Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
DRIVEWAY
GEORGE WENT ON THE19TH, AND LOOKED AT SIDEWALK INSTEAD OF GENERATOR. 9.4 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 07/24/2006 Inspector: Grande, Claudio Owner: ACKLEY, SUSAN Job Address: 1119 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: HOME OWNER Building Department Comments Friday, July 21, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 JUL 2 5 RECD Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)759 -2425 Parcel Number 1132050180050 Lot: Page 2of2 5J 24Ec , 4-1 4-s pry-) BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): q„ .:. Plum Mee �a ��,,..!! cal Rona Owner's Name (Fee Simple Titleholder) u .n Phone # A94 7 4 0 17/112 Owner's Address S Z Tenant/Lessee Nanie Job Address (where the work is bed done) _vie? / Y City Miami Shores V �►yC �j FOLIO / PARCEL # /' ^' ' O �/ Is Building Historically Designated YES NO A Contractor's Company Name Th L .v Phone # Contractor's Address Work Fo # Permit 00 ` 00 Value of * * * * ** * * * * * * * * * * *, *ge * ** * * *x * * ***s** Submittal Fee $ Permit Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Mang Shores, Florida 33138 Tel: (305) 7952204 Fax: (303) 756.5972 ICCIEEVM AY 19 2006 Type of Work: ❑Addition 0A teration arNew Describe Work: frw b Permit } o. •R — ster Perna No Phone # City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Arcbitect/Engineer's Name (if appli ) Phone # 9• Double Fee $ 1�J Aee- 0 Demolition ** * * * * ** * * * *** * *** * *** * CCF $ 0 Notary $ Training/ Education Fee $ (J • Ql.�/. Technetegy Fee $ Scanning $ q _ Radon d DP Bond $ Code Enforcement $ Zoning $ Structural Review. Total Fee No Due $ P) C •a See Reverse side .- Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. The forego day of Sign: Print: (Revised 02/08/06) g instrumen Owner or Agent as acknowledged before me this 4l is personally NOTARY PUBLIC: My Commission Expires: APPLICATION APPROVED BY: has produced who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning MAKE SURE PLUMBING ^ ND AND CLOSED. ECT�CAL �J E FINAL I. Passed Inspector Comments f ( --) u C. ; � C,/� i� i /// 7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until ............. ............................... Inspection Date: 07/19/2006 Inspector: Desharnis, George Owner: ACKLEY, SUSAN Job Address: 1119 99 Street NE Project: <NONE> Contractor: HOME OWNER Buildi�a Den rime ++ Comments Monday, July 17, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 JUL 21 REC'D Permit Type: Driveway - /Sidewalk : /Slabs Inspec ype: Final Work Classification: New Block: Phone Number (305)759 -2425 Parcel Number 1132050180050 Lot: Page 2 of 2 Issue Date: 5/24/2006 Owner's Name: SUSAN ACKLEY Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 1119 99 Street NE Comments: SLAB FOR GENERATOR Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/15/2006 Contractor(s) HOME OWNER Phone Primary Contractor Yes Type of Work: SLAB FOR GENERATOR Additional Info: Bond Return : Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS -5 -06 -1318 Phone: (305)759 -2425 1132050180050 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 200.00 Foundation Sidewalk Landscaping Final Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $9.00 $2.50 $112.30 Invoice Number DS - 5 - 06 - 24946 Total: 'JUN 15 PAID c� . Amt Due $112.30 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. New 200 AMP Single Gang Meter 200A MCB Nema3R Main Disc coP M 7( 6 ( ( D s- D (0 - Cold Water Ground #4 Copper Gnd Rods to be Min — 6 It apart Total Load Subject to Demand First 10KW at 100% Remainer at 40% 100% of Electric Heat or A/C Total demand in WATTS Divided by 240 = Owner and. Job Address SUSAN ACKLEY 1119 NE 99 ST. MIAMI SHORES FL 33138, Florida 305 759 1812 None Load Calculation: (NEC 220 -301 General Lighting (3 Watts per Sq Ft) Small Appliance Load Laundry Circuit Dryer Circuit Range Circuit Electric Water Heater Pool Pump Other Continuous Load Riser and Load Calculation (NEC 215 -5) 3 -2/0 Copper in 21n Pipe BY: 500 So Ft 1,500 3,000 0 0 0 4,500 0 0 9,000 9,000 0 vZ� C) / 0 o➢ Watts 4/ Amp INMOME'U'MTI Lql M •Y 1 9 2006 a n.. Copyright(c) 2000 Data Line Service Inc. • • ••• • • • •.,p •••• • ••••Il w`" •.