334 NE 99 St (7)Date g g O Jbb Address 33 V � � 7 ( s / Tax Folio
Legal Description%' 4` i ✓ ° i — oncally Designated:
Owner/Lessee / Tenant EklYsit. I D r � 0
Owner's Address 3
Contracting Co.
Qualifier \i o se__ � �
State #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION c / /Y1/ -6
Square Ft.
25
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS
constructio
Signature of o
&'(i1t■ C? «7 // Municipal #
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
AVIT: I certify that all the foregoing information is accurate and 1 work will be done in compliance with all applicable laws regulating
er and/or Condo President ate
Sa 0 -7 ID -3� G�31 -e °(
Notary o Omit 7.51tre '11
er an ' or C t , nf= , . I'i uate No
Inoue: ssiont t r! S ;1
P61t WW1
My Co
s
/S
zoning. Furthermore, I authorize the above -named contractor
RADON
OVi
APPROVED:
--
Zoning Building
Mechanical Plumbing
C.C.F.
Competency #
Address 7 (
Address
y
Commi
Address
ork stated.
Yes No AJ 0
41/ P
Master Permit # z/ 9
Phone 3 7 0 g
Estimated Cost (value) / SAO 0
toe l ox / ( 34 7,)
/p,/) 2,e-7 v"" /
Phon6,77 �/�1.��
Ins. Co.
A) B ,- ve Address
p ,90 P o ° 11
gnatur
as t
tr for or
• . 1 i ,q ∎ " Q 'r.. r1 ..�`
•
ion ExpirGLADYS j VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR.1 002
er -B er ate
S / `� 33.7 I - /�, t 02d
6a�
BOND
TOTAL DUE
Date
PERMIT NO.
ADDRESS:
MIAMI SHORES
BUILDING 1 ZON
VILLAGE
NG DEPARTMENT'
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with nit Fedora, State,
County. Wtage Nes vd regulations. Wage assumes
no responstbtt(ty for accuracy odor resutts from
these plans.
2. This copy of plans must be tyalttbta on
bufiding site of no Inspection wtfl be conducted.
JOB ADDRESS 33 ' /aE;
APPLICANT S
PHONE 4#
APPUCATION Pa
SHEET • r/ OF
MISCELLANEOUS 4 e , +i 1 7/7-
DATE ZO ILV 6 f COMMENTS CotriMintiUt INITIALS
'7751. .� 11 444 /5 /GI 5 /cL > ✓-
Gt (yea . Stale !o i
✓' f'
o� Pro TEC T (U F Poo L QLes 015 1Q e62 pee -
y r eif C[c5 d.►'1 / lacer 6
Peal wl LL / O T '/ T- /N I,¢-c
•
)(A-4e w1 T' i T ovalvV
Colvc/ <E' S'(c9• -,
5 W - ow o voz, me
t'c kqw ,ado,_
O� s�
CRITIQUE SHEET
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with aft Federat. State.
County.Ydtage rules and regulations. Village tssusnes
no responsibility for accuracy of /or results from
these plans.
2. This copy of plans roust be araltabt. on
bufsting site or no inspection *tit be conducted.
CRITIQUE SHEET
'JOB ADDRESS 33 9 g S�
APPLICANT
PHONE # (.,�
APPUCATION #
"
SHEET OF
MISCELLANEOUS
DATE COMMENTS
INITIALS
Aug -19 -99 11:26A rutecki & rutecki,
LEGAL DESCRIPTION:
tat AA/z:4
.4A/ , Al FA/z)ED yt.4T QF M//OM/ -SNOOZES SEcr /Os/ -V /
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK / D AT PAGE '70
OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA
LOCATION MAP
NTS
JOB NUMBER: 99- 732
DATE OF FIELD SURVEY:
ASRENATICN OF ANY APOLLO}
• Ca1TI {A.I
• NtarOtTT LK
NA • IMO Of NAY
C.L.F. • Own Leal VDIC!
w.r. • waeCLN /DICI
act ROOM
r.LP • roue INN PM
SAN • NT NCIAe
Ma • d10e SUMO
WALDO • WON=
s.cap. • =T NAIL AN! MC
18
30'
CERTIFIED TO: Erika W. Sala
Alejandro Vazquez, P.A.
Attorney's Title Insurance Fund, Inc.
CL•Cl oAt
INC. • CNONIAC CNT
COO • COMM CLOCK fiR1C M
oats • oo OIR
/ • OIMIMI
0.111 • allusehat YAaST. CASOOIT
LP. • ur1111rot
VOA • COM M1L MS
A/C • AO 0OQ10a,o tiff
a1c on - MOM
r.N.atl • TOae NAL AM MC
llp
N.E. 99th ST.
