DRIVEWAYDate
Type Insp'n
Permit No.
Name
Addres
Company PX
Phone #
For Inspector:
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
;46'
LV
. � P -OO c
CA
CONTRACTOR
Name y� t � G , , , ,
�4N
A ddress
4 S�
1 s-c) 1 $,
/rt t "'-1 .t hcreas , F/ 33/35
/i lJ
Name 6 1 r _ I't', (I
`C.,
Business Telephone 30.5' _ 75 7- R 76
Fax
Q d i
License No.
a o � / 7 0 Z _ C►
l• V ( s
D
JC,/
/ 7 [
Address
Demolish
Telephone / S-_ iny .,. D. 7 ( Fax
Relocation of Structure
Qualifier Name
Foundation Only
PROPERTY OWNER
Name y� t � G , , , ,
�4N
A ddress
4 S�
1 s-c) 1 $,
/rt t "'-1 .t hcreas , F/ 33/35
Home Telephone 305.- _ 7 51;1 3/ ac
Business Telephone 30.5' _ 75 7- R 76
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Job Address:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
A PPLICATION
1 0S jj &YE c9$'
A ddress Apt.
Folio Number 1 I • . �;-` 05 011 7-02.30
Lot ! (�`i Block 1 I
9ubdivision/'IlAnI51 lc A. 1'B 4 PG 109
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
Address
License No.
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
Mtia►rr�i S
City
Description of Work
PI
State
PERMIT APPLICATION
13/3?
Zip
(rQi
Zoning Linear Feet
Square Feet Units Floors
Value of Work a 2 , 1 • ` Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
Address
License No.
Telephone
Fax
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 KEPI' 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.
1.
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 FLORIDA, ` CO F MIAMI -DADE
SEAL:
Signature of ✓ner
Yk
y1
Print Name
Sworn to and subscribed before me this PO day of
•• t•
J,
Signature of N to blic
N PUBLIC STATE OF
COMMISSION NO. DD046786
MY COMMISSION EXP. JULY 312 .
Personally known v OR, Produced Identification
Type of Identification Produced:
STAT 1 f ORIDA, COUNTY OF MIAMI -DADE
ature of Contractor / Qualifier
el?"
Print Name
Sworn to and subscribed before me this " day of t 0 ( ,
i
Public - State of Flori
NOTARY
NOTARY PUBLIC STATE FLORIDA
COMMISSION NO. DD046786
MY COMMISSION EXP. LY31 411
Signature
SEAL:
PERMIT APPLICATION
Personally known OR, Produce e + ication ✓
Type of Identification ProducediaWL 5
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
'fYPF.
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
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
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
TYPF,
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
'fYPF;
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 1
D TE
Zoning
CW
/
/.. i q
Electrical
l
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
�
` i
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
m PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$
$
(sq.ft. = x/1000
x ¢.60)
(¢.005 /sq.ft.)
(0.01/sq.ft.)
REVIEWED AND PREPARED BY:
• . PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
® BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
9
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
M iami _ chore6
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, hn lc3 4 E1 6 11 , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description /folio #:
Lot Block Subdivision
Tax Folio R:
requests permission to install:
n Asphalt, concrete, brick pavers
Landscaping
[ ] Other
within the public road right of way of
SIGNED, SEALED AND DELIVERED in the presence of:
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051.756 -8972
1 Nlv 9"'S
.. �
OF 0 • N
PAUL M SCHAEFER
IRLIr c rA1 .A1' •. _ . .
0 ISSION NO. DD046786
ISSION P 31 005
Pir/
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I . To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this da of
NOT
M C
:.pRlvEC,��y
f� PPR0 , "rc( - f
The Sunshine State —
LK ENSE MASER
F652- 900 -62 -428-0
WALTER FRANCIS
1320 NW 118 ST
MIAMI, FL 331874228
BIRTH DATE SEX MDT. REST. BOORSE.
11 -28.62 M 6.11 B
ISSUED EXPIRES
12-0188 112802
DUPLICATE
02-08.01
S0701132Oa0360
Operation of a motor vehicle constitutes consent to any sobriety lest required by law.
,j,: R `' I
, DRIVER LICENSE
.,i• . ;
ER TC.. ' ::h ' 06 }47
.
G655- 5551- 59- 134'..E08 03218011
Levu to Pe, eni4•e• 11 etc wra � 1;
et+@8 A RAYON - PL 3 -3432 ,
4 M
liICHAEL PATR1Ck•GORMAN
,B7 08 ;210 ST '`SO
2120 S.W. 25th. STREET
MIAMI, FLORIDA 33133
PROPERTY ADDRESS; 1059 N.E. 98th. STREET, MIAMI SHORES, FLORIDA 33138
LEGAL DESCRIPTION ; LOT 14, BLOCK 179, OF 'REVISED PLAT OF TRACTS 178B, 178C, 179A, 179B, 179C, 180A AND N.1/2 OF 180C,
OF REVISED PLAT OF MIAMI SHORES, SECTION 8, AS RECORDED IN PLAT BOOK 31 AT PAGE 41, PUBUC RECORDS OF DADE COUNTY,
FLORIDA', ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 43, AT PAGE 69, OF THE PUBUC RECORDS OF MIAMI -DADE
COUNTY, FLORIDA.