• • .••, • • • • • • • • • • • ••• • • l w � I( 'i < ''" • •• • • • •• • •• ••••• ••• •• • •• • •• • • • • •• • • X.0 OA, Duo Panel J ,/v 7 7, AJ p , /2- l AJ /0 /r/ 1 c dK L711--- Rush Calculation: (Calculated using information received from FPL) #1 Aluminum having a 'C' value of 4166 and having an available fault current of not more than 22,000 Amps at the FPL transformer, and having a distance of at least 75 Feet from the transformer to the Service Equipment, and having the following formulae apply: F= (2xLxI) /(CxE) and M= 1/(1 +F) and AIC =MxI, so that the available fault current at the service equipment will not be more than 5,116 AIC and the service equipment will have an AIC rating of at least 10,000 AMPS Electrical Contractor Affordable Electrical Contractors 515 NE 190th Street North Miami Beach, Florida 33179 Ph. 305 - 940 -0777 State Lic #EC0001140 6. 1A4 PA-1JeL /240 VOLT I[] Panel Rated Amps Customer: Name SUSAN ACKLEY Addr. 1119NE 99 ST MIAMI SHORES FL 33138 Phone 305 759 1812 PANEL SCHEDULE ;._200 ••• :. iP1gSE Contractor: Affordable Electrical Contractors, Inc 515 NE 190th Street North ► iami Beach L 33179 Wattage # Amps VI • • • • •":: • • • ••• • • • • • Location • • • • ••• Wattage 1 20 LIGHTING 2 20 G. to iHT TG. • . .•, • • • 3 20 LIGHTING 4 20 PQIET.11 LE 4/C • * ` ; 20;0• ; 5 6 20 • ••• •• • 7 20 8 20 9 20 REFRIGERATOR 10 40 '. • ; • • •_ 11 20 12 40 _ .. . . . . . ... .. 13 20 KITCHEN APP. 14 30 15 20 16 30 17 50 18 30 HOT WATER HEATER 4500 19 20 30 HOT WATER HEATER 4500 21 22 23 26. • 28 30 32 • /240 VOLT I[] Panel Rated Amps Customer: Name SUSAN ACKLEY Addr. 1119NE 99 ST MIAMI SHORES FL 33138 Phone 305 759 1812 PANEL SCHEDULE ;._200 ••• :. iP1gSE Contractor: Affordable Electrical Contractors, Inc 515 NE 190th Street North ► iami Beach L 33179 This property described as: Lot 16, Block 178 REVISED PLAT OF TRACTS 178B, 178C, 179A, 179B, 179C, 180A and the North 1/2 of 180C, of REVISED PLAT OF MIAMI SHORES, SECTION 8, according to the Plat thereof, as recorded in Plat Book 43, Pace 69 of the Public Records of Dade County, Florida. 1 1r a l v 1. 0 0 1)5 t "4s r�/,U // 4 L E V 7 . of '( ) J„ ) 5 L, 0 v• 0 - a --- \1 24 50' 0 tr' sre r y ) 1/, 76 4 ' wire t( 1 • 1 1 11 111 11 1111111 1 1 I II \ II:r/.111 1 111. ♦11 1111. IIMII:IN.ti, H.1LCI ] \1.111 %lull, t 1.1('1'N \1.1) %1 1:\ 1111 u1 I te)'M 0 0 \ 0 (.1 - ate' - - 7' t G 7'YP) ,o 7 5, oc, <a /M 5 23 • 9 7` 7,, A BOUNDARY til /KV4, I hrtrlr% Icud%• II,a1 thr %utvr ori•••• %cooed I.,,eutt • nee elt Ihr 11011u1 ,,,,, Ir r h.1(11 t1 aod),t1t tri lurch I,) tI, 11■■■11 UI 1auul Su1.ry011 to chaplet 61(;1/ h I lutula Ad 11,111 itl, alive: ( "dt in-. tua,,, ,,, 5%(111111 ell 011, Ila \r aluort Ihrte a,r • • (11(1U1cIttur u%, al.1.114pt. r•eo•r •• ap(lt an■,I{ the IIal, 1ll,rr tl,)tt .. •Mt∎•• •, Iv r, 111 11, rPor , 141% Vr1 04,41,,,/■ ♦III. 6'14, 4•I)4 /r:i Z: l.:S ✓ k 2 ' A // v PROPERTY OF: Ackle , Susan D. , 1119 N. S t 1.11 i 11 I1,1 1 ■ • • • •. • • •. .• •• • • •• • • • • • • • • • • • • s • • ••••••• / 5' • . _. 7 • •. • • • J • •• x \U - 7 -,J 1 - - -- ii i — s 'T •• - - - . ••- - ,� . . • • -': • Y •• : ? � jc- - i • • • • • •• • • • . • • • • • f • • -}•� • (7 ' h 1; �Il e'er l /4' 11:s r� J 7 l� • • . Note Garage NIev- E.R.P ?. if L.F. Llev- %C denotes Iowe habitable floor elevation. E=levations shown refer to N.G.V.