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806 NE 97 St (5)Application is hereby made for the approyal 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 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ' `` 9 In) • . Date _ , 19 No Street Registered Architect and /or Engineer Name and address of licensed contractor t ° ` '` ' Location and legal description of lot to be built on: Lot Block Subdivision - Street and Number where work is to be done purpose of building (by floors) - -...� c..�'.K..c State work to be done and ur o 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 $ 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 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 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. j 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 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. 7 Permit No `4 2 7— STATE OF FLORILA, COUNTY OF DADE. IAMI SHORES LLASE A RLEtATION FOR ELE a s. ELECTRICAL INSPECTION DEPARTMENT New Building Remodeling Addition........ (Signed) Noc? --r �U�SD ERM@T 3/Z % Date � Application is hereby made for the approval of the detailed statement of the pir.ns and specifications herewith submitted for the building or other structure herein described. This application is made in complia%c and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances n+ 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 work. Owner's Name and Address ....... -., No Q v /, • Street Repairs 7 Registered Architect and /or Engineer . Employing Electrician's Name Location and Legal Description Lot y Block Subdivision Street and Number where work is to be performed —No 6E -.CJ 7 Street State work to be performed and purpose of building (By Floors) .greet— ... -... G .�.. No. of Stories Overhead p ?uses.. Amps Servi ce Size Feeders Conduit Main Sw.. -0 Am s Main �— g.. ..... .B.X L . . . . .Metal Moulding Type � Installation—Conduit. ...T b , . Amount of Permit $ (Signed). ...... �c+ • E1-ctr :al Inspector. The undersigned %.pplicant .or this building permit doe; hereby certify that he understands and zccepts his ob gations as an employer of labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple.'ent and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 sub - contractors, on work to be performed under this permit, as a e licensed by Miami Shores Village. Master Electrician. 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, a .d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGH' OUTLETS PLUG RECC•P'T'S L '1XTURES NO. LAMPS REFRIG. OUTL.: IRON OUTLET RANCE OUTLET RANGE CONN. WATER HEAT.:R V.'. Hued °. CONN. SPAC HE ER STRIP HEATEC TOTAL CL L157 CHUCK ENT. SW. DIET. CAB. - 1 EF.VICE T. P. SERVIC" PERM. :.70 CO:'.. 0.1 HP • . ;TORS 1.8 HP NE ^N TRANC. RADIO TOTAL CON R. LI°T /�, V� CHECK Permit No `4 2 7— STATE OF FLORILA, COUNTY OF DADE. IAMI SHORES LLASE A RLEtATION FOR ELE a s. ELECTRICAL INSPECTION DEPARTMENT New Building Remodeling Addition........ (Signed) Noc? --r �U�SD ERM@T 3/Z % Date � Application is hereby made for the approval of the detailed statement of the pir.ns and specifications herewith submitted for the building or other structure herein described. This application is made in complia%c and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances n+ 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 work. Owner's Name and Address ....... -., No Q v /, • Street Repairs 7 Registered Architect and /or Engineer . Employing Electrician's Name Location and Legal Description Lot y Block Subdivision Street and Number where work is to be performed —No 6E -.CJ 7 Street State work to be performed and purpose of building (By Floors) .greet— ... -... G .�.. No. of Stories Overhead p ?uses.. Amps Servi ce Size Feeders Conduit Main Sw.. -0 Am s Main �— g.. ..... .B.X L . . . . .Metal Moulding Type � Installation—Conduit. ...T b , . Amount of Permit $ (Signed). ...... �c+ • E1-ctr :al Inspector. The undersigned %.pplicant .or this building permit doe; hereby certify that he understands and zccepts his ob gations as an employer of labor under the :lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple.'ent and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 sub - contractors, on work to be performed under this permit, as a e licensed by Miami Shores Village. Master Electrician. 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, a .d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date Job Address cry,° A /_G • c' t y ax Folio /� S af?# Oi XJ3 -E l` . rf i Legal Description $ e e Z / ° 4 ) t o - 3 7 L� W z ,z c IJ . , 4 y Master Permit # / Lessee / Tenant / / ' / l ell C lL Owner's Address 72 fr'$ A/- • 71 791AP. Phone 2 iV `7 O D Contracting Co. Qualifier State# Competency{ Ins.Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION eZ /90/0,4_ Square Ft. Estimated Cost I ���� 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 contractor to do the work stated. Date: PERMIT FEE: APPROVED: Zoning Mechanical Fire SS# - - Phone Building Plumbing Address Address Address Address Signature of Owner and /or Condo President Signature of Contractor or ner Builder Date: ` - � �Qi1,vl� �i/l��i�� Notary as to Owner and /or Condo President t y as to Contractor or Owner - Builder My Commission Expires: y Commission Expires: / b�._ * . �k �k �c �k �k �t �k �k �k _fit' :+t Electrical Engineering Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or 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. ... 18.2! g Owner's Name and Address .. :c1Ca, 4��..... _ _ No.b.�i.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 20(a_.0 L. State work to be done and purpose of building (by floors) C�...... cR..... car: aiNed, f or no other purpose. er rpose. u New Building Remodeling Addition Repairs $ . No. of Stories To be constructed of Kind of foundation Roof Covering...( :,j-E Z..: Estimated Total cost of improvements $ (..061)* (5t) Amount of Permit $ ' ®i9 Zone cubage required .Plan Cubage Distance • to next nearest building. Size of Building Lot \faxirnum 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 ‘Vorkinen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pernument Supplement, and has complied .cith 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 work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed).. .!!!. tit•••!!!•!t IITIT!!!!. /•••tt1 ttttt tll•!t STATE OF FLORIDA, COUNTY OF DADE. j 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 fads therein by him state are true.. Permit No.. _ .... r . Date 1.)..1. 1 -.•_ -_ Read, Sworn to and Subscribed before me. Disapproved .... Date Notary Public, State of Florida (Signed) My Commission Expires _ ........._ _ .�_ _.e PLANNING BOARD DATE Citair:nan Member Member Member Micmbcr .. .. _....._......_..._. _ ...._....... 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 lloard. 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 anu /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or roe plans and specifications herewith submitted for the build • ine 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 tlrc 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 ..._....1. L..__. _._ „..__._..._._ _....... 19.2 Owner's Name and Address cO � Registered Architect and /or Engineer ...•• •v.•:ntnnnwt•rntan. vttata Name and address of licensed contractor a-c.3 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 204 y . S State work to be done and purpose of building (by floors)...... gt_ 4- S.,._ _(11 .L .,..:(z..._c \ \V.1..fA, Ncw Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements $ ( cv,7 - . Amount of Permit S 4 511 oc2 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 \1'orkinen'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 noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) \ and for no other purpose. ( Signed) Disapproved t Date 1 . ,\/ Notary Public, State of Florida Building Inspector My Commission Expires ... „...„ No. of Stories _ 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 are true.. Permit No.._.. .°C. 1_( Date "'1) 4 / Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Cirair:nan Mcmbcr MIcrr,ber Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for staking corrections or changes to this application after approval has hero obtained fmm the 1'L Board. A re- in.Iwc•tion fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. Page 2 IMPORTANT NOTICES 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF ORIDA,�COUNTY Signature of Owner � Z- w4?-e)176. Print Name wom tod subscribed before me thiP day of �e' Signature a of Not iblic - State of Florida Signature of Notary Public - State of Florida SEAL: SEAL: Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Q FIFIG!PL 'MOWN 8 d' ' t3°® ✓ .Acot✓ii ::2 0 ! P°$ To IN a2 00:: SVb^ S` ✓je OF f� `) MAR 292 OF PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Type of Identification Produced: PROPERTY OWNER Name, ) J, ag/ Address, / ve f-e7i ,(77. 4 .rh / / -sJ /.i 2' Home Telephone 7 ; � 76 Business Telephone .i ©S' 6 vv- VG D Fax 20/ 0/- e TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Master Permit No. Subsidiary Permit No. PERMIT APPLICATION 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 submit- ted 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 Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other L2' ,e7&s.7- PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Description of Work Address Apt. City State Zip P cve4e f4 Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property e/( /�eA/74/lf, Square Feet m Units Floors Proposed Use of Property ge, �,/� - Value of Work 6 � Bldg Value 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 ELECTRICAL .i.ya,[ Minimum Fee Q . I . Q . . Dryer QTY TYPE Outlet, Appliance Q ' I " TV E Service Repair Q ' I V A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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 Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTV. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon 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 Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair , Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply 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: SECTION BY DATE /e/3'0/6_1 Zoning &// L_ �-' Electrical Mechanical Plumbing Fire Public Works Structural Building Official - Page 4 OFFICE USE ONLY CHECKLIST ❑ 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 Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) O IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ 6 - $ 3c 0 $ a d $ (s .6. x/1000 x (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERNIIT FEES TOTAL $ O? h C� ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11 /4/2002 Applicant: EDWARD Owner: HARKRADER JOB ADDRESS: 806 NE 97 Contractor Local Phone: Parcel # 1132060142760 Permit Status: Work: POUR CONCRETE SLAB Fees: FEE2002 -6231 FEE2002 -6232 FEE2002 -6264 Signed: Signed: Legal Description: Description Building Permit Application Fee CCF Buildier's Bond Total Fees: Building Permit Permit Number: HARKRADER EDWARD ST Omer is Responsible for Maintenance of All Village Sidewalks as per Village of Miami ShGres Code of Ordinances, Including Driveways, �► Caused By Current Construction Activi' ies. MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 12 -ALL LOT 13 & E1/2 OF LOT 14 BLK Contractor's Address: Amount $60.00 $0.60 $300.00 $360.60 Approved Permit Expiration: 4/30/2003 Construction Value: $800.00 BP2002 -1888 Page 1 of 1 i.IAMI SHORES VILLAGE NOTICE Total Fees: $360.60 Total Receipts: $0.00 0 there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection 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. REG C01 110502 1726 MC#01 002551 CASH $360.60 (Contractor or Builder) BY: ' eionIDA SUITE ELEPHOISE: (205) 2204171 FAX: (305) 554.7 A.V ..•• .. .• ....),••-: . • . . • • . . . (3- : ■•■■•■•■•••••••••■■111:,•••■•• . .4.....,,S. "Tr% * . ../;, .,,:, 1 *. , . , , i --"\ i - I ../..„,,,!..„ \c -• 4,9■ .,.;,;':•:,/ ;, '...• .- / Nuo..q ; n , s t I? a: v ) _ N•••.i I i Z. .r " •)\. :I i ._,....•.4 (n 1 • d j. i , I • ;.,::"." ti i ■ 0 • 1....N \ 1 /....11.4.7....._,....,.{-7, 1. 4.--".5 ' .". cc, ....- I 1 ./.2...--,4' i ; .• : i ,3 '.. i '''''' i ' ti\ ' i , . I . ....-..• ...„ . I 1 \■ ,..4.........,..,. .. , ,•,‘ II I " , •. , . ...1.) ■i ! . ; )1 4 . . ... ? ;...., . • ': • 11 i N i I . / " G/ • ).%•' . . 11 • . ••■ N \ : "./../ !: :■,, q ..: . ...:; ',•"..' . . :5 : ! N \ s oi t\ SKETCH OF SURVEY Scale 1". 2 , S 0 4 st a. VC, SZ?J4 4J r paary ) c) 4dvN.sisa - -TRZf -.ill LAND SURVEYORS A. . • / ;N! \* 2.• 0/ e••• • V/ • ,/ pr; 2-49r— • Zi !, • / ', • . 77 - '41 L* i \ \ t..t•;': \ • ...: • • • i . : •-• ;1 Z-0-7- \\ , 1, rci I \ A \ 1 .5/_?)....... 1 \ ..,., .1 s leu(516h ,• •z), 06ittu,e, esic c (0( Fa /0 CI 7 - SURVEY NO. / •*" SHEET NO. PVV 2u!uo7 /,4!) s ZN : . PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE - PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance vrtth aft Federal. State. County. Village cute: ead mutations. Village assumes no responsibility for accuracy oftor resutts trona these plans. 2. This copy of plans must be avallabta on building site or no Inspection wilt be conducted. / l CRITIQUE SHEET JOB ADDRESS it) ? 1' 5" APPLICANT A L7 M fC " PHONE tt APPUCATION SHEET OF MISCELLANEOUS ' 4. DATE • ZONING ' COMMENTS CSC F — (� lia �1 f�� tc ° i INITIALS `I.., r �; r1 7//ia,nj S 2ori ' V � ter, STATE OF FLORIDA) COUNTY OF DADE) The undersimed Affiant attached survey, performed by AFFIDAVIT (property owner) (name o eyor's company) performed on _ �� is an accurate representation of the existing conditions and • (date of survey) - 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 rezulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this Affiant is personally known to me, St ,. roe, QNf'1_! i e ( n _ l day of (/ . 2. o 3 — roduced F& )L 6ri t o .3 tas identification. ereby attest that the 5582 N.W. 7TH STREET. SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 220-3171 FAX: (30N *554. 782 '.".`RAWN 8Y: , V urutiyars LAND SURVEYORS SURVEY NO / - 9/2 SHEET NO / OF • fit We r' J 2.. 0 . ,_) r /2 , ALL OF LOT /.� .Qn /D �/'T pa. SURVEY OF r >F : e'% /I BLOCK 71 SUBDIVISION M /AM/ �/-/Ok./ J15 Yn''l/ /v ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK NO. . / . AT PAGE NO .' 2 OF THE PUBLIC RECORDS OF DAUr COUNTY, DATE' , 6bt T -56 /5'9. PROPERTY ADDRESS- e. V. / ';;'7 ,FLORIDA. � / 7 /4 5 ii. te)/ & f - 7. 