PLANSfd ¢pi
(/. 6 -87)
/00'
a. /5 fas
OF 7 4/4
(1'- 2c.-67)
r 983'
- - -1
;6:0'
m
rid. Boo, 395- 22
;q,
AtE
/ /0.05 ra 7Z /4
CD h • '
Roof °j •
overhang �,
",., , "
3.7'�'r /75•
/5.G'
2 srx c. e.5.
// 78
/8.8'
cox. ( /O. /5 *P�of)
LO r- 20
Bric.1 face
/5.0'
e; Cr)
L 283 .. 'o. i. Q1 oc
\ ();
N c (Ni
N tf' \c am
N cA6� ovarfieod wires �-- ti
4
c lear
� (t- ?c•a7)
/00 00 I X 9/, 40 meas. r rec
\Fd /2 °,04pc 9.0' Pavect
(/ -2 - 87) /5' A L L E Y
36.1
1/.
N
1
5'
I /74
4341 //a.
eo„c.
ao/lC•
1
o verhecar6
w /rds —� l
' 47ce: 1
/J. 3 /¢'p //oe
(/- 2G- 87)
22. 0 ' , 7vernernf
�s
. \ C) a
' oo
0'
` 0 ? .3'
/
6%21 7 e /a.
O
h
t2;'
B /'e4' G or
(/-26 -87)
Fel . /4 "p
(/-2a- 8 7)
/45.20' rl
il
%
0
fll 0
LEGAL DESCRIPTION:
Lot 3, Block 179, REVISED PLAT OF TRACTS 1788, 178C, 179A, 179B, 179C,
180A and NORTH 1/2 180C OF REVISED PLAT OF MIAMI SHORES SECTION 8,
according to the Plat thereof as recorded in Plat Book 43, page 69 of
the Public Records of Dade County, Florida.
Lying and Being in Section 5- 53 -42, Miami Shores Village, Dade County,
Florida.
SURVEYOR'S NOTES:
- Lands shown hereon were not abstracted for easements and /or rights -
of way of records.
- Lands shown hereon containing 10,441 square feet or 0.240 acre,
more or less.
SURVEYOR'S CERTIFICATION:
We hereby certify that the attached "Sketch of Survey" of the above
described parcel of land is true and correct to the best of our
knowledge and belief as surveyed January 26, 1987 under our direction
and complies with the minimum technical standards set forth by the
State of Florida Board of Land Surveyors.
FORTIN, LEAVY, SKILES, INC.
By
Daniel C. Fortin, For The Firm
Registered Land Surveyor No. 2853
State of Florida
"NOT VALID UNLESS SEALED"
SKETCH OF SURVEY
f/78
/99" sT.
0
i
PORT. OP SEC. 5- 77/1//°53 RGE: 4 2E
LOCH r /ON 5KErcH
Dote /9 5 0 /er.
/- 26 -87
/80
Scale
20'
A
Fortin, Leavy, Sidles, Inc.
Consulting Engineers & Land Surveyors
0 855 South Federal Highway / Boca Raton, Florida 33432
Q 180 Northeast 168th Street / North Miami Beach, Florida 33182
Dade 653 -4493 / 8roward 463 -7180 / Boca Raton 395 -7318
Job No.
870
Dwg. No.
/e7-022
GENERAL SPECIFICATIONS
SIIE16
Adz. AREA tf1 -oirts . it
SHAPE C 5 _10 `�. PERIMETER
TEMPEAIE NO CUSTOM
11(1 SIZE
_
411E COtC
COPING COEOR
POOL CAPACItr _ I Li, 2 /0 �� GALS
PUMP CAPACITE p 6 441
MOTOR H I _ 3+ N/
EattR NAujlt.u& 'D.a, a/.y. to. Pt
HUMANE - 19.8- G
TURNOVER
VACUUM LIM 6 SIMMER
RETURN LINE )
MAIN DAMN
SKIMMER MOOS/
AN SIPHON VALVE
HEATER SIZE _ - Ito
•
GASLINE K VEMtO I
ELECTRIC 1r
ELECTRICAL IIONOINO 1r
POOL CLEANER
04.OR1NATOR
BOARD-SIZE
!CARD SUPPORTS.
LAMER Model
au..
ROPE RING:
CAAOING
PUS PION, 0 •"
ntI 1 COPINd
otu rt
1REES.ETC.