[). 1920 Lowest adjacent (grade ele\ 7 f�_ [.3111 11 A/ -3,e 27 L I e v 7_00 2 •eet, Miami Shores, Florida 1.,\NNI':S AND (;,\11( INC. 1..11. 11 211')8 tit (\'I• :1'0125- I\1,\I'I'I.:I(N- 1,,\NI) I'I..NNI :I(N I(NL; ;'1'O 1' :. ESP1.N(:: :A 129'16 ` 2 ..tr.ru I'u�c 1 (4 2 33138 1111 ilr 1, IIr%%; 15 . \.nu,r,( u1n11 :Iddr%, I•Iutl,ln.1.11.1.1 1.IIIt) 61,1,.7 ('I[ 1 51 1 NI 1 1 ,1, 1)16, \'• N 111' I)1( \\'1 :. N(1 l' "� ' 108118 4 &(1117 oLIVIIYST- d411!F.V6119111 Co o,,..,, 0•41 111 n • n,.,w....11 A • A,c (h,lance A/C • A., ..I C (I. • C•1 \611a,.1n • 1 141. • 1,.111'.•.• l u..a CI • C leof 1rJ ..Ir11 I... 1 Inn . ■ ,•.. .•.^ CI • Clt a, 1.,1 • C.r 1 r I . • r1r,11U111c I1.1111„n'r I'...I 111 r I I' • Fnu o. clunt nl IE I 1' v 1 u ....J Inp. 1111.1 RI 1.11...,... r I I' • Found Iron Pipe (III I r. 1.11,1. „1 111.11t. I nit • Ovelhany (1111 • Ullle•1 II rrunl• Ihwl'1 11 111 I'n...l . , I.•.4.I. • r Point nl l u, valu.r I' 1 ■ P 11 • !1st [look I' (: ' 1 I I • 1."1,,i ..1 I .,�.,,... I'A • P,op..ly 1Ina 1' (1 1) . r I'o of 1ln011110y I 17 P • Ullllly Pole W 1.1 • Wain' Mrl•( Nolo :I) ,111 C'le:lr;n('cs u1111 /or cn('ru;lcllln(•III.. N111111 11 11(11'1.11 .111 1.1 .1111:11' II II;II111(.1 1111I11'1NI11 Ii ' 'iN11;11 11(:1116. 1.1'3,111 111111clN11111 3,f 1(13(1• 1111 Ilrl(1 lulu, ,I II) Mlle INSIIC 111 11115 .ul'(cy is ,II11) for Ill( t'l(In\1(C ;lull 11.1.■ 1111 u\1. 1 11111\1. 111•3 \nn \, 11:11 Ii(S lir III 11111111111N .e11n11 n ill 1111' C e l 1 1 I 1 ( H 1 1 1 1 1 1 • , \ 1 1 1 ' I l l l l l ' 1 ' 1 1 1 1 1 ' 1 1 l l t' l l (INC (6 11 1 1 . 1 1 1 1 1 1 1 " 1 3 " 1 1 1 1 1 1 1 ' 1 1 1 nut 1 1 1 1 ' l III 111 611.•( 1' \.1I 111 111.111. c) Colic rCNlrit'liin.e unll 1111( N(;11T11 :I1.( 11111 I (II((I(II 1111 I 1,1 1 (•1 11) llnll(r);ruunll ullilies 111111 (i(rml(Ilnl(IIN i1 rin)'. 1111( 1111'11.11 c) 1 Ilr 111111 Inf13rnl1Ili13n 111111(1 it Ilcl (1111 (lot. e 11111 1111111) 111111 II11 1 rlrl 111 1.11 111111"'1\' 1%111 111. (I ill nnl ll( I1.(( (1 IIun111111: 1 1 1 ' 1 1 ; 1 1 1 1 ; 1 1 , ( ; 1 1 1 ( 1 ( l o t ' s 1 1 1 1 •1 ( • 1 1 1 1 ' I i ; i h i l i l ) 1 ( 1 1 1 1 1 1 • 11:11 1 111 IIII li; 11, .44 II11111'1 111 • (1111111\ 1'1 111(11',.1, In, ;111 \' 11;111111 :1' II1;11 rl'SiliIN (111111 1.(11;111((' 1111'.111(1 111111 I'l11;11111 I1. O •1 I;IIUIN Ill'1111'll'll IIl•1 l'1111 111•(4' NIII'\'C1 111 I (fit' II 1•:11 11' T11n1, Intl 1111 l'I1IIIIIN ;IN 111 ((111(1\1111 ill 111111 111 111 111I(' Al ° ( 111;1,11' 111. in111111'11. F1,000 'LONE: AE FLOOD INFORMATION: Community IIIIIIIICI': 120652 ,+dill•, nllnlll(r: 93 Su(lix: J f.I.IU'1. Dale: 3 = 02 -94 Itnse I ?Icl uliun: 4-8.00 N . G. V. D. Ilcnrings, i( ;ln)' shown I):1.1'11 nn .--�- 111'1ui 1'11(1') CI ?I( I' I I' :I) TO: Rapid Ttile Services Company; ht:.tul 1 1'y5 '1 Insurance Fund, inc. ; Ackley, Susan D., 1 01: 1'k Nn1 \ 11. 111 (1110111.1' IIn:NI1:N.111'lll: ln1 1111:111 N:I N.\ I. 11.,i'.a .'..11. /11 11 11(11111 1.1111111.11111111\ 1 11(11 •11111 .(1 11'1'(4 Susan D. , 1119 N.V.. A_ 119UNL.A.1iX_.... ,I'k\ I , 1 I.r1 rl,1 l trnl\' 11111 .hr 111.1.. , .• I n• s• Mt..) her to., Inttl■ lhr 411$114 Irrhnlnl (undal Jl tel 111111 hl iht Ill ,nl ul land Sulveyn.i 1n ch,lnr, 61(, I/ h Hum!, AJminin.aliwr Code Innluanl 111 54, nnn ,77.077. I I, SUlul•l I l „• ,•n 1111 ruarhnlrn11, ovt ra.•n•. apl,r n,ng 01),. lilt I'lal. nlhr, 111.1 n •I.,.wn 17r L II •IIIIVIYIIM AM/ 1.1 /II II 1 ; P: • : ie1..t, Miami. Shores, Florida " I.ANNI':.■ AND ( ;AII( I, \ IN('. 1..11. 1/ 211 til I( \'l. \'oI(ti- (\I, \l'I'I':I(S- 1.,\N I'I,,1NNI':It.ti 1•: MES'1'O E. ISPINOSA #2946 1111:1, ,,,111..'„' 15') Alrn,,.. •\,1.111., ( o.