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PROPERTY ADDRESS
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SUBDM Ark /91e,ll. ( FLf. of NIF• rI <,h,�_
ACCORDING SION TO TH E PLAT THEREOF AS RECORDED IN PLAT BOOK AT PAGE
OF THE PUBLIC RECORDS OF I )' - COUNTY, FLORIDA
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LEGAL DESCRIPTION
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Mill & Am c ate , RE2Co LB No. 3398
Registered Surveyor and Hopper, State of Florida
9360 S.W. 72nd STREET, Sult• 265
Miami, Florida 33173 (305) 598 -8383 FAX: 598 -0023
1- JI / -I'. , �, -:� F
2
THE 1AT)0l.AL FLOOD 1RSURANCE RATE YAP °A of 19 ` 4. PUBLISHED BY THE FEDERAL EHERCENCY W.AHA.CalDif AGENCY DDJFEATES
THE HEREIN DESCRIBED LAND TO BE SITUATED WITHIN ZONE X 004,411m m' NO 19 0 G- 2 p,NEL O `1 SUFFIX S
1 HEREBY CERTIFY: That the BOUNDARY SURVEY of the obove described property is true and correct to the best of my
knowledge and belief m recently surveyed under my direction, olso that there or no above ground enaoochments unless shown.
This survey meets the minimum technicof standards set forth by the Florida Board of Professional Surveyors and 14appers, in Chapter
61G17 -6, Florida Administrotive Code, pursuant to section 472.027 Florido Statutes. Exominotion of the obstroct of title will
have to be mode to determine recorded instruments. if orry. affecting the property. Location and identification of utilities adjacent
to the property were not secured os such information was not requested. Ownership is subject to opinion of title. This survey is
not intended for de nor construction purposes. For those purposes o Topogrophic Survey is required.
CERTIFIED TO:
GLADYS YAMIR ABREU , a single woman
MARKET STREET MORTGAGE CORPORATION, its
successors and /or assigns as their interest
may appear
JUAN J. BONFILL i . /
PROFESSIONAL SURVEYOR AND DAPPER NO. 3179
STATE OF FLORIDA
DATE'
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY AND NOT VAUD SRA E UT THE A FWRI RAISED
DA
NOUVELLE TITLE SERVICES, INC. I UCENSED SURVEYOR MAPPER.
REVISION•
REVI -
CLIEHT:
ORDER NO.
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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 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.
Owner's Name and Address ' R
Registered Architect and /or Engineer
Name and address of licensed contractor___ (91.")•4■44A0
Location and legal description of lot to be built on:
Lot Block Subdivi 'on_
Street and Number where work is to be done n_
State work to be done and purpose of building (by floors)
sand for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
PYril
To be constructed of_. Kind of found R�q#�overing
Estimated Total cost of improvements $_____ _ _Amount of Permit $_
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 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 Shorts Village.
Remarks (Signed) _
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a n9tary 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.
Permit No / /IP Date -/ 0-41 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Building Inspector
MIAMI SHORES VILLAGE
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
L
Date D ^ s J , 19
No Street
-11 e 99
PLANNING BOARD DATE
4
to me well known,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty