806 NE 97 St (8)Owner's Address
Contracting Co.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ' - 1 -GO Job Address v (N) S Tax Folio
Legal Description pc, Iv Y . 9- S- - Historically Designated: Yes No
Owner/Lessee / Tenant (A3 O RC ( b- zA Cc. d (2. r Master Permit # 4
got, cv Phone
.) (.) n)le. /
Qualifier b cI IL4 K d6C42d&-
State #
Address �
: / Phone
e7 ao
Competency # Ins. Co. C� ""'mo t h./4
Address /VQ
Address �( �
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN
WORK DESCRIPTION
Signature of o
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical
` 7P' °Aid avoi
Square Ft. /1. Q _ Estimated Cost (value <0
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.
er and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
RADON
C.C.F.
r�� ' � ��G ati7
Signature of Contractor or Owner - Builder Date
otary as to Contractor or Owner - Builder Date
//P/97
My Commission Expires:
r 6 QIs IiOY�Rtl SEA6
camAA 9I1 pAOtITIEL
I 7 (c,amaI3SIO NUM BEE
*01064/ (C4012 1
Ab p
OF "Q. 97,itig8
BOND
NOTARY
TOTAL DUE
Electrical
Plumbing Engineering
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspector:
Approve
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
�.��✓�d f� o
Re- Insp'n Fee ❑
1!) tc,e; ao
ELECTRICAL
TYPE
Minimum Fee
cm',
'l'1'p@
Dryer
cm'.
T1'pI..
Outlet, Appliance
()Ty.
TN pi:
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
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
QTY.
TYPE
Generator
cm'.
T1 IT
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
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
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
Drainfieid, 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
D TE
Zoning
5 c ,
///510 a
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
1(11228
Building Official
Page 4
OFFICE USE ONLY
❑ 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
LI IMPACT FEE
(New Construction)
CHECKLIST
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
LI OTHER
(Specify & Attach)
$ /
40 (sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2N AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
PROPERTY OWNER
Name ��/ '�
z��' `/ .a ‹ : -/y'"/o
Address
Home Telephone 9J 9757 ,- yfrd" '
T
Business Telephone 6997,- v r 3
Fax - 0 - 69/ Y
Tfi
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
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: cga9 NT- 07
Address
Lot Block
Folio Number Description of Work
Subdivision PB PG Zoning Linear Feet c -3f �e
Current Use of Property Square Feet Units Floors
Proposed Use of Property Value of Work Bldg Value
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Subsidiary Permit No.
City
Tax Assessed/Appraised Value
PERMIT APPLICATION
Master Permit No.
/q t)
State Zip
/ e— '
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone Fax
Qualifier Name
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 $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE FLO DA, COUN MIAMI -D E STATE OF FLORIDA, COUNTY OF MIAMI -DADS
Signature of Owner Signature of Contractor / Qualifier
Print Name FF�� GQ\ Print Name
Sworn .p
to and subscribed before me this day of e.-4 -+
Si a of No blic - State of Florida Signature of Notary Public - State of Florida
SEAL: SEAL:
Personally known
OR, Produced Identification
Type of Identification Produced:
C RY p,, Grrt' ii∎CN) AYIY SEM.
'41 %‘$. � % v .? i - i c i..... s:c;d EXHtRES
OF fk. MAR. 292003
Sworn to and subscribed before me this day of
PERMIT APPLICATION
Personally known OR, Produced Identification
Type of Identification Produced:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/12/2002
Applicant: EDWARD
Owner: HARKRADER
JOB ADDRESS: 806
Contractor
Local Phone:
Parcel # 1132060142760
HARKRADER
EDWARD
NE 97 ST
Fees:
FEE2002 -6361
FEE2002 -6362
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$0.60
$60.60
Total Fees: $60.60
Total Receipts: $0.00
" Permit Status: APPROVED Permit Expiration: 5/3/2003
Wcrk: MOVE EXISTING FENCE
Signed:
Signed:
Building Permit
Permit Number: BP2002 -1930
Contractor's Address:
Construction Value: $250.00
Page 1 of 1
(INSPECTOR) BY:
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 12 -ALL LOT 13 & E1/2 OF LOT 14 BLK
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee 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.