CONCRETE 11.MOVAI h
the
file
1• •14.14.
1.4 .14■44.0
t 11011 I RUM'S
01111 MAIR
►RAC TOII tat
(1 ut♦
RESIDENTIAL SWIMMING POOL fOR
JAMES RODGERS
CONSULTING ENGINEER
1120 NORTH AKIN R P R. MUM/ FLA 33/32
18 8 . 81
SNEET
/
ex 1
LEGAL:
ko.T B4.t•c. k9 7, FR 'i1 E-as pL Y of
Mi A -Mt dPi i *` 5r. sez. Too 1 $•
r U' 4.31 �o " y` ' ` rT, X .Put a. cG3 rt T y_
1\J .
PLOT
9 T "
1 Jo. 05
d eNEAR l'_. ,N1i,1"e.
CHAIN LINK !pc(
itid
i 11.A4 C it/.Oat. to.
,t eri r/a s.. /.1, v / ors corr.
mar
rem art owls or wt.eI•
D�lrCK lOOTJNQ L 3LAKf o(rA/L
AN iurRloa►A i4411 IAill lrtr rs r•r► ridIth4 .d 4.4d
t All: riatl4+.4t 4h4/ 4141114 41.,41441414 into 41441
• (44 • itsA. /. A S7.M. Aiwks. shift shall ha 1.Mt hood
.,d plei.d: /. ' .ts.td.s4# vi# A.C. /. ,IaltliaNs slat/
4l►tfi I E taal .
'GN/i' ell Mae Cieeim ihdV Asw a Ir.K► sr,N tow Nava I1.
..VI .1 Mr 44.14b1144.
1111_ 4441 ftilir:14111`14 PVC. Srh•S.44 ter. 4
•
S. Wider: "44 fli4 oveisio ! l t . 1440•114 fag v." it► /A.1
Mars' 14,44',4#414 4444044 w'lh • 44404 W 414e ' 410.6
1414r i■., . fr 4.41.m. .
- K T . 2=,,M44!„. 4 4 g t /41 ifie44.1 4 . 1 1 kw* : r'.e►1 r.l f s s f # a silk
ISahfit'• Ni. tN�tl � of/j.IriArri
444N44 liiA':
>• .' AN .l l e• 4•41.1/47 parts, 4ptltilt iriieOfef g i /441.
' AlthIi , :,1141+r11trie I1sIvri.ilwila fr a4 /t/ f.,la 41
/.�Nsr lirtj';I+r N� lh.i..0400, N shell B.
14ad.d l.g.11.h „,•0120•444f 10 s.rtasa Ar.ssl•
• n. 1a+Ili►0 r eliON : iii // ...l.. s •,trill., IAa
t N' 4 V ” tltitieet 1fAI*,iK a a ' •, i4o 1
- ":Ik:.,'R.4jtwiihifil r, Kit hr.M11t40 .a/ 4.,! /441144 4/444K1
,osJ sal .d 11444 br 16:4.•01 r.>wtre.t.ft ail p441
C ialr.N....
Ica 1SPsaSA;I: ‹6 Wt s c
.n iviA.l
13 Renew
L /Nt
TO !Ltc /c
PANEL
✓es./i,, &o •...
11 V t,T
/..l Lip
14~1 M.h+
,f/.r/,r SKPi /t►
l
A t
MAIN DAANN
PIPING /SOME rRIC
Pe., WI
r
lrelth i•
AittesI he
4"N.,, Oe Rtti/
. if 4IPVC PO, 14 PHI AP..
O,.v,# AN I.,.,. Li/>r/.
N.iK.
114 q'rr.. •�.:L.T—I
Ile/ oposaI f �.,IyMtRMRMPM
i ♦ka N Awasowo e► it ma*
ELECTRICAL O /AGRAM
M414 £ t /N r
CATCNIA
POOL
0-
PIP /NG
E X\ S 1 I N om,
0
4 ' -
32 -a
PLAN
p tit' r'la
(�
f-'O°t.►rE
L.
(
[L• 5KlMML.