F.I.P. 262.34'
09/4'
(13/c)
ANIANO J. GAR CIA, PLSM.
LAND SURVEYOR & PLANNER
LOT 13.
BLOCK 179
020' CL
\
— ~� F.I.P.
0314'
VISUAL ENCROACHMENTS NOTED; '
() - CONCRETE WALL, ALONG THE EAST SIDE, ENCROACHES
16.25 FEET INTO THE RIGHT OF WAY OF N.E. 98th. STREET.
03
rr H
�19.35' PORC
El/
CONCRETE
DRIVEWAY
GRAVEL
SEPS
CONC.
STEPS
III I
28.85'
16' (ALLEY)
10' ASPHALT PAVEMENT
J
SKETCH OF SURVEY
(BOUNDARY SURVEY)
SCALE 1'_ 20'
LOT 14, .
BLOCK 179
ONE STORY
/ IPL RESIDENCE
# 1059
29.35'
95.00' (R&M)
-14.4' .i
26.50' PARKWAY
1
N.E. 98th. STREET
(75' TOTAL R /W)
PH. (305) 856 -4566
FAX. (305) 856 -4699
19.08'
21.60'
2,
F.I.P.
0914'
—1.90' CL
�'�.. LOT 15,
BLOCK 179
g
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY
REVISED ON 7/17/95 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN:
ZONE AE BASE FLOOD ELEVATION 8' COMUNTTY NUMBER 120652
PANEL NUMBER 0093 SUFFIX J
LEGAL NOTES
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
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 DEDICA-
TIONS, UMITA11ONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DES
CRIPTION PROVIDED BY CUENT. THE U ABIUTY OF THIS SURVEY IS UMTTED TO THE COST
OF THE SURVEY. UNDERGROUND ENCROACHMENTS, IF ANY, ARE NOT SHOWN.THIS FIRM HAS
ATTDAPTED TO LOCATE FOOTING AND /OR FOUNDATIONS AND /OR UNDERGROUND IMPROVEM
OF ANY NATURE IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SH
ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. THE CLOSURE IN THE BOUNDARY SU
IS ABOVE 1:10000.
CH - CHORD DISTANCE
CH. B. • CHORD BEN ING.
CL • CLEAR.
C/L OR C • CENTER UNE
C.LF. • CHAIN UNIT FENCE
C.M.E. • CANAL MAINIDNANCE
EASEMENT.
CONC. • CONCRETE
C.P. • CONCRETE POST.
C.S. • CONCRETE SLAB.
A - ARC DISTANCE
A/C • NR COMMONER PAD.
A.E - ANCHOR EASEMENT.
ASPH. - ASPHALT.
13/C - BLOCK CORM.
BLDG. - BULDSO.
B.Y. • BENCH MARK
B.O.B. - BASS OF BEARINGS.
C • CURVE
C - CALCULATED DIMENSION.
- CATCH BASIN. D.E • DRAINAGE EASEMENT.
C.B.S. • CONCRETE BLOCK mow - DEGREES.
CES.W • CONCRETE BLOCK WALL. D.M.E. • DRAINAGE
A - CENTRAL ANGLE MAINTDMNCE EASEMENT.
- PROPOSED ELEVATION. X300 - DOSING ELEVATION.
DIST. • DISUNCE
DR. • DRIVE.
OR. W.- DRR/ESLAY.
E • EAST.
ELEV. - ELEVATION.
ENCR. - ENCROACHED.
E.T.P. - L. HOLE O _
F.D.H. -FOUUND GRILL
TIOF
F.F.E. • FINISHED FLOOR
F.H. • FIRE HYDRANT.
F.LP. - FOUND IRON PPE
F.I.N. • FOUND IRON ROO.
F.N. - FOUND NAIL
FT. • FEET.
N—N. • CHAN UNK FENCE
DATE OF FIELD WORK 07 -23 -2001
REVISED ON
REVISED ON
THIS CERIIFES THAT THIS SURVEY OF THE PROPERIY
DESCRIBED HEREON WLS..MAB
E —UNDER
AND THAT MEETS THE WNMUM
UN
S 1 • SET FORTH BY THE FLORIDA BOARD
• •'. AND MAPPERS IN CHAPTER 61G17. •, FLORIDA
„ INISTRATRVE CODE, PURSUANT
FLORIDA
• r .•
7►
ANIANO' =. .S.M 5105
NOT VALI�,�;,::;.�' �� TURF AND THE ORIGINAL
RATS s A F1.OR' LICENSED SURVEYOR AND
CERTIFIED TO:
MICHAEL GORMAN AND ANN GORMAN.