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 111302 1657 11C#01 002745 CASH
(Contractor or Builder) BY:
a
Alli. .,.a,..
5582 N.W. 7TH STREET, SUITE 202
MIAMI, FLORIDA 33126
TELEPHONE: (305) 220 -3171
FAX: (305) 554-7822 t4
DRAWN BY: .✓
uruttl
LAND SURVEYORS
SURVEY NO �G . /2 1
SHEET NO / C' 2
7 E r Yz 0y GU / , ALL of zor /9 • /44
SURVEY OF e c'% /1
SUBDIVISION 14 /A M/
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK NO.
RECORDS OF DA D.0 COUNTY FLORIDA.
PROPERTY ADDRESS' . /1/. .;
FOR Edward L. Harkrader Jr.
LOCATION SKETCH Scale 1" = At r,
CERTIFIED TO:
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. B. = 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 n 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.
AB BREVIATIONS 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
EASEM,�NT.
' = MINUTES.
M. = MEASURED DISTANCE.
MON. = MONUMENT.
MM. = MANHOLE.
M/L. = 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.
< ro
DATE OF FIRM 3/2/94 BASE FLOOD ELEVATION
Edward L. Harrader Jr. -
Angelo P. Demos, Esquire
Attorneys Title Insurance Fund Inc.
Firs Unto National baMk QfFlorida
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. #6044
S. = SOUTH.
S.N.D. = SET NAIL & DISK L.B. #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.
f = CENTER LINE.
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
SITUATED IN ZONE —X . COMMUNITY # 120652_-_-_ .. PANEL # -.. 0093 -_ _
l� AT PAGE NO. 32 OF THE PUBLIC
DATE' AUG G'�T
M /4/f/. 5tt0z?G s!. _• /. 55 /3
N/A
<717 - .I ' % , ` S r. t s c� 4
,:: z. •
e �T frL
BLOCK 71
0.00 x
0.00
. SUFFIX 1T
6:ii ,c'
" O \
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.MT?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 61G17 -6. FLORIDA
ADMINISTRATIVE CODE PURSUANT
TO 472.027; FAORIDA STATUTES.
BY: - V
�EO/�C7CS IBARRA (DATE OF FIELD WORK).
PROFESSIONAL LAND SURVEYOR NO. .2.5.34
STATE OF FLORIDA. (VALID COPIES OF THIS SURVEY WILL
BEAR THE, EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR).
REVISED ON
REVISEDON
5582 N.W. 7TH STREET. SUITE 202
MIAMI, FLORIDA 33128
TELEPHONE: (305) 220.3171
FAX: (305) 554-7822
A. V
N
F 75 oD // :
4
GL
/, Pj
4
(Y\ ?WY
D �
rt
1
9
/3,35
Nr-
2 2T- /1
56o c,e
i .
i
/5 II)
frok inntetwg'
LAND SURVEYORS
SKETCH OF SURVEY Scale 1 "= 27
(20) /Bo. Del'
24 AGN
25. /d
97
o . D
mss" /1/° gob
,2a
� G0T /3
N } 13,24c/ G 7
II
7V; 50
/5,6a
5-%
/5 ALl ' MAR
U
PV/47".
35./5'
9 P/a P1VM f
SURVEY NO 96 - 13/2
SHEET NO 2
• S • �
GG�
co ie S /' �
�,Z� /s '�
74/we r ,g �' � / yew
o'? •��'�� //./erd e Zonis,
SiD� �T a Pprove
OF
LOT- /2
x ez.ocz. 7
STATE OF FLORIDA)
COWTY OF DADE)
The undersigned Affiant,
performed on d
(date'of survey)
Further, Affiant sayeth naught.
Witness(sign and print)
iconi .J {ioj ^e� , Vi� � Cuc� e
•
AFFID,WJT
SWORN TO AND SUBSCRIBED before the this day o
,e4 90 does hereby attest that the
(property owner)
attached survey, performed by
(name of survey .1 company)
is an accurate representation of the existing conditions and
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..
Witness(sign and print)
Affiant is /personally known to me, produced as identification.
4 .0 vim Angela M Becker
• `¢• My Commission 00150048
Expires November 18,.2008