SW iMO . Yr
7C 1 ✓, 1 t� C S I L E. N
SCALe : 1 /8":
• 0 «
MVP
1
)444 Rs/. CONC• OP 4040 014 a(NI/t
if • J Of le C•C• tw, WAtt! I !LOOP
L Alto cc.
rat
NOTE:
WALL rNKKNtl s : PONRto CONC• t too I , SOr +I• J • Il CSC (A. INV %
avmrt --- - -- 4 for I tOr
!LOOP retacmmIIs: POvtrtD CONC. .:ro S
aumrt -- I THPUbv1
LQNQ/ TIVINA 4 $4V TIQN,
rri t
tIL1
e
_Tr A/AAItt
PLAS ?IA
s. f. MIL
LIQJ/ t NK/K
s stn rfI LOAN
OA NAAS? 10410
T YP /GAL WAG L SST /�l_Y
V.rr`9ai.r.�.rr.�i..� r...:•i.� ui
jVNctioli ION
I`AIOK NCN
c
STfpS DETAIL
006
.tiCOrIro.>•t 10
CONTRACTOR SHALL VERIFY
AL L DIMENSIONS AND
r.JNOfTIONS ON SITE
OA(CAS► OA AVS
!JIEPt1LAll MAIN ()RAIN
WI( Ot r.
C• S�
S•S - I.S 4.u' 14.1 0
4.6 - L <3 L14 V.)= j,'� r4 Llt
roaoo! V St �XAI.
The tel conditions at thie cite are adequate
to support the ilee esil load of 2500 PSI:.
Should other co or I *.i•Alr be
encountered, the eugiucer rh.tll be
notified before proceeding ■rith the Rork.
Designed and Built
with Tender Loving Care
`ii pi 5liiai;,11
: :,res Village. ' '
T.
18 -1'
PANEL'S - 7"--(0! 1
knowledge bLHi n & �`
of all
•�*titb;l� P bing, electrical zririn indicaCed All Tei :: rce �YISEi r a� 'ions
for roof ateal�
and
e inspection.
2L .r
), Icial. d
4
1
S r ,� ')LTJ
LEGAL. LOT 3 BLK 1
Rqv PLAT rRAGr 178 13,C, ri - - AZC
180 AND N. /-L a iSod. MIRMt St OA --
SeL'1 ► pN
1►�8 N.E.g\
V l M t V 1 Lt_ A, G&
MC KNZtE
• r ' "i s^I
eat 14 . ,ir„1t r `r". 1* %�.d�� } . I1 1�:.IY
"} L W 'Lc A l� ,
5 6 : 3 ,
773
875
,
403
603
703
804
/004
350
366
376
38/
390
402
602
702
4025
6025
42
402
IOt
MARK Tr Pf
4,2
642 E
742 E
rrpe
.!t
20f
TYPE'S'
PE
I b
rrpr
BEAMS 8 COLUMNS
COLUMN AND BEAM SCHEDULE E
SIZE 7/1/CANE3S INAX BEAM SPAN SPACED C-C
A b 4 I 1, 8' stcr 8.0
200 4.00 ,064 ,064 . 067:44' le- 6` ,14 14 57
. 7".00 .2 .070 067 ,se- e- - zee a pt,
-
00 500 1, , 00 z
.0 .06 7062 05=0 zr-r- 22-4.
200
F
1 _
TYPE
REMARKS
ra.L OOPS ?Cc-r
00.
4 5/83/824 'c
41) 24s
0o.
0o.
• chow rod erac mat.
Do.
Co.
!,
I 1-1 0 6
TtPE'F"
TYPE ''F
c • 'I--
i402,601
4 702
TYPICAL PLAN ,
c.,
AM=
g
a 4
TYPICAL ELEVATION
11111
1411=1
%%h I
Char Rod
ggi
.040
512-
Deow--1
• 040
I0?
045
201
66' 4i
.2
Boo Bros
201
8
Act 5Acr
101
(AVE 6 CORNER MEM.
MISCELLANEOUS COMPONENJj
Of or 201
Boo Beds
1
1
Bros
6
7054 o
-4
• 5 00 5 00 3 00 096 -066 .C96 „.11=47 15=6•
3 00 668 320 /Cs .066 0981asrer2ee zr-ce
• 00 769 1 30 .1/5 076 096 50/1' 36-0' 266' 2714'
3 23 2/5 364 6 ors pot; 54
3.72 9.85 4/9 .135 .096 './20 46-3 40 see. 55-41"
Msc. 2.00
C 200 /50
CS
2.00
.040
05
05
A' 200 3,00
FS 200 , 3.00
ZOO
200
400
300
040
sto*
s
36-7'
7
053 .053
/2"-.6 - /1'- 4' 10'
7025
302
3025
MARK
300
MISCELLANEOUS FASTENING 5 5CNE04ILE
OES GAI CRITERIA:
i.sal. : Cava,. ormo Loot A on, ovl 13 dsl
7•011.004, 244 Load a 040 a l 142osl
025! ,. 0.040 4,9 Load Ocwa 7 psl
0.0,90 2n4 Lae, 2 7 pal
1st Load vs adt dode
' 10500
ginC Lace-- tIe ''''
'r vztv- 1- 0 n 4-1 : 4
NO res : .