19
So'
20
21
22
w/.i•ID
MIL •CLLOOM,
Ai • 1101/1101781 La!
P.C. • mart a CLAINN taa
CM • MC mONAIIT
CANT.. LAWT
sox • sT
tau. NMI
CACAO • CALCUTATto
rs • roue Saga
luA • LfpAL
1 • POW of MINIM
P.O.C. • PONT CI C MTUNI
347 4022
5
23
50•
!A: 1••'"f +. It. A.. .f Awe*. ywar { dt+..L V.7► ..d .sar ..! M «..d r wr1...♦r�(
.. wtri, w 4 p.,4 ward Asmara* 4 /....A... A. . € .ri..L too.
531'\
24%
53s
0
33'
W
Z
BLOCK 41
SUBDIVISION
WE HEREBY CERTIFY THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT
REPRESENTATION OF A FIELD SURVEY MADE UNDER MY SUPERVISION AND MEETS THE MINIMUM TECHNICAL STANDARDS, AS SET BY THE
FLORIDA BOAR OF PROFESSIONAL LAND SURVEYORS AND MAPPERS, IN CHAPTER 61G 17-6 OF THE FLORIDA ADMINISTRATIVE CODE,
PURSUANT TO SECTION 472.027, FLORIDA STATUS.
ADDRESS: 6 ,59 /VA 99 .17 AlA .4/ ShigP.4h American Services of Miami, Corp.
ENGINEERS - PLANNERS - SURVEYORS
LB 6683
.2 i 4 9
REVISION DATE 2450 S.W. 137 Av. tut, Suite 217, Muni, Florida 33173
Tan: (305) 554 -6963 Fax: (305) 554 -7516 Email: Epiao6AOL.Coni
SUBVEYOR'S NOTES:
- EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY AFFECTING THIS
PROPERTY -SHOWN ELEVATIONS ARE BASED ON N,G.V.D. (NATIONAL VERTICAL DATUM OF 1926) -LEGAL DESCRIPTION WAS PROVIDED
THE CLIENT -NO UNDERGROUND UTILITIES OR IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED.
-THERE ARE NO VISIBLE ENCROACHMENTS OTHER THAN THOSE SHOWN.
?vre.o/A...,(iG ‘.esoH.
WILSON DE LA TORRE
PROFESSIONAL LAND SURVEYOR
AND MAPPER No. i87O
STATE OF FLORIDA
DATE: .�lL -Y 6 •) /499
NOT VAUD L NLESS SEALED WITH AN ENBOSSEO SURVEYOR SEAL
P.01
Aug =19 -99 11:26A rutecki & rutecki, llp 347 4022 P.02
r
SKETvH OF BOUNDARY SURVEY'
SCALE: 1• a zo'
SWINGS SHOWN HEREON (IF ANY) ARE MIXED TO AN ASSUMED P.:R1DLt\ OF !OR THE CENMO 'E OF
a
04
At II IJ)AVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 4/ I/0,602 1 44A does hereby attest that the
he
(property owner)
attached survey, performed by A/ '1 c.-' / Z / t tci4 /V kk 0/E //7
(name of surveyor's cothpany)
Affian
Witness(sign and print) W,itness(sign and pr
/1 / , 6 / ?I''
performed on tit/ y / 999 , is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
peal er ...53 ` z f o 3 5 4
EA
"
GLAD'S 3 vt1.? All
• A R Y PUBL , j T
Co\7MLSION No. CCTi+1';
COMMISSION EXP. MiA11.1 002
SWORN TO AND SUBSCRIBED before me this a b day of 0(
Affiant is personally known to me, produced as identification.
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or
installed at Miami Shores,. Fl., and hereby affirm that one of
the following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
(please initial the method(s) to be used)
All doors providing direct access from the home to the pool will be
equipped with self- closing, self - latching devices with release
mechanisms placed no lower than 54" above the floor or deck;
I understand that not having one of the above installed at the time of final inspection, or
when pool is completed for contract purposes, will constitute a violation of Chapter 515,
F.S. and will be considered as committing a misdemeanor of the second degree, punishable
by fines up to $500 and /or up to 60 days in jail as establish: d in Chapter 775, F.S.
i' // -f•
• NTRA • R'S IGNA
CONTRACTOR'S NAME (PLEASE PRINT) .
