DRIVEWAYMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildin g Inspection Request
Date ( /O
Type Insp'n CC? S/4
Permit No. v � O' - 39�j
Name
Address S4')- ME q ST
Company
Phone # ?:O — 7S7— tp ' {7b
Inspection Date (p' 'gib
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / • , Time
Type Insp'n
Permit No.
Name
Address'
Company 22 4)
Phone #
For Ins sector: ( / 4) Tame &
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
ate -
Type Insp'
Permit No.
Name
Address
Company
1 0 Time
Phone # 3 - - 1 S '° ( / i S
For Ins ,ecton —S1 t / Name &
Re- Insp'n Fee
/ci f' S�'
Cr ere
c f
MIAMI Shone: Village
Building Permit
Permit dumber; 8P2002 -82r
}
AXTON
S42 NE 99
A ULTON
DANIEL
ST
° a100AAflVE MASONRY INC Contractor's Address: 310 NE 99 ST
' 005) 757.7705
1101100 732050142430
i -do . /-
PAY TO THE
ORDER OF
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 7 & E1/2 OF LOT 8 BLK 72 LOT SIZE
Description Amount
-2398 Building Permit Application Fee $60.00
= 2 -2399 CCF $1.20
�CCZ -2400 Notary Fee $5.00
Total Fees: $66.20
— NQ Work: REPLACE EXISTING ASPHALT & CONCRETE DRIVEWAY TO INTERLOKING PAVERS
Permit Status: Approved Permit Expiration: 10/23/2002 Construction Value: $2,000.00
DECORATIVE MASONRY, INC.
PH. 757 -7765
842 N.E. 99th STREET
MIAMI SHORES, FL 33138
BANK 0 MERICA
BANK OF AMERICA N.A.
9190 BISCAYNE BOULEVARD
MIAMI SHORES, FLORIDA 33138
FOR
" 3? S 11■ 1 :0 6 30000 4 ?': 00 18 10 48 2 5 211
63 -41630
DOLLA 8
: 3DD I DD
otal Fees: $66.20
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
0375
or in strict compliance with all ordinances
been submitted to and approved by the
out aythorization.. A further condition upon
es and regulations pertaining to the work
8rvants or employees.
Ig thereto and in strict conformity with the
work done by either myself, my agent,
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
Further, Affiant sayeth naught.
Witness(sign and print)
• Maini SkoreJ lial
AFFIDAVIT
, does hereby attest that the
(property owner)
h
(name of surveyor's company)
performed on rj , b J , 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..
ii
antfPrope
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this day of
Affiant is personally known to me, produced as identification.
Notary
SKETCH OF BOUNDARY SURVEY
SCALE 1"= 20
AJo2(H 1 ∎ 11-1 1 1 4 . 1 / 4 •
SF.G• G - 53- 42
20' 6.5 -r pt-'` ( k 6IJr
I„ ;
16r4
1
i
ouE sra y
642
T'
II•n .
GoN
,
m _ N m
,rr.eu? el.
X5.35 (n
!8.35
„ - 75, oO'
r5' 41,c - ey �9 aSPNaL;
2, 7'x2.7 .
4
kn
n
\\ `i �
A5-(I 2 _
0.20 Of la c _ v 8 i ..v .•,
f 1 9a
i O,3
i
1 i ,. lC { t . , 4 O `, ; X _ �
/ `F7/6
a
K1 1
BEARINGS HEREON OF ANY) ARE REFERRED TO AN ASSUMED VALUE OF FOR THE
SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD
ACCORDING TO THE N.F.I.P. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: K
LEGAL DESCRIPTION
LOT - 7 t >✓ A4 - r I/ Z D 1-0T S
SUBDIVISION: L4 tp“( 01J �O '
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1 O
OF THE PUBLIC RECORDS OF t:
LOCATION SKETCH
SCALE 'I
Q b fi 1 11 110 Hi 4
-- 115 jta '1
LG�2e‘T= S 4-2 tJG q q tN i41
, Glr� u (21
A( UGq
fight dl.le,Fte,NJ - fI!t,e, IIJc)�UGe., Ge54.4pAiJc{,
SURVEY CERTIFY TO
rHE STTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF`A FIELD SURVEY MADE UNDER
MY DIP.ECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVE"ORS ANO MAPPERS IN
CHAPTER 61617 -6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES.
FQR: (21ld 4,0 L2 N -
JOB NUMBER 0 1 01- DRAWN Br. L .
F.3. NO. 4 CHECKED BY: 7 •
DATE OF THE FIELD SURVEY - 2
REVISION DATE:
SURVEYOR'S NOTES:
LEGAL DESCRIPTION WAS FURNrSIN£D BY CLIENT,
NCi UNOER0'ROEMD INSTALLATIONS OR IMPROVEMENT 5 NAVE IIF.EN LOCATED, k[I;L't AS NOTEL
THE 4 ARE mO v1SIBLE ENCROAGNMENTS OTHER THAN THOSE SHOWN
EMAPNATION OF THE ABSTRACT OF TITLE WSJ. HAVE 10 BE MAD£ TO DETEPu..s 'ECORDEO ,NSTRUMENt, IF ANY
AFFECTING THIS PROPERTY
FENCE OWNERS.IP. BY VISUAL MEANS O►Ly (IF ANY), LEGAL OANERSHIP NOT DETERMINE
t EGA.:•ESCRIPT KW SUBJECT TO ANY OEDK:ATK u. LIMITATIONS, RESTRICTIONS, RESERYAT OR EASEMENTS OF RECORDS.
2
AVW
C .LF.
W.F.
RES.
F.I.P.
S.R.B
VENTER LINE
= PROPERTY LINE
cRWGMT•OF - WAY
204AW OW FENCE
=•OODEN FENCE
iEESIDENCE
IfOtMO /ION PIPE
.ET RE -BAR
C.B. _ >�7+ORO BEARING
MEA4 CURED
S.N&O S ET NAIL & MSC
F.N. =MUM) NAIL
ENC.
•
C.B.S. W X/ /CRETE BLOCK STRUCTURE
CONC. :0344CRETE
6 = OtAMETER
O.M.E. =DRAINAGE MAINTENANCE EASMT.
S.I.R. =SET IRON PIPE
F.O.N. =FOUND DRILL. HOLE
A/C =AIR CONDITIONING UNIT
REC. 'RECORDED
F.N.3O =FOUM3 NAIL a 01 90
F.C.N. =FOUND CUT NAIL
ABBREVIATIONS (IF ANY APPLIED)
NEAR U.E.
= ENCROACHMENT W.M.E.
PRop.
F.N.
EA.SMT.
F.R.B.
5.0.N.
CALC.
F.S.
PAD
= UT EASEMENT
=MILL MA HT. &171F4voGE EASMT.
»IONLMENT UNE
= PROPERTY CORNER
MERE HYDRANT
= EASEMENT
=FOUNO RE-BAR
=SET DRILL HOLE
=GILCUUCED
=FOUND SPIKE
=RAWL
JIoIMD (TYP)=TYPiCa&
. •
BLOCK 7
2
AT PAGE 3
COUNTY, FLORIDA.
E. BELTRAN & ASSOCIATES, INC.
12533 S.W. 30th STREET
MIAMI, FLORIDA 33175
PHONE: (305) 552 -7450
CERTIFICATE OF AUTHORIZATION NUMBER LB 5233
ERNESTO'BELTR J -:
PROFESSIONAL SURVEYOR A MAPPER NO. 4885
STATE OF FLORID,
DATE: - 2 _ 2O
NOTE: THIS IS NOT A VALID SURVEY WITHOUT
THE ORIGINAL RAISED SEAL .AND
SIGNATURE OF A FLORIDA UCENSED
SURVEYOR AND MAPPER.
JOB ADDRESS g'Y..2 /v i 97 5
APPLICANT
PHONE # n
APPUCATION Dgi UFrw$y
SHEET OF :. .
MISCELLANEOUS
DATE
ZU.NINC'
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 et Federal, State,
County. Wage riles end regulations. Village asssi
no responsibility for accttrecy olio( results tract
t:ass pans,
2. Thls copy of plans mutt be available o0
tR:Rdtng site at no Inspection will be conducted.
COMMENTS INITIALS
Oct- Aid // t/5/cis oyc/ .4
e o46y 69v6 3 d E e(6 & ` - I'
t3 '4) •
CONTRACTOR
New Construction
Name
r iil;+e /, 0077 / T,t
License No. O4, AZ
Address ,99a :? /f/-- / 95—Z -�
/_J
�J
Alteration Interior
Teleph
7-- s7-77�iS F s i.� S/
Demolish
7
Qualifier Name � Zdj„ � w
Shell Only
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Address Apt.
Folio Number
Lot /1 "9 Block 72
Subdivision 4t lcr�/50 3PB /Q PG 37
Current Use of Property Si/ , W'4 s'-
Proposed Use of Property — it / , l
Tenant Information 3e.4 /
Description of Work gro / .rG&
Zoning
PERMIT TYPE (✓ )
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
PROPERTY OWNER
Name
Address
Home Telephone
Business Telephone
Fax
Master Permit No.
p 'a.noe-g- •
Subsidiary Permit No.
City State
PERMIT APPLICATION
Zip
Linear Feet
Square Feet /7t 2 Units Floors
`_" —
Value of Work� Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
I1IPORTANT NOTICES
L.