sr-e -!- ,e.
e-e- , I 0, Me E0dnees on rho y juidiftuf; 4,.. Act, ,,,,,,,,,,,,,,,,,,,,,a., ,A, i 41C•re
Vitt„, ,„„, ,,,„ „,„„„.„,„„„,„„, ,,„„,„,„,_, , 7 • J
Enclosure He 04 I Stone Sso• Sets 07 CaLlet
. ' APS mores ore 802-606.1-76,:V7L , j10
1.t 0
sy &Da ha • vse 0211,,ne d Ws olostleN
"'I rL ' fig • ‘0,114,01Cla teleran • !.004 a a
II ' 12 ■2 i / ' CI F,trsia farNaets moo 0. no• da elle.teadrUtalAr
, -0' I0' 2. 110 • ' l Aneofoa-- '
3.111,41at101.1 ._
.01• ';',:gr„,..4" .7•"1°',6flaio, (1 1 steel. c \-:'''.
..eno h0r0 , Conc,,m1 Ma , Kw 04 Xer 24' INeeKboat. I a roe ewes . , ovc,
4 r. ■ .` Awl. anchor 2.10 oe 5,, eq.., NoNNA 1112es shoe • dad* 0 I non-seer00.4,44//a ok0sprortint
-Str,s'itiiiI7Iisis;' iiidittc?elfriautiOt„.rk
.41.41 06,.., 0 - Fa 'linen
.5, fe.102aL bean', 1 010. 4 ....kie 5,
_201 510d psi Sactroa. _____02_ ,_..
__EVE_ . , 420.S chose Ce
/12 araNder membes famed
_1,41 Perwmar member "'Calumet g::
- - / i 3 . ; ''', ..ii=6 4 : 4 ■ ''''. - - - - - -
1!2 Perane10 - samArlo c6OI I •NOr 24' SASS 1 20 •
SCREEN WALL 048 025011(04/05
r
7'
Co.
17 /6=3 14 50* 01
25 26-4' 25'.0` 26.11'
34 32'.0' 30=7• 25 - 1`
KY-.1" 6' 12'- NC /.4 A /4, s cto 50% sport on cenlar
and r
phunbing, electrical wiring oof frle-trit-770.
leo stracealesi boiore inspection
--------- __PERMIT
'
REMARKS
• 722,0 sc 4
Lag l mosio okl/2
elogs Ws es
NI les DETAILO
Bea
YR' s S Cob
0.000
4 0,200
blvald0 50•40,4,
771,nore
'Nero
•1
DETAIL®
,
(0, anwer
Kt "co
f4f1,2
ve.„ •
••••• f-
r
PV"
Co
DETAIL ®
0
1 4'4
ea . sae
Care awes
C • --ti'r*IL
6S1_714 . 1101,ryzvs• 4 .
z aN. .trtccg =1'1 fes: s
am 4 anrhar0 eedolvdd.
ROOF 3RACIA SCHE114rIC
4
.1
l'graw"a y ,
-?..coece tram- cc. f
10001
ob,n
TELESCOPiND POOF BRACING
ol
8E46 co, rc r ON;
Use es :2'(.1'
SAAS. to bosom, f Bt. lap 70
latm.
DETAIL 0
1 8.0.
82114„60146267 02:
00, W0 4
,Ifeerabolto to beam and 1 - 4
kr 10 &yea,
DETAIL 0
bor.®
Ear, or
CETAIL5
IPA.
EsatI
ALT OETAIL ALI:DETAIL®
mz
4 10 5145
80. Bea.
o 7'44 ®
Vs 'mad Ir. IV
6 shoo
11041111111115;:s snow,
0:4!MIN
20I
Box Soo.
164a.
OETAIL0
L
Soo 644/
REVISED 11 :9 .6
3061 Nail% St
7-2 65
Eli: t/
?jig
DETAIL°
DETAIL
J Lt
CO kAlf
STAN WEEKS 0 ASSOCIATES, INC.
tulm,
-2/ua
raw roes.
02.'201
Ver !le
60, 1
0/80.63.
(6.6 .0.,
Colvor
SCREEN ENCLOSuRE DETAIL SHEET
. 4 1 .4 1 Z - 710W ALUMINUM PRODUC TS, INC.
765 ■ 200 2, 114/006, nor. do
Al, .11
206 4052.44
6
,
..:
pso
Ari_ln
AM6EIS
b.
4.1_
kr
1111
5 6 : 3 ,
773
875
,
403
603
703
804
/004
350
366
376
38/
390
402
602
702
4025
6025
42
402
IOt
MARK Tr Pf
4,2
642 E
742 E
rrpe
.!t
20f
TYPE'S'
PE
I b
rrpr
BEAMS 8 COLUMNS
COLUMN AND BEAM SCHEDULE E
SIZE 7/1/CANE3S INAX BEAM SPAN SPACED C-C
A b 4 I 1, 8' stcr 8.0
200 4.00 ,064 ,064 . 067:44' le- 6` ,14 14 57
. 7".00 .2 .070 067 ,se- e- - zee a pt,
-
00 500 1, , 00 z
.0 .06 7062 05=0 zr-r- 22-4.
200
F
1 _
TYPE
REMARKS
ra.L OOPS ?Cc-r
00.
4 5/83/824 'c
41) 24s
0o.
0o.
• chow rod erac mat.
Do.
Co.
!,
I 1-1 0 6
TtPE'F"
TYPE ''F
c • 'I--
i402,601
4 702
TYPICAL PLAN ,
c.,
AM=
g
a 4
TYPICAL ELEVATION
11111
1411=1
%%h I
Char Rod
ggi
.040
512-
Deow--1
• 040
I0?
045
201
66' 4i
.2
Boo Bros
201
8
Act 5Acr
101
(AVE 6 CORNER MEM.
MISCELLANEOUS COMPONENJj
Of or 201
Boo Beds
1
1
Bros
6
7054 o
-4
• 5 00 5 00 3 00 096 -066 .C96 „.11=47 15=6•
3 00 668 320 /Cs .066 0981asrer2ee zr-ce
• 00 769 1 30 .1/5 076 096 50/1' 36-0' 266' 2714'
3 23 2/5 364 6 ors pot; 54
3.72 9.85 4/9 .135 .096 './20 46-3 40 see. 55-41"
Msc. 2.00
C 200 /50
CS
2.00
.040
05
05
A' 200 3,00
FS 200 , 3.00
ZOO
200
400
300
040
sto*
s
36-7'
7
053 .053
/2"-.6 - /1'- 4' 10'
7025
302
3025
MARK
300
MISCELLANEOUS FASTENING 5 5CNE04ILE
OES GAI CRITERIA:
i.sal. : Cava,. ormo Loot A on, ovl 13 dsl
7•011.004, 244 Load a 040 a l 142osl
025! ,. 0.040 4,9 Load Ocwa 7 psl
0.0,90 2n4 Lae, 2 7 pal
1st Load vs adt dode
' 10500
ginC Lace-- tIe ''''
'r vztv- 1- 0 n 4-1 : 4
NO res : .
sr-e -!- ,e.
e-e- , I 0, Me E0dnees on rho y juidiftuf; 4,.. Act, ,,,,,,,,,,,,,,,,,,,,,a., ,A, i 41C•re
Vitt„, ,„„, ,,,„ „,„„„.„,„„„,„„, ,,„„,„,„,_, , 7 • J
Enclosure He 04 I Stone Sso• Sets 07 CaLlet
. ' APS mores ore 802-606.1-76,:V7L , j10
1.t 0
sy &Da ha • vse 0211,,ne d Ws olostleN
"'I rL ' fig • ‘0,114,01Cla teleran • !.004 a a
II ' 12 ■2 i / ' CI F,trsia farNaets moo 0. no• da elle.teadrUtalAr
, -0' I0' 2. 110 • ' l Aneofoa-- '
3.111,41at101.1 ._
.01• ';',:gr„,..4" .7•"1°',6flaio, (1 1 steel. c \-:'''.