NOTARY PUBLIC
ATE
0/
Shotenitilar
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138-2382
TELEPHONE (305) 795-2204
FAX (305) 758-8972
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL,
SPA AND HOT TUB SAF'1 Y ACT
The pool will be isolated from access from the home by an enclosure
that meets the pool barrier requirments of Florida Statute 515.29;
The pool will be equipped with an approved safty cover that
complies with ASTM F1346 -91;
All doors and windows providing direct access from the home to the
pool will be equiped with an exit alarm that has a minimum sound
pressure rating of 85 decibels at 10 feet;
06
OWNER'S SIGNATURE & DATE
SA vd_beie
OWNER'S NAME ( PLEASE PRINT)
NOTARY PUBLIC
Date C/ d
O/
Miami Shores Village
Building and Zoning Department
Attention: Building Official
SWIMMING POOL OWNER'S CERTIFICATION
I certify that I am the legal owner of the property described as
2.3'x/ /v' 6 9 2C -2' , located at (;4 /1 .* c /- foev2?
,33/20
In accordance with Section 33 -12(0, Code of Metropolitan Dade County, I certify that
I understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Legal Owner
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 1/ o , does hereby attest that the
(property owner)
attached survey, performed by �/`'l «' /c/4 i,/ k /< </+i c%,J
performed on J UG •2i, / ?9 , is an accurate representation of the existing conditions and
(dMe of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
AFFIDAVIT
`Yl /� /� / 6/ ?P'
(name of surveyor's co(Tnpany)
Affian
Witness(sign and print) Witness(sign and pr
? /r er S/oO 7 e03 3
h„)
N• :' SEAL
GLAM.'S) v?? ? n
• ARY F a :: • .
COMMISSION NO. CC.I!.i I':
MY COMMISSION EX'. MPS '
SWORN TO AND SUBSCRIBED before me this a b day of j4,A..44...C.„, •1^4
Affiant is personally known to me, produced / " as identification.
Date /20/
Miami Shores Village
Building and Zoning Department
SWIMMING POOL OWNER'S CERTIFICATION
Attention: Building Official
I certify that I am the legal owner of the property described as
--: A/L ). l' zC2 -% located at W .
/ 33_3 / 3c
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that
I understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Legal Owner
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
•
4OTARY PUBLIC
:ONTRACTOR'S NAME (PLEASE PRINT) .
SL
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138-2382
TELEPHONE (305) 795-2204
FAX (305) 756.8972
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL,
SPA AND HOT TUB SAFTY ACT
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or
nstalled at Miami Shores,, Fl., and hereby affirm that one of
he following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
please initial the method(s) to be used)
The pool will be isolated from access from the home by an enclosure
that meets the pool barrier requirments of Florida Statute 515.29;
The pool will be equipped with an approved safty cover that
complies with ASTM F1346 -91;
All doors and windows providing direct access from the home to the
pool will be equiped with an exit alarm that has a minimum sound
pressure rating of 85 decibels at 10 feet;
All doors providing direct access from the home to the pool will be
equipped with self - closing, self - latching devices with release
mechanisms placed no lower than 54" above the floor or deck;
understand that not having one of the above installed at the time of final inspection, or
vhen pool is completed for contract purposes, will constitute a violation of Chapter 515,
'.S. and will be considered as committing a misdemeanor of the second degree, punishable
)y fines up to $500 and /or up to 60 days in jail as establish: d in Chapter 775, F.S.
06
OWNER'S SIGNATURE & DATE
Cf; v -mod
oiz � 4
OWNER'S NAME ( PLEASE PRINT)
NOTARY PUBLIC
Aug -19 -99 11:26A rutecki & rutecki, llp 347 4022
LEGAL DESCRIPTION:
LOT
,4A/ .4.6.7NActeD pi ...9'r OF M/A,'/ SNOWS .SECT / #S/ /
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK / D AT PAGE
OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA
LQCATION MAP
NTS
Ito • IMO of 1Mr
C.LF • CMAN IJ PUCK
mi. • AMOCO MCC
4,u. - MCSOOICt
co . • roue •ar an
SAL • XT NUE
C.t • 04010 KAL.NS
•RAL(M) • M_A_Nm
S.M.AA • NT MAR APO DIN:
18
4
ADREMAYIDIr Or ANY APPLIED)
t•amaarLot a.•ALA
t • Paoranr lae MC. • ocno•osomy
ca.s • mmPo us SLOW saaiCntst
0011C.. cam=
• . MOOR
DAL • ON NW NWT. MOON
SO. •itrOKAOAK
/Ax - NMI NAL MRS
A/c . ea opmplaw• (NNT
MC (a1 • Pao____
r.M.ap • NINO MAL MSS MK
N.E. 99th ST.
19
50'
20
5Q'
21
so'
*gm • ye. *4
ILL • UN. EASaON
r • Ma*JOA UNE
PA • POIT OF CLAvANOK
us. • NNE MTaSAMT
tar. • L*WT
SAN • *1 NtL Mat
• a• R•
• raw Me
MAa • ah&O.
PA& -'ANT O ODmaINN
P .O.¢ • MN ar osmium
•
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4
l0.►. 1""'fw► i S. A . y .w;, l wi... 96.dr.1 .Ili.r. *"1• .-t i -.d w wyM.i..4
.44 » a N"R ..i.1 �In..i.i.. y' .f...+r. t1..:.. I t Ai-4 1.0.
53.,E
35'
24 b
53.5'
tLi
a
BLOCK 41 ,
SUBDIVISION
?D
i ce` , G•-
P.01
CERTIFIED TO: Erika W. Sala
Alejandro Vazquez, P.A.
Attorney's Title Insurance Fund, Inc.
WE HERESY CERTIFY THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY 18 A TRUE AND CORRECT
REPRESENTATION OF A FIELD SURVEY MADE UNDER MY SUPERVISION AND MEETS THE MINIMUM TECHNICAL STANDARDS, AS SET SY THE
FLORIDA BOAR OF PROFESSIONAL LAND SURVEYORS AND MAPPERS, IN CHAPTER 810 178 OF THE FLORIDA ADMINISTRATIVE CODE,
PURSUANT TO SECTION 472027, FLORIDA STATUS.
ADDRESS: 3 NE. 99 3T Alksw/s American Services of Miami, Corp.
JOB NUMBER: 99 - 7.3.ee ENGINEERS - PLANNERS - SURVEYORS
DATE OF FIELD SURVEY: .?44 .2/ /4 f4 LB 6683
REVISION DATE 2450 S.W. 137' Avow., Suite 217, Miami, Florida 33175
Phone: (305) 554.6963 Fax: (305) 354 -7516 E o& Epaoo AOL.Com
SURVEYOR'S NOTES;
-EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY AFFECTING THIS
PROPERTY -SHOWN ELEVATIONS ARE BASED ON N,G.V.D. (NATIONAL VERTICAL DATUM OF 1829) -LEGAL DESCRIPTION WAS PROVIDED
THE CLIENT -NO UNDERGROUND UTILrnES OR IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED.
-THERE ARE NO VISIBLE ENCROACHMENTS OTHER THAN THOSE SHOWN.
WILSON DE LA TORRE
PROFESSIONAL LAND SURVEYOR
AND MAPPER No. 1870
STATE OF FLORIDA
DATE 3u4y.Q 67 :i 1499
NOT VAUD UNLESS SEALED WITH AN ENBOSSED SURVEYOR SEAL
Aug -19 -99 11:26A rutecki & rutecki, llp 347 4022
i •
SKEh4;H OF BOUNDARY SURVEY
SCALE: 1 ■ 20
BBAIILVOS SHOWN HEREON (IF ANY) ARE RIMED TO AN ASSUMED MFJUDIAN OF FOR THE CENII:RLr E OR
P.02
// PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date b 'R r D / Job Address3, G 7 -Sf Tax Folio G I 5 ea Col % SS 7
Legal Description' S C 4 O- id ; ' storically Designated: Yes No V
Owner/Lessee / Tenant S,(, 4/ADO c) 0 ,,,iti' 007 Master Permit #C 9/ qq ) 9 6 ` 9
.W ?
Contracting Co. / LG� / PSf% Address /3G Q 5 ( l7� 771i -
Qualifier / ' / irJo S <7 �#J SS# �/ - % ?Phon
Owner's Address
Signature of
APPROVED:
Zoning
Mechanical
State # 4 * O 26 4 7 4 ‘ 7 Municipal # Competency # e4 O s. Co. pi's( o v 2 R' i2A
3 /s" 6 �A/ -F--
Architect/Engineer Address
Bonding Company Address
Address
Mortgagor
Permit Type (circle one): BUILDING CELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION - 0
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a pennit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFU VIT: 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 oiling. Furthermore, I authorize the above -named contractor to do the work stated.
L
Ali
Notary as to • Per and/or
My Co Sion Expires:
9 /Zf /or
er and/or Co o nt / te
4 0Da -0
IL�Z'�. ti tiTS.a
B
Nt�T ondo 7�li
ARY Pre PUB LIC STATE OigRF FT.ORIi.A
COMfrs ION NO. Cr'714t03
MYCOMMfSSION EXP. MAR. 1 "002
FEES: PERMIT 0 / Oa RADON
Sign
Nota as
My Commis
Building Electrical
Phone 7� 7 6ref-- Z
co
• '4
BONDED THRU TROY FAIN INSURANCE 11,1(
September 12, 2002
C.C.F..� ✓ NOTARY c BOND
TOTAL DUF 5
ate
Plumbing Structural Engineer