PIERCE H. MULLALLY, ESQ. P.A.
ATTORNEYS' TILE INSURANCE FUND, INC.
WASHINGTON MUTUAL BANK,
ffS SUCCESSORS AND /OR ASSIGNS.
ORDER NO. 01 -0742
LEGEND AND -'s : "� ONS
IN. 1 E0. E. - INGRESS 1 N.O.V.D. • NATIONAL GEODETIC PL • PLANTER OR PLACE R .• RAGAS SAP. • SET IRON PIPE
EGRESS EASEMENT. VERTICAL DATUM. PA • PROPERTY UNE (R) • =ono DIMENSION. WITH CAP PAS 5105
LB. .. UCE LASED BUSINESS. N.T.S. • NCT TO SCALE P.1.3 • FII/ENKIIVL INC SLIMS RAD. .• BAWL S.P. • SCREENED P011114. LFE - LOWEST FLOOR ELDICTIDNN. NO. OR NUMBER RUM • IOiE L INC RD. .. ROAD. ST. • STREET.
L.Y.F. • LNQ: WWIDWN.E USDDILO.E.. UTIUtY UNES. W8k11l1t 1 I•PFER RO .• REm0DICE. STY. • STORY.
LN. - LANE 0.H . • OVER HANO. P.O.B. - N
POINT OF BEGINNING. RO
N0. E • RANCE S.WN. . - NOE WAUL
LP. • LIGHT POLE. 0/5 • OFF SET. P.O.C. • PONT OF COYIiDICENDET. R.L.S. - MIMED UM T .• TANGENT.
..
MEASURED DIMENSION. ORS. • OI•'fICAL IEECORD BOOK P.N. .• C. POINT OF REVERSE CURVE EYO
CURVR. T. • TOWNHP
S.
ELENA ' - MINUTES PB. • PLAT BOOK. PR.M. - PEWmNIENT REFETTENCEN.P. • RADIUS PONT. U.E. • UTILITY EASEMENT.
IVL OR TE • MONUMENT UNE P.C. • PANT 01' CURVATURE. MONUMENT. R.R. - IWL ROAD. U.P. • UTLITY POLE
MON. • MONUMENT. P.C.C. • POINT OF COMPOUND POP. COI. • PROPERTY CdWER R/W • MOHR OF RAT. LRY. UTDUTY.
N - NORTH. CURVE P.T. • PONT OF 'MOW. S • SOUTH. W • WEST.
NAPA - NOT A PART 0F. W. • PAMRIENT. • • SECONDS. WY. • WOOD FENCE.
0A -NIA • V1000 FENCE. PO. • NOSE PRY. • PARK -MAY. SEC. • SECTION. VAL • WATER RAFTER.
6SSS! C.8.3 WALL P.C.P. • PERMANENT CONTROL POINT. W.V. - WATER VALVE
•
•
J
F.I.P.
0314'
—1.40' CL
2120 S.W. 25th. STREET
MIAMI, FLORIDA 33133
PROPERTY ADDRESS; 1059 N.E. 98th. STREET, MIAMI SHORES, FLORIDA 33138
LEGAL DESCRIPTION ; LOT 14, LOCK 179, OF 'REVISED PLAT OF TRACTS 178B, 178C, 179A, 1798, 179C, 180A AND N.1/2 OF 180C,
OF REVISED PLAT OF MIAMI ORES, SECTION 8, AS RECORDED IN PLAT BOOK 31 AT PAGE 41, PUBLIC RECORDS OF DADE COUNTY,
FLORIDA", ACCORDING TO PLAT THEREOF, RECORDED IN PLAT BOOK 43, AT PAGE 69, OF THE PUBLIC RECORDS OF MIAMI -DADE
COUNTY, FLORIDA.
w
n
w
z
O
k
- - - - - - - - - - - - -
F . I . P . . 262.34'
0314'
LEGAL NOTES
ARC DISTANCE CH - CHORD DISTANCE
• .. ANCHORNCHOR EASEMENT. CL L CLEAR. • . .. ASPHALT. C/L OR C .. NN CENTER UNE.
• - BLOCK CORNER. C.LF. - C UNK FDDCE.
▪ - BULONG. MILE M
EN E - CANAL. B.M. - BENCH MARK. EASEMENT.
B.O.B. - BASES OF BEARINGS. CONC. - CONCRETE
• CURVE. C.P. - CONCRETE POST.
CALCULATED DIMENSION. CS - CONCRETE SLAB.
• - CATCH BASIN. D.E. - DRNNAGE EASEMENT.
• - CONCRETE 0 00C STRUCTURE' - DEGREES.
• .W - CONCRETE BLOCK WALL D.ME - DRAMAGE - CENTRAL ANGLE MAINTENANCE EASEMENT.
- PROPOSED ELEVATION. X OM - DOSING ELEVATION.
ANIANO J. GAR CIA, PLSM.
F.I.P.
0314
19.35'
CONCRETE
DRIVEWAY
STEPS
CONC.
STEPS
X
26.89'
LOT 14,
BLOCK 179
PORCH
0.20' CL
LOT 13,
BLOCK 179
LAND SURVEYOR & PLANNER
F.I.P.
09/4
VISUAL ENCROACHMENTS NOTED; •
() - CONCRETE WALL, ALONG THE EAST SIDE, ENCROACHES
16.25 FEET INTO THE RIGHT OF WAY OF N.E. 98th. STREET.
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY
REVISED ON 7/17/95 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN:
ZONE AE BASE FLOOD ELEVATION 8' COMUNITY NUMBER 120652
PANEL NUMBER 0093 SUFFIX J
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
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 DEDICA-
TIONS, UMFTATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DES
CRIPTION PROVIDED BY CUENT. THE UABIUTY OF THIS SURVEY IS UMITED TO THE COST
OF THE SURVEY. UNDERGROUND ENCROACHEMENTS, IF ANY, ARE NOT SHOWN.THIS FIRM HAS
ATTEMPTED • TO LOCATE FOOTING AND /OR FOUNDATIONS AND /OR UNDERGROUND IMPROVEM
OF ANY NATURE. IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDLAN. IF SHOWN,
ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. THE CLOSURE IN THE BOUNDARY SU
IS ABOVE 1:10000.
DIST. - DISTANCE
DR. - DRIVE
DR. W. - DRIVEWAY.
E - EAST.
ELEV. - ELEVATION.
ENCR. - ENCROACHED.
ET.P. - ELECTRIC 1fANSFOREER
F.D.H. - FOUND DRILL HOLE
FIE - FINISHED FLOOR
F.H. - FIRE HYDRANT.
F.I.P. - FOUND P.
IRON P
FJ.R. - FOUND IRON R00.
F.N. - FOUND NAIL
FT. FEET.
EI--14 - CHAIN UNK FENCE
GRAVEL
ANIANO
NOT VIW
RATS
LEGEND AND ONS
16' (ALLEY)
10' ASPHALT PAVEMENT
SKETCH OF SURVEY
(BOUNDARY SURVEY)
SCALE 1"= 20'
95.00' (R&M)
26.50' PARKWAY
N.E. 98th. STREET
(75' TOTAL R /W)
DATE OF FIELD WORK 07 -23 -2001
REVISED ON
REVISED ON
THLS CERIIFES THAT THIS SURVEY OF THE PROPERTY
DESCRIBED HEREON MJAS..WDE-UND6t
MD THAT SAME MEETS THE MINIMUM
UN
S SET FORTH BY THE FLORIDA BOARD
AND WPPERS IN CRAFTER B1G17. •, FLORIDA
INISTRATNE CODE, PURSUANT
FLORIDA
- P.L.S.M 5105
TORE MID THE ORIGINAL UCENSED SURVEYOR AND
1
PH. (305) 856 -4566
FAX. (305) 856 -4699
F.I.P.
03/4'
owe
— CL
F.I.P.
0314'
—1.40' CL
LOT 15,
BLOCK 179
CERTIFIED TO:
MICHAEL GORMAN AND ANN GORMAN.
PIERCE H. MULLALLY, ESQ. P.A.
ATTORNEYS' TITLE INSURANCE FUND, INC.
WASHINGTON MUTUAL BANK,
ITS SUCCESSORS AND /OR ASSIGNS.
ORDER NO. 01 -0742
IN. a ED. E. - INGRESS II NA.VA. - NATIONAL GEODETIC PL - PLANTER OR PUKE. R - WORM S.LP. - SET IRON PIPE
EGRESS FASELENT. VERTICAL OATUM. P/L - PROPERTY UNE. (R) • RECORDED DIIIE}5l0N. WITH CAP PJ3 5105
LB. - LICENSED BUSBIESS N.T.S. - NOT TO SCALE P � UN) M
■ PRIElUL ERL RAC. - RAIN. S.P. - SCREENED POW. LFE - LAVER FLOOR ELEM11ON. NO. OR i ■ NUMBER. MU - RION IRI RD. • ROM ST. 45 STREET.
LME • INE INNEIWLE I:MINT. 0.E • OYE'fiEAD UOUTY UNEi. MOOR R HALTER N. - IISiODICL STY. • STORY.
LN. - LANE. 0.K ANO
• OVER I. P.O.B. - POINT OF BEGINNING. ROE - RANGE S.W.X. - SIDE WALX.
LP. - UGHT POLE Off 0/3 - O SET. P.D.C. - PONT OF 055 NCE1101L RJ1 . REGISTERED RD ISTERED L T • TANOETR.
MEASURED DIMENSION. 0.111.. OFFICIO/ MORD BOOK. P.R.C. - POSIT OF RISME SURVEYOR. AIL - TOWNSHIP. ELE1N - MINUTES. PB. - PLAT BOOK P.R.M. • POrAAP1ElfT IEFE7l l R.P. - RADIUS POINT. U.E. - UTTUTY EMINENT.
P .C. • POINT OF CL/IIMTURE. MONUMENT. RA . RAIL ROAD. U.P. - UTUIY POLE
P.C.C. - POINT OF COMPOUND PROP. COR. - PROPERTY COII(N. R/W - RIOi4T OF WAY. UTY. • UTRUTY.
CURVE. P.T. - PONT OF W OENS.Y. S - SOUTH. W - WEST.
PVMT'. • PAVOl T. ' • RECORDS. W.F. - WOOD FENLE.
PO. • PAGE. PRY. • PARK -SHAY. SE'D. - SECTION. WJL • WATER METER
P.C.P. - POIMANENT CONTROL PONT. W.V. • WATER VALVE
M/L OR I11 - MONUMENT UNE
MON. - MONUMENT.
N - NORTH.
N PA -WOOD .
® CJI.S WALL.
1
2120 S.W. 25th. STREET ANIANO J. GAR CIA, PL SM. PH. (305) 856 -4566
MIAMI, FLORIDA 33133 LAND SURVEYOR & PLANNER FAX. (305) 856 -4699
PROPERTY ADDRESS; 1059 N.E. 98th. STREET, MIAMI SHORES, FLORIDA 33138
LEGAL DESCRIPTION ; LOT 14, BLOCK 179, OF "REVISED PLAT OF TRACTS 178B, 178C, 179A, 179B, 179C, 180A AND N.1/2 OF 180C,
OF REVISED PLAT OF MIAMI SHORES, SECTION 8, AS RECORDED IN PLAT BOOK 31 AT PAGE 41, PUBLIC RECORDS OF DADE COUNTY,
FLORIDA', ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 43, AT PAGE 69, OF THE PUBLIC RECORDS OF MIAMI -DADE
COUNTY, FLORIDA.
OW)
F.I.P. 262.34'
0314"
A • ARC DISTANCE
A/ ANCHOR EASEMENT
MPH. • ASPHALT.
Sac: ELOCK CORNER.
BULDNG.
&IL - BENcH MARK.
8.0.8. • BASIS OF BEARINGS.
C • CURVE.
(C) CALCULATED DIMENSION.
CATCH BASIN.
CSS - COMPETE BLOCK STRUCTURE'
C BS.W • CONCRETE BLOCK WALL
CENTRAL ANGLE.
® - PROPOSED ELEVATION.
Zoning
Approved Cact,eek-
/O
LEGAL NOTES
CH - CHORD DISTANCE
CH. S • CHORD BEARIND.
CL • CLEAR.
C /1. OR C • CENTER UNE
C.L.F. • CHAN UNK FENCE
C.M.E. • CANAL MAINTENANCE
CONC. - CONCRETE.
C.P. - CONCRETE POST.
C.S. - CONCRETE SLAB.
D.- DEOi ESQ EASEMENT.
D.W.E. - DRAINAGE It
MAINTENANCE EASEMENT.
X OM • EXISTING ELEVATION.
LOT 13,
BLOCK 179
F.I.P.
0914'
VISUAL ENCROACHMENTS NOTED; •
(i) - CONCRETE WALL, ALONG THE EAST SIDE, ENCROACHES
16.25 FEET INTO THE RIGHT OF WAY OF N.E. 98th. STREET.
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY
REVISED ON 7/17/95 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN:
ZONE AE BASE FLOOD ELEVATION 8' COMUNITY NUMBER 120652
PANEL NUMBER 0093 SUFFIX J
STEPS
CONC.
STEPS
II I
28.85'
ONE STORY
RES
# 105
Z
PL
PORCH II
r1R.35' J .
CONCRETE
DRIVEWAY
29.35'
26.50' PARKWAY
0.20' CL
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
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 DEDICA—
TIONS, UMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DES—
CRIPTION PROVIDED BY CUENT. THE LABILITY OF THIS SURVEY IS UMfTED TO THE COST
OF THE SURVEY. UNDERGROUND ENCROACHEMENTS, IF ANY, ARE NOT SHOWN.THIS FIRM HAS
ATTEMPTED TO LOCATE FOOTING AND /OR FOUNDATIONS AND /OR UNDERGROUND IMPROVEM
OF ANY NATURE. IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN,
ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. THE CLOSURE IN THE BOUNDARY SU
IS ABOVE 1 :1000C.
LEGEND AND
t
F.H. - FIRE HYDRANT. M/I. DR K - MONUMENT UNE
F.I.P. ■ FOUND IRON PPE. MON. - MONUMENT.
F.I.R = FOUND IRON ROO. N • NORTH.
F.N. • POUND NAL NAPA - NOT A PART OE
FT. • FEET • W000 FENCE
3(—)* ■- CHAN UNK FENCE ® - C9.3 WALL.
16' (ALLEY)
10' ASPHALT PAVEMENT
LOT 14,
BLOCK 179
N.E. 98th. STREET
(75' TOTAL R /W)
DATE OF FIELD WORK 07 -23 -2001
REVISED ON
REVISED ON
THIS COMES THAT MS SURVEY OF THE PROPERTY
DESCRIBED HEREON WS- MADE —UN
MD THAT : 'i MEETS THE MIN19UM
SNP SET FORTH BY THE FLORIDA BOARD
• AND MAPPERS IN CHAPTER 61G17
4 INISTRATNE CODE, PURSUANT
FLORIDA
ANIANO� � '
NOT VAU b . : `
RAIS • ' ,• 1
• • ONS
SKETCH OF SURVEY
(BOUNDARY SURVEY)
SCALE 1" 20'
•
.LS.M 5105
TURF AND THE ORIGINAL
LICENSED SURVEYOR AND
19.08'
XI-- K —x —LI-
•
F.I.P.
03W
CL
e. LOT 15,
BLOCK 179
F.I.P.
0314"
—1.40' CL
CERTIFIED TO:
MICHAEL GORMAN AND ANN GORMAN.
PIERCE H. MULLALLY, ESQ. PA
ATTORNEYS' TITLE INSURANCE FUND, INC.
WASHINGTON MUTUAL BANK,
ITS SUCCESSORS AND /OR ASSIGNS.
ORDER NO. 01 -0742
DIST. ■ DISTANCE. IN. As ED. E - INGRESS At N.O.V.D. - NATIONAL GEODETIC PL - PLANTER OR PLACE. R • RAMUB. S.LP. - SET IRON PIPE
DR. - DRTVE EGRESS EASEMENT. VERTICAL DATUM. P/L - PROPERTY UNE RECORDED DIMENSION. WITH CAP P. LS 5103
DR. W. • DRIVE WAY. LB. - LICENSED BUSINESS. N.T.S. - NOT TO SCALE PLS w PIN IIWYL TAM) SAl11R RAD. • RADIAL. S.P. - SCREENED PORCH.
E • FAST. LF.E. • LOA FLOOR ElLL TEN. NO. OR - NUYEER. PL S.11 " - P��
FEM IMO L RD. - ROM. ST - STREET.
ELEV. • ELEVATION. LOAM LY.I. •• LAM MANTDWICE EASEMENT. 0.E - UTILITY UNES. SUM= S NPR& REa. • RSLDDNCG STY. • STORY.
EMIR. - ENCROACHED. LN. ■ LANG 0.1. - OVER HANG. P.O.S. - POINT OF BDpNNNO. RGE. - RANGE S.WJL • SDE SMUG
E.T.P. - ELECTRIC TRANSFORMER LP. • UOHT POLE. 0/3 = OFF SET. P.O.C - PENT OF IIEVCDID4T • R LL - pEf7STMXim MAD T - TA
F.D.H. - FOUND DELL HOLE 0[M4� EN
MEASURED DIMENSION. 0RS. • OFFICER. RECORD 80011. P.R.C. POINT' OF OpGEN CURVE SURVEYOR TWS. - NGENT TOMNSHP.
F.F.E. • FINISHED FLOOR ELEMA • MINUTES.
PS. - PLAT BOOK PRA. - PERYAFIENT RffpEpICER.P. - RADIUS POINT. U.E. - UTILITY EASEMENT.
P.C. • POINT OF CLIP AML RE MONUMENT. R.R. • RAIL IMAM. U.P. - UTUTY POLE
P.C.C. - POINT OF COMPOUND PROP. COR. - PROPERTY CORNER R/W • EMIR OF W. UTY. • t1TTIUTY.
CURVE. P.T. = PONT OF TANGENCY. 3 - SOUTH. W - WEST.
PUNT.. PAYMENT. SECONDS WY. - W000 FENCE
PO. - PAGE PAY. - PARK -WAY. SEC. - SECTION. W.M. • WATER METER.
P.C.P. • PERMANENT CONTROL POINT. W.V. - SLATER VALVE
2120 S.W. 25th. STREET ANIANO J. GAR CI .,: .�?� 11I::. •'.
MIAMI, FLORIDA 33133 LAND SURVEYOR & P4p11 ••� ;,.
