349 NE 99 St (4)MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date,S P' / U Time
Typelnsp' _
Permit No. P2.0 l 3 b
Name
Address 3Tt l _ .1_4/).
Company
Phone # ?' 'DS - 1 S h • b 11
For Inspect,/ 6 /€23 23 /3Name & Date
Approved ❑
Correction
Re- Insp'n Fee ❑
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Permit No.
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Phone #
For Inspector J J Z Name & Date
Approve
Correctio
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Req
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
— Type Insp'n �. - 4AA
Permit No.
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Company C.u?n'1 Q� .
Phone #
For Inspector: /�
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Approved
Correction ❑
Re- Insp'n Fee ❑
Name & Date
Correction
MIAMI SHORES VILL E
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date,_
Type Insp n �/ � °"�-- Y�l� ✓(�
Permit No.
Name
Address
Company
Phone #(
For Inspector:
Approved
Re- Insp'n Fee
t ) Name & Date
Owner /Lessee/Tenet • t
d ilex YV Alva (6er/ta ie Vaal-
3 Owner's Address / N / E. l l ' k G' J
Contracting Co. C rok G S+ Cf311s+ okef QYl
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of P
— ■ FEES PERMIT ' RADON
APPROVED: �
Zoning / � r/ D Building
Mechanical
Plumbing
PERMIT APPLICATION FOR NHAMI SHORES VILLA
10050 N.E. 2nd.Awenuse • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 •
Date 0 71 24 1/ 0 3 Job Address 349 jig • ggth street Tax Folio
Yo =Got 20 /3111 ,K 90
Legal Description/1/47i) 54■ s SEC l 4rn0 P• 0-76 /of I gt" Aistorically Designated: Yes r�
Master Permit # T)2 V 3 ' (.0' ?)e/7
Phone (305) 750 _ (c if
Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING> ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: keni4Ve l driveway And reriacettt
c� ,0c 6 ' rh t`cr
Estimated Cost (value) 41 /584` 4) ( Qa 50.
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: 1 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. Furthermore, 1 authorize the above named contractor to do the wor Jtated.
s
04/2- Da Signature of Contractor or Owner Builder Date
esi e Notary as to Contractor or Owner Builder
M,, ;ommiss+
Expires November 15.2000
My Commission Expires
C.C.F i! ' 06 NOTARY ' 00
TOTAL DUE
Electrical
Structural Engineer
W Cmtc.refi 9 "Thick l Ap!bn
Date
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ORDER NO. 13247
F.B. 498 PG 15
9 9'
. LcidATtot- MAP ••
S,C,AI.E
1 — 1
ADDRESS: 349 N.E.99 STREET, MIAMI SHORES, FLORIDA 33138
BY: - -- C. V.PRES.
HOWARD C. GAMBLE
REGISTERED SURVEYOR & MAPPER NO. 1683
STATE OF FLORIDA
LEGAL DESCRIPTION:
LOT 19 AND WEST 1/2 OF LOT 20, BLOCK 40, MIAMI SHORES"SECTI
AMENDED, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOO
10 AT PAGE 70. OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY,FLORIDA
DATE: APRIL 23 2003
SCALE: AS SHOWN
SURVEYOR'S CERTIFICATION: WE HEREBY CERTIFY: THAT THIS SURVEY
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING
MN THE STATE OF FLORIDA, CHAPTER - .. 472 OF THE FLORIDA STATUTES.
A. R.TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
620 N.E. 126 STREET,NORTH MIAMI, FLORIDA 33161
PH. (305) 891 -6340 FAX: (305) 893 -0325
15 klor
FQ RE - BAR
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ORDER NO. 13247
F.B. 498 PG 15
9 9'
. LcidATtot- MAP ••
S,C,AI.E
1 — 1
ADDRESS: 349 N.E.99 STREET, MIAMI SHORES, FLORIDA 33138
BY: - -- C. V.PRES.
HOWARD C. GAMBLE
REGISTERED SURVEYOR & MAPPER NO. 1683
STATE OF FLORIDA
LEGAL DESCRIPTION:
LOT 19 AND WEST 1/2 OF LOT 20, BLOCK 40, MIAMI SHORES"SECTI
AMENDED, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOO
10 AT PAGE 70. OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY,FLORIDA
DATE: APRIL 23 2003
SCALE: AS SHOWN
SURVEYOR'S CERTIFICATION: WE HEREBY CERTIFY: THAT THIS SURVEY
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING
MN THE STATE OF FLORIDA, CHAPTER - .. 472 OF THE FLORIDA STATUTES.
A. R.TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
620 N.E. 126 STREET,NORTH MIAMI, FLORIDA 33161
PH. (305) 891 -6340 FAX: (305) 893 -0325
15 klor
FQ RE - BAR
-,n Al L L E Y
o
95: ,
III. ao
3 ces wAL
- 0
N
REMAINS
OLD BAK B-D.
1o.os
0.10'
GL.
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N. 0
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Ffl. D. H.
PERMIT NO. • •
ADDRESS:
MIAMI SHORES
BUILDING / ZON
VILLAGE
NG DEPARTMENT•
SECTION
BY
DATE
ZONING•
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Sub(act to compliant with art Federal. State
County.Wlage notes sad regulations. Wage sssuate:
no responstbtttty for accuracy of/or mutts (roc
these Bans.
2. Thls copy of plans mutt be avat(abt. of
buitding site or no Inspection will be conducted
•
•
JOB ADDRESS
APPLICANT
PHONE #
APPUCAT(ON
ti
QRt
SHEET OF
MISCELLANEOUS
DATE ZO NLI V !
CRITIQUE SHEET
COMMENTS
INITIALS
y /?..c/a3 &)/ 110 Pig'/tJG ern Swl4c — 4l /5`-
itJ0 $ Tiee'T ?.eEa''s
-- it GGcs r C f.ecvG[L/ i'iez iii (ec
"/w
VET cmve €
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2003 -636
Printed: 5/1/2003
Applicant: J HENRY VIDAL
Owner: VIDAL J HENRY
JOB ADDRESS: 349 NE 99 ST
tT Contractor Contractor's Address:
U) Local Phone:
N
7 Parcel # 1132060135510 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & W1/2 OF LOT 20 BLK 40 LOT SIZE
Fees: Description Amount
0 FEE2003 -2538 Building Fee $85.00
r) FEE2003-2540
FEE2003 -2539 CCF $3.00 Total Fees: $393.00
Notary Fee $5.00 Total Receipts: $0.00
FEE2003 -2596 Builders Bond $300.00
Total Fees: $393.00
Permit Status: Approved Permit Expiration: 10/18/2003 Construction Value: $2,250.00
P D
Signed:
Signed:
Page 1 of 2
4111ISPECTOR)
Building Permit
i 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 responisibility for all work
)one by either myself, my agen , servants or employes.
(Contractor or Builder) BY:
0
Q
Work: REMOVE GRAVEL AND REPLACING W CONCRETE 4" THICK
�
M Signed: (tN3PECTOR
Signed: ilu . V! (Contractor or Builder) BY:
-/1 M
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 responisibility for all work
done by either myself, my agent, servants or employes.
4
PAY:ci
BankofAmerica,
ACH FUT 063100277
f 0,30D- g) ii'exa2 - 63- 42 7q 4 a-.
Ceorket~caor
PAY to the
order
for
BankofA
ACH 083100277
J. HENRY VIDAL
GERMAINE VIDAL
PH. 305-756-6844
349 N.E 99TH ST.
MIAMI SHORE, FL 33138
1:06 30000 71: 00 ill 4 28 76 ine
J. HENRY VIDAL
GERMAINE VIDAL
PH. 305-756-6844
349 N.E. 99TH ST.
MIAMI SHORE, FL 33138
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