55 /33 FOR Edward L. Harkrader Jr. A = ARC. NC = AIR CONDITIONER PAD. A.E. = ANCHOR EASEMENT. NR = ALUMINUM ROOF. A/S = ALUMINUM SHED. ASPH. = ASPHALT. B.C. = BLOCK CORNER. BLDG. = BUILDING. B.M. = BENCH MARK. B.O.B. = BASIS OF BEARINGS. C. = CALCULATED. C.B. = CATCH BASIN. C.B.S. = CONCRETE BLOCK STRUCTURE. CBW = CONCRETE BLOCK WALL. CH. = CHORD DISTANCE. CH. 8. = CHORD BEARING. CL. = CLEAR. GL.F. = CHAIN LINK FENCE. C.M.E. = CANAL MAINTENANCE EASEMENT. CONC. = CONCRETE. C.P. = CONC. PORCH. C.S. = CONCRETE SLAB. D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE MAINTENANCE EASEMENT. DRIVE. = DRIVEWAY. o = DEGREES. E. = EAST. E.T.P. = ELE*BIC TRANSFORMER PAD. ELEV. = ELEVATION. ENCR. = ENCROACHMENT. F.H. = FIRE HYDRANT. F.I.P. = FOUND IRON PIPE. F.I.R. = FOUND IRON ROD. F.F.E. = FINISHED FLOOR ELEVATION. LOCATION SKETCH Scale 1" = ,/T. - • • , 1 I k . •• � � .,__;_..._J__ / tt5OA. • e A11fVIATIONS AND MEANING F.N.D. = FOUND NAIL & DISK. FR. = FRAME. FT. = FEET. FNIP. = FEDERAL NATIONAL INSURANCE PROGRAM. F.N. = FOUND NAIL. H = HIGH (HEIGHT). IN. & EG. = INGRESS AND EGRESS EASEMENT. L.P. = LIGHT POLE. L.F.E. = LOWEST FLOOR ELEVATION. L.M.E. = LAKE MAINTENANCE EASEMENT. ' = MINUTES. M. = MEASURED DISTANCE. MON. = MONUMENT. M/H. = MANHOLE. MIL. = MONUMENT LINE. .N.A.P. = NOT A PART OF. NGVD = NATIONAL GEODETIC VERTICAL DATUM. N. = NORTH. N.T.S. = NOT TO SCALE. - NO. = NUMBER. 0 /S. = OFFSET. OH. = OVERHEAD. OVH. = OVERHANG. O.R.B. = OFFICIAL RECORD BOOK. PVMT. = PAVEMENT. PL. = PLANTER. P/L. = PROPERTY LINE. P.C.C. = POINT OF COMPOUND. CURVE. P.C. = POINT OF CURVE. PT. = POINT OF TANGENCY. POC. = POINT OF COMMENCEMENT POB. = POINT OF BEGINNING. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS. LIMITATIONS. RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR•ATTESTING TITLE COMPANY. SKETCH OF SURVEY MEANS A DRAWING AND /OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD. COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. THE LIABILITY OF THE SURVEY IS LIMITED TO THE COST OF THE SURVEY. THE TERM 'ENCROACHMENT" MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AND T HEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION. UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND /OR FOUNDATIONS FENCE OWNERSHIP NOT DETERMINED. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE SITUATED IN ZONE . [ COMMUNITY # 120652 PANEL 4 __. 0093. • DATE OF FIRM J2 94 _ — _ _ . BASE FLOOD ELEVATION _ CERTIFIED TO: Edward L. Harrader Jr. Angelo P. Demos, Esquire , Efrneysr Title Insurance Fund Inc. First NatiOnal -- Ba Of Florida P.R.C. = POINT OF REVERSE CURVE. PROP. COR. =PROPERTY CORNER. P.B. = PLAT BOOK. PG.. PAGE. PWY = PARKWAY. PRM = PERMANENT REFERENCE MONUMENT. P.L.S. = PROFESSIONAL LAND .SURVEYOR. R. = RECORDED DISTANCE. RR. = RAILROAD. RES. = RESIDENCE. R/W. = RIGHT -OF -WAY. RAD. = RADIUS OR RADIAL. R.P. = RADIUS POINT. RGE. = RANGE. SEC. = SECTION. STY. = STORY. SWK. = SIDEWALK. S.I.P. = SET IRON PIPE L.B. 46044 S. = SOUTH. S.N.D. = SET NAIL & DISK L 8.#6044 SP. = SCREENED PORCH.. " = SECONDS. T. = TANGENT. TWP. = TOWNSHIP. U.E. = UTILITY EASEMENT. UTIL. = UTILITY. U.P. = UTILITY POLE. W.M. = WATER METER. W.F. = WOOD FENCE. = CENTRAL ANGLE. W. = WEST. C CENTER LINE. 4. ANGLE. ' 0.00 X 0.00 . SUFFIX — _,T 0 \ L ] LEGEND TYPICAL $URVEYORS S NOTES: 1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN. ELEVATIONS ARE REFERRED TO B.MARt ELEV OF N.G.V.D. OF 1929. 3). THIS 'SKETCH OF SURVEY' REPRESENTS A LAND SURVEY, ALSO REFERRED AS A BOUNDARY SURVEY. 3A.) THIS IS A SPECIFIC PURPOSE SURVEY. WOOD FENCE. CHAIN LINK FENCE. C.B.S. WALL (C.B.W.) EXISTING ELEVATIONS. PROPOSED ELEVATIONS. 4.) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. I HEREBY CERTIFY: THAT THIS 'SKETCH OF SURVEY' OF THE PROPERTY DESCRIBED HEREON. AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017.6. FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027; Fj6ORIDA STATUTES. /.0a// BY: CF c EO/e6 is IBARRA (DATE OF FIELD WORK). PROFESSIONAL LAND SURVEYOR NO. 2. 4. STATE OF FLORIDA. (VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON REVISED ON 5582 N.W. 771.1 STREET. SUITE 202 MIAMI, FLORIDA 33128 TELEPHONE,g305) 220-3171 FAX: (105 5547822 ,4. riv 977' L■ N 05 1 • /34 PwY SKETCH OF SURVEY Scale 1"= 0 N ••■ 6. . • 25 /0 (21/1) ofe d' 5, 96 ; 11r. LAND SURVEYORS 715o -71-W PVivir ae,• - RY . ,4/ 4 /oa /5" AZ-Z-V N.A.P. 4 • GOT 1 71 ( - pi Cc9N,< LIP 7 ,35 .42 .3 5, 9 Ft/M7 .5 GOA/G... • •C".1 41M0.1.6....11•11111111111104 SURVEY NO 96 -13/2 SHEET NO OF OF L.67712 ezoe.e. 71 Date ' 2 ,d Job Address So ° C. C I ri Tax Folio l ` .1 0-17 ® -17 0 : 1 `: , ! 0 Legal Description Zia d1L /�B3, a, 1,6770:, "16c � A 1 40jl1,/�/��G S� ie�v3 'ro q / Lessee / Tenant �D ciiAQi Z. .¢J Master Permit # � t, 1 l Owner's Address . l PhoneeO 1 4 ' tr2p.c pste. /O - t Contracting Co. '® . (Vd A. Ulf i4 t t4 C." I Qualifier > C1 EP t ° C� � d t,t t, Ssit . Phone 3O5 6,4 q 4'5 f State # Municipal # Competency #C!PI ti`s 2 Ins.Co. • Architect' /Engineer - � ` t ‘• R-LA t.419 ( P. Address 4 ' 2 -& 3C-t' 14 eit Mt.T Bonding Company t4 J Address tf /A 6-e /4,, Mortgagor t A PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ' A 1 A1/40.1 Q4.a.D -C C^t '8'rp41 ALL_ NI ION / T 'F 141 t-rc �L Square Ft. 4 C Estimated Cost(value) IfFB 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 ractor to do the work stated. n Signatur o owner and or Condo President OTCIALWOWNSEC DNA GOMM * COMMSS1IIk141UN:BER Notary a o Own My Commission Expire ** * * Fire Address Address Signat Date: 1 FEES: PERMIT RADON C.C.F. I 0 NOTARY �' �►AL DUE APPROVED: - �� /o � /o/i5-76, G ��p� 1 (1 Zoning 2 °!