352 NE 98 St (14)Registered Architect and /or Engineer
New Building Remodeling
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APPLICATION FOR BUILDING PERMIT
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 7C C� � 0 1 9l/! t
Name and address of licensed contractor b Ef (C3 r/9 /f U e /7245r 1urLc 7, ,' /7 /V . 9
Location and legal description of lot to be built on:
Lot 4// OS Block 1 14 Subdivision ivi )2) j . qAf- I 4 M o // 3,26 !/� � /3 - 1 127 Street and Number where work is to be done i1/- - 9? 5p ,I" / /• � �' I ,
State work to be done and purpose of building (by floors). state exterior colors (submit samples) _�� 1/l CC f('''''',Z T / /�^
1/ r /vim -__ 6,0'7 //f/4 ,.. ,749' �,. 74 .5 /c3 X 7e
and for no other purpose.
Addition
To be constructed of Kind of foundation Roof Covering
U�j
Estimated Tbtal cost of improvements S e ,ac) Amount of Permit S 1 4 1.
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot_
Maximum live load to be borne by each floor
1 hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
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The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida \Vorkmen 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 . be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned a• era employ only s ;•. s .contra .rs on work)e performed
under this permit. as are licensed by Miami Shores Village.
Remarks (Signed)
Permit No.
Disapproved
(Signed)
Date
Date
Read. Sworn to and Subscribed before me.
Building inspector My Commission Expires
PLANNING BOARD DATE
g/07
Repairs No. of Stories
STATE OF FLORIDA
COUNTY OF DADS. } ss.
Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
Notary Public. State of Florida
19
No .75 a Street _z2 X $7(
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 fotegoing .pplication, and that he did sign the same. and that all facts therein by him stated are true.
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and -or workmanship.
01eits
SKETCH OF SURVEY
SCALE:1" *
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P A - ribt; 40/24 c3ryteie(
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Installation
1. Excavate unsuitable,unstable or
unconsolidated subgrade material
and compact the area which has
been cleared. Then backfill and level
with dense graded aggregate suit-
able for subbase material (typically
4-6 inches of compacted subbase
for light vehicular and pedestrian
traffic, increasing to 8 -12 inches for
heavy vehicular and industrial use) or
as otherwise directed by Site Engineer/
Architect /Landscape Architect.
G ) Place bedding course of sharp,
normal weight screening or concrete
sand to a uniform depth of approxi-
grit
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Sub"
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mately 1' inches (35mm) leveled to
grade.
Install Uni Paving Stone units with
joints approximately Ye inches (3mm).
Where required, cut paving stones
with an approved cutter to fit
accurately, neatly and without
damaged edges.
'3c, / Tamp paving stones with mechanical
— vibrator uniformly level, true to grade
and free of movement.
Fill voids in joints by sweeping in dry
masonry sand.
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Composition and Manufacture
All Uni Paving Stones are made from
a 'no-slump" concrete mix with fade -
resistant color pigments added to
achieve desired colors. Made under
extreme pressure and high frequency
vibration, Uni Pavers have a compressive
strength greater than 8000 psi, a water
absorption maximum of 5% and will meet
or exceed ASTM C- 936-82 and freeze thaw
testing per section 8 of ASTM C -67 -73. The
most popular shapes of Uni Paving Stones
are manufactured in 2 inch (60 mm)
and 31/4 inch (80 mm) thicknesses for a
variety of applications from light pedestrian
to heavy vehicular use.
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