“4 I:nhltt, I.1u1111a . 1.(1,11 1.100) (,1,(, 7'110 CIC 13 SI 1 1(bLl 1 11'1.)) 11:' l l' ti( \C.I': • • ••• • • • ••• •• •• • • • • •• •• • • • • • • • • • • • • • • • • • • • i • il':I�c 2 11(2 • • ••• • • • • ••• • ••• • • •I1 .•Iw,ulr• 11• • • • • • • • • - 1 R„.• 1 Am.., w • • • • • Wm. F j1.0,,o - ''w": u - 1 •2- ....,.1 • • • • ite., • 10,1.1 of Y1• Y + • • • • • .-1, : •- ',1.1.11011 • I l,•( l y.l.••I ••• •• ?,II .:c1.•nt II • I Iw 111111 •I (:1.1.1•1 Vn,ll, nl I „1„1.,. •' (. - 1'111 S 11'. • Sri I,nn ('I310 .P•,• SVV,( • 1ldewalli • I'u1,61t1 .I'lI /1..1• ••• 11 1•• I1,41.1y 1 •••■■•111 • • • • • • • • •• • • • • • ••• •• 33138 IIII,\ \ \'N Hy t Illt \\' ;. NO I 108110 TYPE OF PRECAST PAD • .. • • • PISERE:1 'E LIGHINJGHT COItICRET)y' •••• . • • • • SHOP MOUNTED PADS • A1l,a?i 1 ors mdgtrbt set 4" MINIMUM from the edge of the pad • • All Xincaors to.be 14) 3/8" Diameter Galvanized Grade 2 bolts with Galiraili$ed II ybt ender Washers on the Bottom of the pad • • • WIND LOAD psf LESS THAN 15' HEIGHT "C" EXPOSURE 146 mph uplift = -42.0 psf 146 mph wall = 35.6 psf Better 14- FIELD MO See attached mounting details w of pad manufacture. Tgfiirig wit ; U -FAS? t -2000 pull tester yielded a minimum of 1,000 lbs. of usable resistance per bolt allowable @ 4" cc clearance to :padedge with .no C, no defects 20 pads @ 1,000 lbs of pull. These anchor Locations must be factory predrilled to assure minimum clearance. /'�— •••• WEIGHT `' J FIBERLITE PAD CONFIGURATIONS & WEIGHTS FRCC GEN 1 36" x 48" z 4" = 200 LBS EIGHT ( .� M Y1 FRCCGEN2 48"x64 "z6" = 538LBS WEIGHT _ FRCC GEN 3 48" x 84 z 6" = 700 LBS WEIGHT +�IJ r FRCC GEN 4 106" x 48" x 6" = 833 LBS WEIGHT —' � CM FRCC GEN 5 128" x 48" x 6" = 1067 LBS WEIGHT FORMULA(S) TO CHECK STABILITY: A V DT >U DT= GEN. WEIGHT + PAD WEIGHT UPLIFT : U = -51.9 psf X GEN. TOP AREA OVERTURNNING : M o = 43.9 psf (A/C wall Area) ( Lever Arm) F. S. = M R / M o MR =DT (Lever Arm) GENERATOR Pad MODEL H " W " D " WEIGHT TOP AREA WALL AREA 1 WALL AREA 2 DT U REMARKS MANFACTURE Required # Lbs. s.f. s.f. s.f. Lbs. Lbs. GURDIAN GEN 1 4389 28.5 48 28.5 450 9.50 5.64 9.50 650 493.1 OK 4456 470 670 415.2 OK • • • • • • • • • • • • •••• • • 4390 GEN 2 4722 4724 • 4126 • •••• • • • • •••• • • • • • • • 5054•• •••• •• •• • • • • • •• • • 5041• • • • • ..•• 5040 • •• • • • . ••• • • •• • • • 40" 68 30 36" 73" 30" • • ad EN 3 5828 • 38" 72" 30" • • •••• 5211 36" 71" 30" 5031 • 38" 72" 30" 5213 36" 71" 30" 5030 38" 72" 30" 4988 42.25" 76" 33.50" 5219 45.1" 76.8" 33.5" 4992 .42.25" 76" 33.50" 5221 45.1" 76.8" 33.5" 4917 42.25" 76" 33.50" 5220 45.1" 76.8" 33.5" 5012 42.25" 76" 33.50" 487 960 14.17 8.33 18.89 970 1010 1023 15.21 7.50 18.25 1024 1098 942 15.00 7.92 19.00 701 14.79 7.50 17.75 998 15.00 7.92 19.00 970 14.79 7.50 17.75 923 15.00 7.92 19.00 • 1350 17.68 9.83 22.30 1431 17.87 10.49 24.05 1400 17.68 9.83 22.30 1658 17.87 10.49 24.05 1250 17.68 9.83 22.30 1314 17.87 10.49 24.05 1300 17.68 9.83 22.30 Be er t1 D inn 687 415.2 OK 1498 735.4 OK 1508 735.4 OK 1548 735.4 OK 1561 789 OK 1562 789 OK 1636 789 OK 1642 778.5 OK 1401 767.6 OK 1698 778.5 OK 637.4 3396 5.33 OK 1529.2 5943 2.22 OK 1670 767.6 OK 2100 917.6 OK 2358 927.5 OK 1950 917.6 OK 2014 927.5 OK 1838 917.6 OK 867.6 4000 234.5 1374 5.86 OK 477 1030.5 2.16 OK 673.8 1347.5 2.0 1522.6 3995 2.62 673.8 3016 4.48 OK 1522.6 4911 2.63 OK 673.3 3096 4.59 OK 1522.6 4118 2.70 554 3122 5.64 OK 1348 4152 3.08 OK 554 3124 5.64 OK 1348 4155 3.08 OK 554 3272 6.01 OK 1348 4352 3.23 OK 637.4 3284 5.15 OK 1529.2 5747 2.15 OK • 576.2 2802 4.86 OK 1363.6 4903.5 2.05 OK 576.2 3340 5.80 ok 1363.6 5845 2.45 OK 1623 778.5 OK 637.4 3246 5.09 OK 15292 5680.5 2.12 OK 2050 917.6 OK 867.6. 