�� Build / am` � " Electrical �4 Mechanical Plumbing Engine rin / VIVO/ s� � 4 -- P' /0 01 r- Builder er- Builder * ** Other Design Wind Pressure for Canvas Awning 806 NE 97 ST MIAMI SHORES, FL Wind Code: ASCE 7 -98 Wind speed (mph) Importance Factor Height of Awning above Ground) Z := 11.ft Exopsure category A 8 C D Exposure_category := "D" Z = 700 ft a = 11.5 K :_ z - 2.01 • 2 / Z 2 (15.ftj z -2.01 Z K := 1 Gf := 1.0 q := 0.00256- K F := gz•Gf•Cf Fmax / lb F 10. 1 ft` Fdesign := max(Fmax) V := 75 AWNING RELEASED OR REMOVED FROM FRAME if (15•ft <_ Z <_ Z K = 1.03 otherwise I := 1.0 lb 2 lb q = 14.8 ft ft` Cf := 1.0 Kd := 1.0 F = 14.8 l ft 2 Fdesign = 14.8 lb 2 ft 1 W.A.SUTHERLAND, P.E. PE44353 12926 SW 133 CT. MIAMI, FL 33186 (305)255 -1948 Tributary_length := 4.0.ft Projection := 5•ft H := 2.5•ft [ IV(2.Projection)2 (2•Projection) 4 H +Projection + 16• + 16•H + In 2 [ 8.H \ 2•Projection i Arc_length :_ 2 Arc_length = 5.41 ft L := 1Projection + H L = 5.59 ft Arc — length.Tributary_length 2 Tributary area : _ 2 Tributary_area = 10.8 ft Valance_height := 0.5. ft Valance_area := Valance_height•Tributary_length Valance_area = 2 ft 2 Total_area := Valance_area + Tributary_area Total_area = 12.8 ft Total_Load := Total_area•Fdesign P := Total_Load P = 190.21b P•L T := — H T = 425.391b Total_Load = 190.21b AMOUNT OF ANCHOR BOLTS REQUIRED: (Based on 3/8" Dia x 1 -1/2" Embedment INTO CONC, USING SIMPSON SLEEVE ANCHOR Shear := 770•lb Tension := 400.1b AMOUNT OF ANCHOR BOLTS REQUIRED: (Based on 3/8" Dia x 1 -1/2" Embedment INTO CONC, USING SIMPSON SLEEVE ANCHOR Shear := 770- lb Tension 400.1b1:= T p Tensioncap ceil(Amount_requiredt = 2 2 r- _ y O J PLAN 0/ I E.LJ scALe ', _ _ a l l TT FRONT \/ I EN SCALA. 3/ 1/ 2 1 t 4 11 5 Al-LOP APPL WE. c,9'2°1 LOAD CAPACITIES FOR LOK/BOLT" Emtld.Tcrque • 2.CC003.1 4.000 pal 6.000 psi Size [kph Wits) Tentlen SPrar Tens:cn Shear Tcreicn Stcar U4' S/1e• 343 112' sn 3,4• 1.1/6• 1-Ir. 1-5/8• 2 -U4• 2.3/4' 3J/e 4 a 18 28 60 90 1 1.190 1.590 2.200 3.500 4.080 3.530 1.520 2015 3.070 4.050 9.950 15.215 1.440 1:750 _2,700 5.015 8.345 9.135 IN CONCRETE 1,330 2.015 3.250 6.372 10.255 18.815 1.730 2.110 3.300 5275 6.725 11.900 GENERAL NOTES: 1. All members shall be ASA Schedule 40 pipe, galvanized. 2. All other material shall be A36 steel (U.O.N.). 3. All welds shall comply with A.W.S. code (latest edition). 4. Cover all welds with corrosion resistant coating. 5. All structures designed in accordance with the wind load provisions of the South Florida Building Code (latest edition) ASCE 7 -96 6. Awning covers shall be removed in periods of high winds: specifically winds in excess of 75 m.p.h. winds. 7. Frames without fabric will sustain 120 m.p.h. winds. 8. All connections shall be fully welded (U.O.N.). 9. All frames have been designed using rational analysis. 1,370 2.MOS . 3285 6.1 10.620 18.125 LOAD CAPACr11ES FOR LOK /BOLT"' N HOLLOW BLOCX Size U4' S18' 112' Emted Ccplh 1.118' 1 - 1 -Ir2' 1.112' Tc∎gee ASTI.1C- 90 'Heck (VC's) Tenstcn Shear 12.16 22.28 1106 1 4 1.700 2.480 NEN 1411 Sut`ierlan4 P. E. PE 44353 (Structural Engineer) 12926 S.W. 133 Court, Suite A Miami, Florida 33186 305 -255 -1948 Fax305 -255 -0831 ir'ef/d/ /1 1 SI Da �CAL.E 3A )4 r. 2 STL. [� WELDED TO HEAD PIPE 61 2 -6' o.c.B ATTACHED TO WALL WITH V 3' RED HEAD SLEEVE ANCHORS 1 41 L 2'_14 6 r 4 2 O v1 l'J . it (4 i e • "P' "°' CvORES UP- BY ;_.. —....1-----------------.---- i . i*Uf.:.:-...1.! ‘..'..., ::".:•',0!..!4`...t.:r..e:.7.Fli...K`:.irj. FF_Ol.:;?,',!_, SIATE AND Cafill , 141Z. FOR ACCURACY O: 57, tiTY.SUI.73 F17,01: SOirr.h F .r:RiCrA :;131.:F.. AS A.C.GPTED . BUtt.D1 & 72- V.MOV'!LE:Y,:a: OF AL;. BUI3i7 IflC ^24',7; Vhonta3 4wnini Dade Canvas Produ 3470 N.W. 7th Street • Miami, Florida Phone: (305) 649 -4511 • Fax: (305) 643 -965 To ce'ti t2 e ' 40a QA,Q mac Gi_us Pattern No. A p pLe cad p 55 C-09.a.)--7 Weight: Color: Finish: \l a 6H PeL ' - 1. STOR'i css oa a at- O 0 N. C. 'TIT" STREET SITS ?L-ANJ J) N 0 F W c. C = J 'A M "v � .. L - `c .- c v 01 in t0 c � U • v cn F 3 u 0 cc tt z u U w 0 0 1..d a i AC .•3592 N.W. 7TH STREET, SUITE 202 MIAMI. FLORIDA 33128 TELEPHONE: (305) 2203171 FAX' (305) 55k7822 J 05 cc / . P 4) n uu uru pi's LAND SURVEYORS SKETCH OF SURVEY Scale 1 "= 20 /1,1,,x. 97 Pw/ (/" r !1/V - 37 eob /0o. ad' 20 /12PN pI/M7 . 51 - 4 79. 5o 2 J s4 ,35•ia' 3 / 9 A-:-..;P/a WMt SURVEY NO 96 - 1(3/. SHEET NO 2 OF Z • • . •w�I,r IN L7/2 &: 1 A,. Ines ,11 ,m..ti.. ..,.m.. a. _. ;, I. GOT -/2 O /OC/ i ` et f V m N a,05 el.