. c... U F31 L 1-A S .
WE HEREBY CERTIFY : THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS T7TUE AND CORRECT
TO THE BEST OF KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED UNDER OLR DIRECTION. ALSO 7 d4T THERE ARE NO ABOVE
GROUND ENCROACHMENTS UNLESS SHOWN. AND MEETS THE MINIMUM TECHMCAL STANDARDS SET FORTH BY 711E FLORIDA BOARD OF
LANG SURVEYORS. PURSUANT TO SECTJON 472027 FLA. STATUTES AAA) CHAPTER 2IH-H6 OF FLORIDA ADANN/STRA77VE CODE.
EXAMINATION OF T7E ABSTRACT CF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRvMNTS, IF ANY, AFFECTING
711E PROPERTY. LOCATION AND IDENT7FXCAT70N OF UTTUT7ES ON.AND/ OR ADJACENT TO THE PROPERTY WERE NOT StCVRED
AS SUCH /NFORMAT70N WAS NOT REQUESTED_ OWNERSHIP IS SUBJECT TO OPINION OF 777LE_ /-*
N OAH r
LANO SURVEYORS
DATE - g;'— Q `
JOB N . G G 0 _ �J I a
■
GRANDAL GROUP INC
ENGINNEERS- LAND SURVEYORS
4055 S.W. 89 th AVENUE
MIAMI , FLORIDA , 33165.
PHONE( 305 559 - 388 S
NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S £ 4L
REVISED 1
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ORLANDO GRANDAL
PROFESSIONAL LAM S
CERTTFICATF No 429
QTATE CF FLORIDA
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