PROPERTY ADDRESS;
LEGAL DESCRIPTION ;
OF REVISED PLAT OF
FLORIDA ACCORDING
COUNTY, FLORIDA.
w
LL
F.I.P.
03/4'
F.I.P. 262.34'
03/4'
A - ARC DISTANCE
A/C • NR CONDRIONER PAD.
A.E • ANCHOR EASEIDNT.
ASPH. - ASPHALT.
B C -
0 13.10 1 CORNER
BY - BELCH NNW.
B.0.8. - BASIS OF BEMINOS.
C - CURVE
C CALCULATED DIMENSION.
• CA101 BANN.
CAS.. CONaETE HOCK
. W CONIC TE BLOCK NALL
- CENTRAL ANGLE
tWED - PROPOSED ELEVATION.
NAN
a
1059 N.E. 98th. STREET, MIAMI SHORES, FLORIDA 33138 •. • • • •• •.. ••
• • • • • • • • •
LOT 14, BLOCK 179, OF "REVISED PLAT OF TRACTS 178B, 178C, 1793.: 9C' 18dA AND N.1/2 OF 180C,
MIAMI SHORES, SECTION 8, AS RECORDED IN PLAT BOOK 31 AT,RAG€ jw1' 3 .PUoLr CQ @DS OF DADE COUNTY,
TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 43, AT PAGE 69, OF THE PUBLIC RECORDS OF MIAMI -DADE
VISUAL ENCROACHMENTS NOTED; '
- CONCRETE WALL, ALONG THE EAST SIDE, ENCROACHES
16.25 FEET INTO THE RIGHT OF WAY OF N.E. 98th. STREET.
LEGAL NOTES
TAN
CH - CHORD DISCE
CH. B. • CHOW BEARING.
CL - CLEAR. ENTIIi
C/L OR C - C UNE
C.LJ . • CHAIN UNN PENCE
C.M.E. - CANAL. MAINTENANCE
CONC. • CONCRETE.
C.P. - CONCRETE POST.
CS. - CONCRETE SLAB.
D.E • DRNNAGE EASEMENT.
!STRUCTURE - DEGREES.
D.ME • MANAGE IA
MNNTD4ANCE EASEMENT.
X0/43 • DOMING ELEVATION.
F.I.P.
0314
`
LOT 13,
BLOCK 179
oj
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY AGENCY
REVISED ON 7/17/95 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN:
ZONE AE BASE FLOOD ELEVATION 8' COMUNfTY NUMBER 120652
PANEL NUMBER 0093 SUFFIX J
THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
DXAMINAT1ON OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICA-
TIONS, UMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. LEGAL DES-
CRIPTION PROVIDED BY CUENT. THE LIABILITY OF THIS SURVEY IS UMITED TO THE COST
OF THE SURVEY. UNDERGROUND ENCROACHEMENTS, IF ANY, ARE NOT SHOWN.THIS FIRM HAS
ATTEMPTED TO LOCATE FOOTING AND /OR FOUNDATIONS AND /OR UNDERGROUND IMPROVEM
OF ANY NATURE IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN,
ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. THE CLOSURE IN THE BOUNDARY SU
IS ABOVE 1:10000.
LEGEND AND
• • •.. • • • ...
• • • • • • • • • • • • •
• • • • • • • • • •
• • • .•. • • •
• • • • • • • •
• • • • • • • • •.
16' (ALLEY)
10' ASPHALT PAVEMENT
SKETCH OF SURVEY
(BOUNDARY SURVEY)
SCALE 1 "- 20'
PH. (305) 856-4566
FAX. (305) 856 -4699
F.I.P.
gLostim °314"
d �a
- 1.90' CL
...-._ 1111
28.85'
1q
GRAVEL
REVISED ON
REVISED ON
STEPS
CONC.
CONCRETE
DRIVEWAY
PORCH
J
ONE STORY
RESIDENCE
# 1059
PL
LOT 14,
BLOCK 179
N.E. 98th. STREET
(75' TOTAL R /W)
DATE OF FIELD WORK , 07 -23 -2001
THE CERIIFES THAT THIS SURVEY OF 1HE PROPERIY
DESCRIBED HEREON WAS. MADE -UNDER MY • 3. .ION
AND THAT &AME MEETS THE MIN6IUM �►'
SUN' " SET FORTH BY THE FIDRIDA BOARD I
•'. MD MAPPERS IN CHAPTER 61G17 -6, FLORIDA
I NISTRAITVE CODE, PURSUANT 027,
FLORIDA
ANIANO
NOT VIW
RAE
I. A FIDE 1
Ai - P.L.S.M 5105
TURE AND THE ORIGINAL
UCENSED SURVEYOR AND
IONS
29.35'
95.00' (R&M)
26.50' PARKWAY
2.
14.4 ■-r
19.06'
TL— IL —x—x-
21.60'
.9
LOT 15,
BLOCK 179
F.I.P.
0314'
—1.40' CL
CERTIFIED TO:
MICHAEL GORMAN AND ANN GORMAN.
PIERCE H. MULLALLY, ESQ. PA
ATTORNEYS' TITLE INSURANCE FUND, INC.
WASHINGTON MUTUAL BANK,
ITS SUCCESSORS AND /OR ASSIGNS.
ORDER NO. 01 -0742
DIST. - DISTANCE IN. Nk EC. E. • INGRESS t N.O.V.D. - NATIONAL 0o00ETTC PL • PLANTER OR PUKE. R - RADIUS. SIP. - SET IRON PIPE
DR. - DRNE. EGRESS EASEMENT. VERTICJY. DATUM. PA. - PROPERTY UNE (R) • RECORDED DIMENSION. WITH GP PIS 5106
DR. W. • DRIVE WAY. LEI - UCENSED BUSINESS. N.T.S. • NOT TO SCALE. KU • PDRNEWL INC SUMP. RAD. • RADIAL SP. - SCRFDNED PORCH.
E - EAST. LEE • WREST FU10R ELEVATION. NO. OR i • NUMBER. P.U.N ■ PROFFEDION. INC RD. • ROAD. ST. • STREET.
ELEV. • ELEVATION. U E - INC: WWIDVIA E EUDOR. 0.E - UTIUIY UNES. sRYE1a L WPM TIES. • RESIDDCE. STY. - STORY.
ENCR. - ENCROACHED. LN. • UNE O.K. - OVER HAND. P.O.B. - POINT OF SEDINNYNO. DX. • RANGE S.W.K. - SIDE WALJC
ET.P. • ELECTRIC TRANSFORMER LP. • LIGHT POLE 0/5 - OFT SET. P.G.C. • POINT OF OOLRENCOIDIT. RJ.5. - REGISTERED LAND T - TANGENT.
F.D.H. - FOUND DRILL HOLE (( MEASURED DIMENSION. 0RB. • OFFICIAL RECORD BOOK P.R.C. - POINT OF REVERSE CURVE. SURVEYOR. TOMS. - TOMNSHP.
F.F.E. • FINISHED FLOOR ELEWITu� - EN
ION.' - MINUTES. PO. • PLAT BOOK. P.R.M. - PEAL NIENT RE}S]ENCER.P. • RADIUS POINT. U.E. - 1JT1UTY EASEMENT.
F.H. • FIRE HYDRANT. MA OR It • MONUMENT UNE P.C. -POINT OF CUNATURE MONUMENT. RA - RNL ROAD. U.P. - UJVTY POLE.
F.I.P. - FOUND IRON PPE. MON. - MONUMENT. P.C.C. - PENT OF COMPOUND PROP. COI. - PROPERTY OO DIEIL I • MO NT Cr W. UTY. • LITITUTY.
F.I.R. - FOUND IRON ROD. N • NORTH. CURVE. P.T. • FONT OF TANGENCY. B • SOUTH. W - WEST.
F.N. • FOUND NAIL NAPA • NOT A PART OF. PINT. • PAVDME T. ' • SECONDS. WF. - WOCO FENCE.
FT. • FEET. SSW -/if - V1000 FENCE. PG. • PAGE. PWY. - PARK - -LIMY. SEC. - SECTION. WY - WATER IEIER.
N—)E • CHAN UNK FEND. ® - CJIS WALL P.C.P. - PERMANENT CONTROL PONT. W.V. • WATER VALVE
4,
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.
Date
Owner's Name and Address. _.
Registered Architect and /or Engineer
STATE OF FLORIDA,
COUNTY OF DADE. ss
State k to be done and purpose of building (by floors)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Name and address of licensed contractor_ _ __ _ _._�[r�.,_�_� l !_Y �._ 7,k- - i
072A.-
Location and legal description of lot to be bGilt on:
Lot ...r— Block Subdivision
Street and Number where work is to be done ._
K
-A/
19
and for no other purpose.
Addition Repairs No. of Stories
New Building ---"— Remodeling
To be constructed of Kind of foundatioc� Roof Covering
Estimated Total cost of improvements $ �----' Amount of Permit $ o .,t 0 w
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 pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, 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
pennit, as are licensed by Miami Shores Village.
Remarks ( Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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)
to me well known,
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.
/77 3
t
the pi
MIAMI
BUILDING
ctRICAL
PLUMBING
Owner cif
Building
Ar
Contra
ot B
Leg cI Lot
Description
ess 0 4( t i
This permit is granted to the contractor
herefor in strict compliance with all .ordh ans
drawings, statements or specifications that
time if the work is not done in compliance
granted is the understanding that the contes
•
-pertaining to the work covered hereby Wile
done by his agents, servants or employee
consideration of the issuance t
patio ing thereto and in strict confonetty
__ s