- 7�► 5502 l'.W. 7TH STREET, SUITE 202 ./MIAMI, FLORIDA 33126 TELEPHONE• (305) 220 -3171 I FAX. (305) 554 -7822 r DRAWN BY fi �V i 77 /E w: J r %z o = 4 ,-) 7" /2 , A-' ( SURVEY OF .Sr /r•'% /-1 •a SUBDIVISION /14/Am/ �wnpf=- ✓.i /(1A% / ✓ °.�. fl ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK NO. RECORDS OF L,/f Ul; COUNTY, FLORIDA. DATE: A/ r PROPERTY ADDRESS_ A '27 ::::'A , /WA/''/ 5/f ) /?/—, 5 / =/. F.,3 i38 FO R_ Edward L. Harkrader Jr. DATE or FIRM CERTIIILD TO A = ARC. NC = AIR CONDITIONER PAD. A.E. = ANCHOR EASEMENT. A/R = ALUMINUM ROOF. A/S = ALUMINUM SHED. ASPH. = ASPHALT. B.C. = BLOCK CORNER. BLDG. = BUILDING. B.M. = BENCH MARK. U.O.B. = BASIS OF BEARINGS. C. = CALCULATED. C.B. = CATCH BASIN. C.B.S. = CONCRETE BLOCK STRUCTURE. 3/2/94 [tBBREVIA.TIONS ANC) MEANING F.N.D. = FOUND NAIL 8 DISK. FR. = FRAME. FT. = FEET. FNIP. = FEDERAL NATIONAL INSURANCE PROGRAM. F.N. = FOUND NAIL. H = HIGH (HEIGHT). . IN. 8 EG. = INGRESS AND EGRESS EASEMENT. L.P. = LIGHT POLE. L.F.E. = LOWEST FLOOR ELEVATION. L.M.E. = LAKE MAINTENANCE vim purunpnr BASE FL000 ELEVATION CBW = CONCRETE BLOCK WALL. EASEMENT. CH. = CHORD DISTANCE. ' = MINUTES. CH. B. = CHORD BEARING. M. = MEASURED DISTANCE. CL. = CLEAR. MON. = MONUMENT. C.L.F. = CHAIN LINK FENCE. M/H. = MANHOLE. C.M.E. = CANAL MAINTENANCE M/L = MONUMENT LINE. EASEMENT. N.A.P.. NOT A PART OF. CONC. = CONCRETE. NGVD = NATIONAL GEODETIC C P. - CONC PORCH. VERTICAL DATUM. C.S. - CONCRETE SLAB. N. = NORTH. D E - DRAINAGE EASEMENT N.T.S.. NOT TO SCALE. D.M E = DRAINAGE MAINTENANCE 8 - NO. = NUMBER. EASEMENT. 0 /S. = OFFSET. DRIVE = DRIVEWAY. OH. = OVERHEAD. o = DEGREES OVH. = OVERHANG. E - EAST. O.R.B. = OFFICIAL RECORD BOOK. E.T.P - ELECTRIC TRANSFORMER PVMT. = PAVEMENT. PAD PL. = PLANTER. ELEV. = ELEVATION. P/L. = PROPERTY LINE. ENCR. = ENCROACHMENT. P.C.O. = POINT OF COMPOUND. F.H. = FIRE HYDRANT. CURVE. F P.. FOUND IRON PIPE. P.C. = POINT OF CURVE. W. =WEST. F.I.R. = FOUND IRON ROD, PT. = POINT OF TANGENCY. F F.E. = FINISHED FLOOR POC• = POINT OF COMMENCEMENT = CENTER LINE. ELEVATION. POB. = POINT OF BEGINNING. 4 = ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS. IF ANY. AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS. LIMITATIONS. RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. SKETCH OF SURVEY MEANS A DRAWING AND /OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD. COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. THE LIABILITY OF THE SURVEY IS LIMITED TO THE COST OF THE SURVEY. THE TERM - ENCROACHMENT - MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AND T HEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION. UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND /OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE P.R.C. = POINT OF REVERSE CURVE. PROP. COR. = PROPERTY CORNER. P.B. = PLAT BOOK. PG. = PAGE. PWY = PARKWAY. PRM = PERMANENT REFERENCE MONUMENT. P.L.S. = PROFESSIONAL LAND SURVEYOR. R.. RECORDED DISTANCE. RR. = RAILROAD. RES. = RESIDENCE. RAN. = RIGHT -OF -WAY. RAD. = RADIUS OR RADIAL. R.P. = RADIUS POINT. RGE. = RANGE. SEC. = SECTION. STY. = STORY. SWK. = SIDEWALK, S.I.P. = SET IRON PIPE L.B.n6044 S. = SOUTH. S.N.O. = SET NAIL & DISK L.B.46044 SP. = SCREENED PORCH. " = SECONDS. T. = TANGENT. TWP. = TOWNSHIP. U.E. = UTILITY EASEMENT. UTIL. = UTILITY. U.P. = UTILITY POLE. W.M. = WATER METER. W.F. = WOOD FENCE. A = CENTRAL ANGLE. SITUATED IN ZONE ,{ . COMMUNITY 20652. ., PANEL p 0093.. _ Edward L. Harrader Jr. Angelo P. Demos, Esquire Attorneys' Title Insurance Fund Inc. First' Union National Bank Of Florida LAND SURVEYORS 7 %.\ ). 1 i 1. : _.. SUFFIX N/A LOCATION SKETCH Scale 1 "= A/r, s 3 7 '2. BLOCK 74 AT PAGE NO 2 OF THE PUBLIC X x k . 0.00 x o.00l SURVEY NO SHEET NO .3G /9910. iwS'f r D ' , 1..) LEGEND TYPICAL 2). IF SHOWN, ELEVATIONS ARE REFERRED TO WOOD FENCE. CHAIN LINK FENCE. C.B.S. WALL (C.B.W.) EXISTING ELEVATIONS. PROPOSED ELEVATIONS. SURVEYORS S NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. B.M91't ELEV. OF N.G.V.D. OF 1929. 3). THIS 'SKETCH OF SURVEY' REPRESENTS A LAND SURVEY. ALSO REFERRED AS A BOUNDARY SURVEY. 3A.) THIS IS A SPECIFIC PURPOSE SURVEY. 4.) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. I HEREBY CERTIFY: THAT THIS 'SKETCH OF SURVEY' OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER'MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017-6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027. +ORIDA STATUTES. BY: �q 6rG IBARRA (DATE 08 FIELD WORK). PROFESSIONAL LAND SURVEYOR NO. 2534. STATE OF FLORIDA. (VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISEDAN REVISEDON • __J , 00 era .101.1■Or*.uvw 7G 9 3/2 ' / OF • SEAL PERMIT NO. ADDRESS: MIAMI SHORES BUILDING / ZON VILLAGE NG DEPARTMENT" SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL I. Sublect to camp(lanci vat elt Federal, State Coady, Village rules Ind regutatioas. Wage assurm no responsibility for accuracy of /or results frac these clans. 