4100 4.73 OK 1968.1 7175 2.08 OK 2131 927.5 OK 980.5 4262 4.35 OK 2248.0 7458.5 1.90 OK 867.6 4200 4.84 OK 1968.1 7350 2.13 OK 980.5 4716 4.81 OK 2248.0 8253 2.10 OK 867.6 3900 1968.1 6825 980.5 4028 2248.0 7049 4.50 OK 1.98 OK 4.11 OK 1.79 OK 4.61 OK OK OK OK . .. • • • • • •••• ; 4 212 • 36" 71" 29.5" 1045 14.55 7.38 17.75 1745 755.1 OK • • •••• • • • • •••• • • • • 4 , GEN 4 :41'.56: 47.9" 96.5" 36.8" 1973 24.66 12.24 32.10 2673 - 1279.9 OK • .••• •. •• • • • • • • • Q • 47.8" 88.6" 33.5" 2185 20.61 10.42 29.41 2885 1069.8 OK • . • • • • • •••• • • • • Q 47.9" 96.5" 36.8" 2185 24.66 Z'?0L 12.24 32.10 2885 1279.9 OK • .. • • • • ••• • • •. • • ... • fin.' N S . Q't100: 54.8" 115.2" 36.8" 2705 29.44 14.00 43.84 3405 1527.9 OK • • •••• QT 2873 3573 1527.9 OK Henry C. Hillman Jr. P.E. # 251 €6 Dated 3/21/2005 (M e:nbossed to be Vlaiid) 5222 45.1" 76.8" 33.5" 1541 17.87 10.49 24.05 2241 927.5 OK 5210 36" 71" 29.5" 776 14.55 7.38 17.75 1476 755.1 OK QT150 2666 3733 1527.5 OK Better 13 Design 1968.1 7000 2.03 OK 980.5 4482 4.57 OK 2248.0 7843.5 1.99 OK 567.0 2952 5.21 OK 1363.6 5166 2.16 OK 567.0 3490 6.16 OK 1363.6 6107.5 2.56 OK 1206.9 5346.0 4.43 OK 3164.8 11805.8 1.69 OK 1094.3 5770.0 5.27 OK 2894.2 12742.2 1.99 OK 1206.9 5770.0 4.78 OK 3164.8 12742.2 1.82 OK 1557.5 6810.0 4.37 OK 4875.6 18159.9 1.40 OK 1557.5 7146.0 4.59 OK 4875.6 19055.9 1.47 OK 1557.5 7466.0 4.79 OK 4875.6 19909.2 153 OK • • • • • • • • • • • • ••••1 • • lTM• PAD O PAD & BOLT LAYOUT .C_ NP •f4 O PAD & BOLT SECTION VIEW .GALS. I+P • t•d PAD F1RCC C ENE IRATOiR F4U 0 3 33•.W PAD O PAD & BOLT SECTION VIEW O CONNECTION DETAIL IIULP i• • P4 O CONNECTION DETAIL .CAll. •• • I.0 9E1 T8{ REVISIONS IA O a ur a 07 )- (0 0 aj Ill J C7 w J ? O W W 5 O cc W c O D RAWN R. 6Er5 >macD H. "'LI , DATE NOV-15-c SCALE AS SHOWN JOB 110 5851-05 A -1 SHEET 1 OF BY e a • a • .d < • • • a El a p . o a < a a d a ° d • •• • •••• •••• • • • •••. • • • • •• • • • • • w • • • • • • • • • •• ,• • •1 •••.}•• � ••• • : ••.r •••40• • • • • . • • •••� • a d A,•• < s• • I••• ••• • • • • • • ••• •• • • •••\ • • s••a•• P •••• O PAD & BOLT LAYOUT sum H1P • re O PAD & BOLT SECTION VIEW [CAL . I-, •r-c- F CC GENE iR4TOIR FAD s'4 !MAY PAD O CONNECTION DETAIL SCALE. •• • re T 4 a STAMP PAD O PAD & BOLT SECTION VIEW scu.6 • re PAD O CONNECTION DETAIL - S IS•fir PAD [GALE, •• • re ST•A•• PAD REVISIONS 4A h o c, a Q W � 05 Z c Z C7 W CI W J W' J ? 0 CC W W Q O W 0 _ ...` R BENSON CrECKED N. HLLWA DATE NON -15-05 SCALE AS SHDWN Joe NO . 5!51-05 A -2 SHEET 2 of • BY •0' o o. • a . r ••• • •,.• .r•• IV V • • lb ' •• •s • •, • A ••••: • \ . my • • • • iYi _ � . •\• . • FfRCC G ENE fRATQIR FAD • • • • • •, • • • • • • • • • • • • • • ••• • •�• • • • • •• •• • • • • ••• • O PAD & BOLT LAYOUT 52 PAD SCALE, l• • r-1P 0 PAD & BOLT SECTION VIEW •ra6e NP • re OTw4• ^PAD A Li O CONNECTION DETAIL *calm, e• • re O PAD & BOLT SECTION VIEW WALE. r • re O CONNECTION DETAIL SCALE, .• • re Inspection Date: 06/08/2006 Inspector: Desharnis, George Owner: ACKLEY, SUSAN Job Address: 1119 99 Street NE Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments Wednesday, June 7, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)759 -2425 Parcel Number 1132050180050 Lot: Phone: 305 - 892 -6507 Page 1 of 2 Passed Inspector Comments ,� � r t_... c c:.._,..t 0 ..., -e. te., p r/ ' a -e �� k_ ,d&2' h e - aZ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 06/08/2006 Inspector: Desharnis, George Owner: ACKLEY, SUSAN Job Address: 1119 99 Street NE Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments Wednesday, June 7, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)759 -2425 Parcel Number 1132050180050 Lot: Phone: 305 - 892 -6507 Page 1 of 2 Inspection Date: 05/30/2006 Inspector: Grande, Claudio Owner: ACKLEY, SUSAN