..eno h0r0 , Conc,,m1 Ma , Kw 04 Xer 24' INeeKboat. I a roe ewes . , ovc,
4 r. ■ .` Awl. anchor 2.10 oe 5,, eq.., NoNNA 1112es shoe • dad* 0 I non-seer00.4,44//a ok0sprortint
-Str,s'itiiiI7Iisis;' iiidittc?elfriautiOt„.rk
.41.41 06,.., 0 - Fa 'linen
.5, fe.102aL bean', 1 010. 4 ....kie 5,
_201 510d psi Sactroa. _____02_ ,_..
__EVE_ . , 420.S chose Ce
/12 araNder membes famed
_1,41 Perwmar member "'Calumet g::
- - / i 3 . ; ''', ..ii=6 4 : 4 ■ ''''. - - - - - -
1!2 Perane10 - samArlo c6OI I •NOr 24' SASS 1 20 •
SCREEN WALL 048 025011(04/05
r
7'
Co.
17 /6=3 14 50* 01
25 26-4' 25'.0` 26.11'
34 32'.0' 30=7• 25 - 1`
KY-.1" 6' 12'- NC /.4 A /4, s cto 50% sport on cenlar
and r
phunbing, electrical wiring oof frle-trit-770.
leo stracealesi boiore inspection
--------- __PERMIT
'
REMARKS
• 722,0 sc 4
Lag l mosio okl/2
elogs Ws es
NI les DETAILO
Bea
YR' s S Cob
0.000
4 0,200
blvald0 50•40,4,
771,nore
'Nero
•1
DETAIL®
,
(0, anwer
Kt "co
f4f1,2
ve.„ •
••••• f-
r
PV"
Co
DETAIL ®
0
1 4'4
ea . sae
Care awes
C • --ti'r*IL
6S1_714 . 1101,ryzvs• 4 .
z aN. .trtccg =1'1 fes: s
am 4 anrhar0 eedolvdd.
ROOF 3RACIA SCHE114rIC
4
.1
l'graw"a y ,
-?..coece tram- cc. f
10001
ob,n
TELESCOPiND POOF BRACING
ol
8E46 co, rc r ON;
Use es :2'(.1'
SAAS. to bosom, f Bt. lap 70
latm.
DETAIL 0
1 8.0.
82114„60146267 02:
00, W0 4
,Ifeerabolto to beam and 1 - 4
kr 10 &yea,
DETAIL 0
bor.®
Ear, or
CETAIL5
IPA.
EsatI
ALT OETAIL ALI:DETAIL®
mz
4 10 5145
80. Bea.
o 7'44 ®
Vs 'mad Ir. IV
6 shoo
11041111111115;:s snow,
0:4!MIN
20I
Box Soo.
164a.
OETAIL0
L
Soo 644/
REVISED 11 :9 .6
3061 Nail% St
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STAN WEEKS 0 ASSOCIATES, INC.
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SCREEN ENCLOSuRE DETAIL SHEET
. 4 1 .4 1 Z - 710W ALUMINUM PRODUC TS, INC.
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LEGAL.: LOT 3 IILK I `i i
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MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICA - rtc1N F'oR BUILDING PEt•2MIT
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 cgnformity 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.
a,„-_e_
,�qq y Date __ __� s , 19 r
Owner's Name and Address � __ �� _.„....x.. _ No 11 /IL Street E_- _.g_?:1 .___ 1 •
Registered Architect and /or Engineer U
Name and address of licensed contractor Q __ ___ z___ _� �_
Location and legal description of lot to be built on:
Lot Block. 17. 7___--------- ____ -- Subdivision_ X_ - ------ ---- --
Street and Number where work is to be done
State work to be done and pwpose of building (by floors) __— _r! - /�-�r'"•—Y■�
and for no other purpose.
New Building _ Remodeling_ Addition ________ Repairs No. of Stories.
To be constructp d of C.B Kind of foundation_____ Roof Co vering _______ ._____________________________.
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Estimated Total cost of improvements $ 1-3 O Amount of Permit $___.
_Plan Cubage-
`Lone cubage required__
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. A1L.otices with reference to the building and its construction may
be sent to -- -- - - - -- - - —
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
'of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks _ ____ —__ (Signed) _ _:
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pfrsonally ap-
peared
--------- .-------- - - - - -_ _ __ -� to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. 1/
Permit No, - Date / I ` 1 Read, Sworn to and Subscribed before me.
Disapproved - _______ Date
Notary Public, State of Florida
(Signed)
Building Inspector My Conunission 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. r .
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