2. This copy of plans must be LYallcbte of buliding site or no Inspection wttl be conducted JOB ADDRESS APPLICANT PHONE ft APPLICATION S0( N.E. 77 S 4 4 J V1l; CRITIQUE SHEET SHEET OF MISCELLANEOUS DATE ZONING G ' COMMENTS '9 4 4 /4/6 ex Tof/b s 4-1 Oey ' (TO 5 6 76/Ice 74corrive9 VII 6° a J Of) 0 le_ j Liu Dow 0 Ly (a1 T FR-o( t( t3 C I'D W IJO u. Pi t., °° o,.) e j' evuT IAJ -ot t0( of tail/ wrote % / �1 /es Foie Vo e INITIALS PERMIT APPLICATION FOR MIAMI SHORES VILLAGE D a t e I - 4 3 C ' - O 2 - Job Address v G 6 - E . q sl Tax Folio 11- 2 0 C2 - 044 - "Z 6,o Legal Description Historically Designated: Yes No ) P of °3 / 0 r Jame /Tenant f '6) W 6I P 4R& H P...KRAOS Owner's Address SO C, H • E ( 47 ikm,Q S 6-LotL S Oi p aS)UC 5 Q075d. Contracting Co. ` C C' C -4 ,1g uJ Qualifier Lou E S State # Architect/Engineer \U /a,,_ 3 U '( E f Z LA DKt. , 9. Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f,L. f uc ,L W 14a, 1..t C,, Q d G.( A T 12, 6 `t , 00 G p Square Ft. f Co WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUI°2 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 contractor to do the wor stated. FEES: PERMIT APPROVED: Mechanical Zoning <4 2 O";;F1CtA!_ NC-4/44 E;r--A 1P ANGELA l'" DECKEF - 0_, L Q CC7e66 v o CM co .tsc4oy LuP R IS ciaAct of owner and/or Condo President Date 5 3 D , 3s ) LQ 1 2) ( )()RADON Municipal # Competency #00O & — 5 Ins. Co. Building o), C.C.F. (t ji 0 NOTARY SS# / Phone 564 4 Q Estimated Cost (value) SA Signature of Contractor or Owner -Buil Phone °S "75Q Address 9 0'5 l l_ Q t sot, L- -a C+42. Address t Q.q Z G `� � tA/•� 33 1•& Ac—/a,:—Ti_ L, Address Address Electrical Master Permit # Notary as to Contractor or Ownei''Builder My Commission Expires: Plumbing Structural Engineer OFFICIAL NOTARY SEAL BARBARA B KING NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC994715 " ` " +^LOP! EXP. FEB. 10 ...)/ a-- Date c= Date BOND TOTAL DUE (. 0 a C- COPIES DATE NO. DESCRIPTION ATTENTION ^ / / 2 ,p c —/2 5 . QL- 1 3 fl, A(-Ai km G-1 Pl 18J _ '3E &L.. �aki/ 1 NC55 fQ7at1�C, JIItLl °f 7 ERNMQ1 P t y A, ON 0S (I) < <L-1 - FA 6 1 e— D s . e...-f4 rg OF. L d(.„0-T-i iN5d i. _- R.5 q1L AG 4 CV-RM k A- CAc_Krt GM `(OP. Q9,_ NA `7 DATE a Joe NO. ATTENTION ^ / / 2 ,p c RE 1 3 fl, A(-Ai km G-1 (a ,I 1 Cq----, 7 ERNMQ1 P t y TO WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via REMARKS VitiM LS Our New Address is 3905 N.W. 31 Avenue Miami, Florida 33142 eof i/4...0 4 As(2-)/ A, T C/.A.ChiF 1,t7Ep Vli '01409Es +L (ID ❑ Shop drawings ❑ Copy of letter ❑ Prints ❑ Change order MAO u 3 //WWI) IX Ga sm 01471. If enclosures are not as noted, kindly notify us at once. THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment la VA c__K, 6e-t€_ -re, Amy ''F/) Z I -.12 a ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US e t___. , t Q t_t ,r. r2-. \ [J S uJ -t 1.4 P F, tvl a`T l ' 1:4GA " i u a t-i H IN- a t.(4 t& y 1 / Ci v E {7 1 COPY TO ❑ Plans ❑ Samples ❑ Specifications fA fc — Qua l p a the following items: SIGNED: 11 t�� - � 6L . Design Wind Pressure for Canvas Awnings Wind Code: ASCE 7 -93 Wind speed (mph) V := 75 Importance Factor 1 := 1.0 Height of awning above ground h := 11•ft Exopsure category A B C D Exposure_category := "D" a =10 z =700ft 1 2.35•(D T . 1 Z cc ft 30 j G := 0.65 + 3.65•T Q := 0.00256•K Fdesign max[(g f) , l0• psf] 806 NE 97 ST MIAMI SHORES, FL K = 1.20 Cf := 1.0 T = 0 G = 1 Q = 17.23 psf Fdesign = 20 psf 1 .A.SUTHERLAND, P.E. PE44353 12926 SW 133 CT. MIMAI, FL 33186 (305)255 -1948 H := 1.25•ft L := J H + PROJ L = 3.72 ft Tributaryarea L•Tributarywidth Tributaryarea = 9 ft 2 Tributaryl Tributaryarea Tributaryload = 170 Ib Tributaryload P :— P•L T := H 2 AMOUNT OF ANCHOR BOLTS REQUIRED: (Based on 3/8" Dia x 1 -1/2" Embedment Red Head) Shear := 545.Ib Tension := 425•lb PROJ := 3.5•ft TributarY 2.3.ft P = 851b T = 2531b Tributaryload Amount required Shearcap Amount_requiredt T ceil(Amount_requiredt = 1 Tension CHECK TOP CHORD OF SLOPING TRUSS Nominal Diameter: ND := 0.75- in 0 := atan H 0 = 20 deg PROJ Compression_load : — (P•sin(0) — T) cos(0) OD = 1.05 in ID = 0.82 in ceil(Amount_required = 1 1000.1b ksi .2 m Compression_Ioad = 238 Ib 1MND DIRECTION kip = 1000.1b J OD 2 + ID r :- 4 F+- F Pn Ag Fcr Pmax (i)• Pn 2 �c � Fy otherwise r = 0.334 in 2 Ag •— •l OD — ID 2) A = 0.33 in 4 Fy:= 30•ksi E := 29000•ksi K := 1.0 F kc := K — y k = 1 := 0.85 r•TC E 2 1 F := F (— 0.658 ( 0.877 \ P = 5 kip Pmax = 3.9 kip if (P < Compression_Ioad, "N.G" , "Member is O.K. ") = "Member is O.K." 4-I - 5 1► PLA\ + 3/ 3 \- 4.' ) 5 LA 7/ / / / 3IDE V)Ek fcaL �Z l coNC . .l.A427 5 EAT' AWN 1 1\1 - a (2 CJE I LOAD CAPAanESFOPLOKfBOLT""1MCONCAETE Ern CCtl. �crctd . 1! / �t:� .1 cz:t1 Cepth , ns:Cf `:M'y Tension ¶^par LOAD c APAC ESFORLDKIBOLT"►le NOLLOYM8LOCXt Embed. Torque AST'.1 C.?) !cce I Slir :lepth t h -1bs) Tension �EcJr 12•i• 22•21 GENERAL NOTES: B 1. All members shall be ASA Schedule 40 pipe, galvanized. 