Job Address: 1119 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: ARCO CONSTRUCTION Building Department Comments Friday, May 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number (305)759 -2425 Parcel Number 1132050180050 Lot: Phone: 305 - 892 -6507 Page 1 of 2 O Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 05/30/2006 Inspector: Grande, Claudio Owner: ACKLEY, SUSAN Job Address: 1119 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: ARCO CONSTRUCTION Building Department Comments Friday, May 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number (305)759 -2425 Parcel Number 1132050180050 Lot: Phone: 305 - 892 -6507 Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2001 State Certificate or Registration No Type of Work: ❑Addiioii Describe Work: Permit Type (circle): Owner's Name (Fee Supple Titleholder) Owner's Address State Job Address (where the work is being done) City Miami Shores Villa is Building Historically Designated YES Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (3 7 ' 4 : 305 736.8972 CEIVED 12 2005 Electrica Pi bin.g Mechanical Roofing AcKt' j Phone # 1L '37> M 2 Zip I SIT Tenant/Lessee Name Phone # * * * * * ** ** * * * * * * * * * * * * * * * * * ** 1 1 1 9 Nr. a c' r County IvTianni -Dade NO Structural Plan Review. $ Permit 1 o.,t :7 C r45 aster Permit No. Te nolo zip ' )1 Contractor's Company Nanie ' fLt o rip \1111 °A,S Phone Contractor's Address ) 6 Nif7 13 9 4 7'1© /0:[.L City LkC�IJ`J`L Staoet.,� Zip (1 Qualifier � (L (at! C 16 0c I 63 Certificate of Competency No. Square Footage Of Work: Submittal Fee $ Permit Fee $ 1 Notary $5' OD Train ngill;ducatiou Fee $ 1 • a c Scanning $ 3. CXD Radom $ Zone Bond $ Code Enforcement $ Architect/Engineer's Nauae (if applicable) Phone # $ Value of Work For this Permi et 0© CO /CC Fee $ 3 : CormAircD om icra ding Company's Name (if applicable) ding Company's Address State Zip rtgage Lender's Name (if applicable) rtgage Lender's Address State Zip � plication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has mmenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating nstruction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, E LLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC W NER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all plicable laws regulating construction and zoning. W ARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR A YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT." n otice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must omise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person hose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site r the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the �spection will not be approved and a reinspection fee will be charged ignature Owner or Agen he fore: s ing ins ment was ackn ledged before tlli The foregoing in ay of 20 ( , by — S h day of ho is personally known to me or who has produced As identification and who did take an oath. IOTARY P '0 ign: . rint: y Commission Expires: . iy **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** PLICATION APPROVED BY: Chc 05/13/03 as identification and who did take an oath. s L-(/ o co * * * * * * * * * ** * ledged before me this by L who is personally known to me or who has produced to • 'i !Litt!! I z _ • I N if mr ,..,,l i am a ti ximawi t il S317R 37 * * * * * * * * * * * * * * * * * * * * * ** * * ** * * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning requests permission to install: following described property: 1 Legal description/folio#: 1 3 Z. d 1 80050 Lot 1C=, Block 1 1 S . Subdivision Tax Folio g: 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone (305) 795 -2207 Fax.: (3051756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, S.)S-A 1-4 AG `t) hereinafter referred to as the Owner of the (owner) [asphalt, concrete, brick pavers [ j Landscaping [ j Other within the public road right of way of 1 ( I of N E IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: l • 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 thisc.. day of 4-2e....// SIGNED, SEALED AND DELIVERED in the presence of: State or 60. c, rue. expires April 7, 2003 'I No. DD 294E55 -- STATE OF FLORIDA) COUNTY OF DADE) The undersigned Alan 2_X_4 14 Ac_i& , does hereby attest that the (property owner) attached survey, performed by L_ A I\1 -1 E S (A 1 Ki C . (name of surveyor's company) performed on '9 1 4 1 I , is an accurate representation of the existing conditions and W,7rn') I' Thy? de' /cam 6/1(7--)k- locations of all structures on the property as of this date. gowdcn�v`�6C>//- /it,6 7/f-) The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the (date of survey) 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.. Further • ffiant sayeth naught. Witness( ' _'t and print) & > 64 r 1 Witness(sign and print) S ORN TO AND SUBSCRIBED before me this day of A ' Affiant/Property owner o SL f }- / C /kL.E . Affiant is personally known to me, (...--produced , ,)/L A/6— as identification. Aril '1, .:Ur -:E Issue Date: 4/19/2006 Owner's Name: SUSAN ACKLEY Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 1119 99 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/12/2007 Contractor(s) ARCO CONSTRUCTION Phone 305 - 892 -6507 Primary Contractor Yes Comments: CONCRETE DRIVEWAY REPLACEMENT AND NEW CONCRETE WALKWAY Additional Information Type of Work: DRIVEWAY AND WALKWAY Additional Info: Bond Return : Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount Bond Type - Contractors Bond $300.00 CCF $3.60 Education Surcharge $1.20 Notary Fee $5.00 Permit Fee $125.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $441.00 Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: DS -4 -06 -948 Phone: Parcel #: 1132050180050 Block: Lot: Section: PB: Total Square Feet: 1000 Total Valuation: $ 5,900.00 Required Inspections Foundation Sidewalk Landscaping Final Invoice Number Amt Due DS 4 06 24545 $441.00 Total: MAY 0 2 PAID C'C Amt Pa'd 0 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. • . • • •�• • • • .. • • ••. • • • • • • • • • • • • • • •. • • • • . . •.. Ia/ die a l . n \V7l.I •. ▪ • ▪ • • .. • • • • • .• • • . . • • • • • • • • • ..• • • • • • • •• ... ••• .'. :.. .. • •• • • • . • • ' • • ... •. wY '7� �V , L`t . . OF r V n 1 ✓! s i'j moo► 40=-0)6`f k Th /2roY n e; J 01e(.)tW NRS 111q 1J6 99 - , V4f 1, ■ `-/ 1 ` '8 CITY COPY 1 / 0 / . 0 • n - • ►1 ►' A4?+i 4-1 ? L/1 IC—C.", ..•I •• •• • • • . • 1 • • , V, • his property described as: Di lb, Bloc k 1 78 .•. • � • • • • • EvIS :U FLAT OF TRACTS :7.84 rag; • /9A, 1/9E, 179C, 180A'and• than. ;•• ••: Drth 1/2 of 180C, of REVISED PLAT !•' MIAMI SHORES, SEC'TI OI`i.8., • • ,• ,• ::Cording to the Plat thV44e ; ' • L. a recorded in Plat Bogle //3g :Pale, 0 • t the Public Records of ••• ade County, Florida. U 1 1 • 1 4 / ' J /r e / Yr.) - ,T,, i / j i1ctl / /(2✓1.1 J / V� j .-� / d es - 7"-77e 24 _ 0 I et /2,ts5 ' n v ) Ca/ 4.j Ls. 9< 1 ■ < will a1111ullrlw :si :n.lnom 1 A BOUNDARY SuRvRI ■ Il.r hr.rte, treed,' Iglom wove. .e1..r us l.0 CnXrw su111l:rull 1 .enle,l h...n... .....,. .t.. .ti nw ' lerhnll al minds/di tel (total b1 the IIn.nl Of land wIveyol$ In (lapse. 61017.4 1 ' Sera' 4)1.{11). Ila. Statutes. U.e1e are , I rnCItoa(nnienit, nverIap,. •aten...... anurn,nr_ ,.r. d.• hen ...1... .1. .. ' • Lnwn 1 eau •• • • • ••• d v ! 1 ti to .1 / ."