2. All other material shall be A36 steel (U.O.N.). 3. All welds shall comply with A.W.S. code (latest edition). 4. Cover all welds with corrosion resistant coating. 5. Alt structures designed in accordance with the wind load provisions of the South Florida Building Code (latest edition) ASCE 7 -96 6. Awning covers shall be removed in periods of high winds: specifically winds in excess of 75 m.p.h. winds. 7. Frames without fabric will sustain 110 m.p.h. winds. 8. All connections shall be fully welded (U.O.N.). 9. All frames have been designed using rational analysis. 45 SU S E LLA COVER * 860 PAci caw ��LOP 1/4 — UN1T4 5c-14z - /�II E. r) 31 ■ SIT �tA� • V. I "„ 2" STL. FL WELDED TO HEAD PIPE 2 - 6 0 . C . & , ATTACHED TO WALL WITH 3/ 3" RED HEAD SLEEVE ANCHORS Z 3 0 MID • 3 cia z rh Imo ED 6E OE CO (� , AL — CP2i35 1SOME.TF -\\G VIE 11 A. SutherCanc4 P. PE 44353 (Structural Enginee 12926 S.VV. 133 Court, Suite A Miami. Florida 33186 E6011 305- 255 -1943 Fax305- 255-08 flLt SF5.3RES TILR_AGE DATE SUBJECT TO COMPUIXr.....E VI; f 1 EDEPA, STATE OD COM! RULES SHORES VILLASE fA,SSUIYIS :10 FS? 1T! FOR P.00URACY OF OR R:,U1.13 MOM ML,E: i)LkNS. C(W. Sf_rjT11 FLORP)P, CE AS ADOPTED BY SE ViLLAGE S RECUPJ-:O. TE Tt1, EUILDER SUB S FE OF 101 EnaD!'ial 1 REOULitTiCS 'NUE:THE IND:C14:1ED, Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/15/2002 Applicant: EDWARD Owner: HARKRADER Contractor Local Phone: Fees: FEE2002 -971 FEE2002 -972 Permit Status: Approved Permit Expiration: 8/14/2002 Work: FABRIC AWNING INSTALLATION AT REAR DOOR This Permit is granted to the contractor or builder named above to coi ordinances pertaining thereto and with the understanding that the work N and approved by the proper municipal authorities. This Permit may be re authorization. A further condition upon which this permit is granted is the ordinances and regulations pertaining to the work covered hereby whethe. by his agents, servants or employees. Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the with the plans, drawings, statements or specifications submitted to the proper myself, my agent, servants or employes. Signed: Address: Cellular: (Contractor Building Permit Permit Number: BP2002 -332 HARKRADER EDWARD Parcel # 1132060142760 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 12 -ALL LOT 13 & E1/2 OF LOT 14 BLK Job Address: 806 NE 97 ST Description Amount Building Permit Application Fe$60.00 CCF $0.60 Total Fees: $60.60 Construction Value: If there is no permit package accessible on the job -site for inspectors tr. fee is $50.00, which must be paid in advance before callinn s-- First Union National Bank V f, 3� firstu03 RIT 067 b32 4 0 006 90DD ��' ?O L5u� FOR 2�' L0 ?D p643 99 $541.00 Page 1 of 1 Total Fees: $60.60 Total Receipts: $0.00 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Dat 2 - ;27 0)- Time Type Insp'n 1 L a M 1 t f 5 Permit No. /3f' .2o42-332. • Name g1L1�- A- 44 E Address 9e 4 p �i 7S1 Company Phone # - 4/7 4/3 For Inspector , Name to Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE UILDING 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 /\O - ,; t _�� 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 { q State work to be done and purpose of building (by floors) ----- - - - - -- 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 $ 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 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 employ only such subcontractors, o' work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved Date (Signed) Building Inspector Date 19 Notary Public, State of Florida 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 constructs n, 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) l i ' Date G ,f / N.-: Read, Sworn to and Subscribed before me. My Commission Expires PLANNING BOARD DATE Chainnan 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. MIAMI SHORES VILLAGE I UlLDI INSPECTION DEPARTMENT APPLIC TION 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. Q . Date 19 c Owner's Name and Address.. / y `y + �. Registered Architect and /or Engineer.. A k Name and address of licensed contractor State work to be done and purpose of building (by floors) Location and legal descriptio ,of lot to be built op: Subdivision Street and Number where work is to be done • -so Remarks (Signed) , No Street 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 $____' 4 ,`y Amount of Permit $ P -- 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, Pennanent 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 work to be performed under this permit, as are licensed by Miami Shores Village. 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 are true. Permit No t"X" 7t Date /6 Read, Sworn to and Subscribed before me. Disapproved D Notary Public, State of Florida ( Signed) B di4 g`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. la5g Dd� 0 7 4/0 ° )5P ------ 5 9,9 3 34 5 9,5 1