-1 ,q Z-Z t y 4.4 t ' I , - 1 11 I 11 �+ 11 I 0 t - _ _ 1 44 15'D /.Q / / /IC •• • •• • 0 • n I r' 11 1 J. " • n ti • ,. O (f) CI /llli(r tier 146r '1 -6 - 1 Ill • ..,� I f C 1 . F11•.1.1) 1)A 1 air A. •rnr .nrvr WOK anlri(rrr• • ' � ' :1- 9 74 •I �/ • , -. I + I • • 1 . t T - -7 1_ / ' / �.. r• I I Ir i� IN // - / / h►, /5I f1 ' 7 I W t ' / J ZO 1/ / / 1 .' /. R ,. "Cart) . f / J 1' Garage i=iev- E.R.P. I'i ge 1 of 2 / G / U .' 4 cot 6vAt��4ry ft`t 1 1 taro ice) t' L.F. Elev- 6 i __denotes 'owe! h flnnr r�ltw�itinn. l_IG V U11tJ1 IJ JI It) .v 1 1 1 1...1%•I tv iv.v.V.u. 1:129 Lowest adjacent grade ete Cam 11 A/ 2 ) !_Iev 7.00 G40tVC.t26E 'D R-t VE W flr Y MIN.4 RE' Nr, oii•(e1) w /(0 -6 -I0//o w !4 / Curie to ?E pm-p size "nen.., e.e. " ^ " Ackley, Susan D., 1119 N.E. 99th St 'eet, Miami Shores, Florida .3,7130 LANNP1 AN 1/ 1 :A111 :1■1, i..n, n [uvn .ii iv r. ,,t. - 111A 1'1'1'.1(.l- 1,, \IVIJ 1 "I.AIVNI'.f(1 : ItNESTO E. ESP1 NC? :;i/1 12946 1.11 (VC .159 Alenanr .\ venue. /'0. nl I:nblea. 1•Iu1 1.017.1 man -110 1.1..11 •1.1 not. • a • I / � I 108118 1 1 NOTICE OF COMMENCEMENT A RECORpiD com MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. -1360) 14E3 TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: iq N e qcpL( 37 g2Fe 1--f t F► 2. Description of improvement: . /1/0/---1 - i ;/#,Pa-; 3. Owner(s) name and address: 1�r Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: iA � " Age. • / 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $_ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other doc by Section 713.13(1)(a)7.. Florida Statutes, Name an address: JP 44 8. In addition to himself, Owner designates the following person(s) to receive' a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date -of recording unless a different date is specified) Signature of Owner Print Owners Name 3 con Sworn to and subscribed before me this Notary P ibfl Print Notary's Name My Commission Expires: 3 day of ..4 ,6 k' r. S ±ate of Florida ,ax -irps; A aril 7, 2008 No. DC1294655 Prepared by: 111111111111111111111111111111111111111111111 CFN 200680.3541 ;3 OR Bk 24453 Ps 2406; (1p9) RECORDED 04/24/2006 11:17:12 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST F'AGE TAT n� Fl �I; NTY OF DADE s ' a tr ue ;o of the '.7 F t , CN 9q ' d J ul • A c _ . ' . ".;r, ;,7�h, eal. , AR�•Ey i ?�JliiJ CLERK, stand ►11: V ents may be served as provided D.C. 123.01.52 2/93 Q • c n -. :' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. 4,33 ,30 G Date.. _.TJ _._. _.._......_._..._._._.......... ,19.1 Owners Name and Address/ `����� � ",1 v ...�� �.� ..:l..G ft ka No —. Street-- Registered Architect and /or Engineer cc Name and address of licensed contractor... 4 .._ 0.... Location and legal description of lot to be built on: Lot / 4f X 1O Block / / / p Subdivision Street and Number where work is to be done.. l. . l. . .t....f _IY�N� _.. �. �_...._ State work to be done and purpose of building (by floors) -.. _.._. 1 • / STATE OF FLORIDA, COUNTY OF DADE. ss Chairman Mlcrrlber Member ...... _.....- - - .... _ Member Member Member PLAN C BOARD DATE and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of . Kind of pundati n. Roof csvering Estimated Total cost of improvements $ ` fi r d � Amount of Permit $1. 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 tabor 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 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. � / L - Permit No. /� `� ` Z Date.. -. - ( 7 Read, Sworn to and Subscribed before me. Disapproved . ,. Date.- _...._. (Signed) -- L.�f.. /� ,- i Notary Public, State of Florida ,� X ( ._ .. ,:... c o ,- Build nsper _._ My Commission Expires to me well known, Council Approved Date Disapproved 0 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 fce of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.