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without.approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
,A F. IDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
IDA, Cjs� I -DADS
r _
S'r- tire o i wner
Print Name t Sworn to and subscribed before me this) t day
SEAL:
h rc
•
Personally known - � F
lic - State of Florida
-.DIAL • 0
ACTF..I-A Dq B =L.
co`S•_'sv"oN fl •
CC7d6b9
C
R, Prbducedldentification
Type of Identification Produced:
Notary Pub
Print Name
Sworn to and subscribed before me this
Signature
SEAL:
Personally known
PERMIT APPLICATION
tate . CFlorida
�p,Cil PUe � 11,� M ®4:.
Z •4 � � �c c o : o; „,C'ic t �!
° c a t,u91
OR, Produced Identification
Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE,
Service Repair •
QTY.
A/C Central 1 -3 Ton
Dryer Vents, Number of
Fan
Ventilation, Cost
Outlet, Wall
Ductwork, Cost of
Service, Temporary
Periodic Inspections
A/C Central 4 -7 Ton
Fire Sprinkler System
Fire Pump
Outlet, Switch
Fireplaces, Number of
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc. •
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
.Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE QTY.
Minimum Fee
TYPE
Condensate Drain
QTY. TYPE.
Generator
QTY. TYPE QTY.
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
- Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
- Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
- Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
PLUMBING
TYPE .
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
® OWNER - BUILDER FORM
(Attach)
01 FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
01 CONCURRENCY
(New Construction)
01 OTHER
(Specify & Attach)
PE RIVIIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
® PROOF OF OWNERSHIP
(Attach)
• HRS / DERM APPROVAL
(Septic / Sewer)
® IMPACT FEE
(New Construction)
C11 OTHER
(Specify & Attach)
REVIEWED AND PREPARED BY:
SECTION
BY
Mechanical
DATE
Zoning
Electrical
Plumbing
Fire
Public Works
Structural
Building Official
(sq.ft. = x/1000
x ¢.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
CONDO ASSOCIATION APPROVAL
(Attach)
01 BPR APPROVAL (Restaurants)
01 CONTRACTOR REGISTRATION
(On File)
PERMIT APPLICATION
DATE:
Revised July 2001
10050 N.E. 2"fD AVE., MIAMI SHORES, FL 0 (305) 795 -2207 o FAX (305) 756 -8972 c http : / /www.miamishoresvillage.com
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 79/ 9 Job Address 8 4 2 N . E . 99 S t Tax Folio // - 0 .ZO 6 - O / z `{c3
Legal Description ,S6L 2 74 E lz 8 Historically Designated: Yes No
Owner/Lessee / Tenant 19 /.7 / ! S Master Permit #
Owner's Address A). L • 9C/ 67 Phone 751— 2-71/
Contracting Co. Adco Patch, Inc.
Address 3091 NW 129 St., Opa Locka, FL
Queer Eddie J. Barnes SS# phone (305) 681-2196
State # Municipal # C o m p e t e n c y # E — 14 0 Ins. Co. T r a v e l e r s Ins.
Architect/Engineer
Bonding Company
Mortgagor
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Rock & Asphalt Paving
Square Ft. 472 Estimated Cost (value) Z-/t/ , DO
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.
OWNER'S AFFIDAVIT: 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 zoning. Furthermore, I authorize the above -named contractor to do the work stated.
g_a att.41
Signature of owner and/or Condo President
0
Notary as to Owner and/. / ondo President
My Commission Expires:
. P OFFICIAL NOTARY SEAL
O
'<i EUNICE INSIONARES
« ` I r e % COMMISSION NUMBER
▪ '; -S r Q CC436731
Ti. ^ `O MY COMMISSION EXP.
OF FL FEB. 1,1999
FEES: PERMIT
RADON
Date
.1
Date
C.C.F.
,20
612
Signature of Contractor or Owner- Builder
Notary as to Contractor or 0
My Commission Expires:
NOTARY
APPROVED:
Zoning Building
Mechanical Plumbing
Electrical
5��6
Date
,Date.
, PU OFFICIAL NOTAr,'I fir' •
O ,m i <E. BARBARA ANN FUGA ..
.. , COMMISSION NUMB:=: ;.
a .IIP:s« a CC360191
�� ;:f�
MY COMMISSION E.
OF FA r 10(4::
TOTAL DUE
Engineering
4#
33
M/C5 /4:55e
014D.1 Pelf zecie
g
c 9g 5-T4-eer'
Aj ea) 14-5P/J
472.. .6to-
<-0 V , exi
:41
1
//
5G
MIAMI SHORES? VILLAGE, FLA. N9 12894
JOB ��Sca. t�►f `- -i'l.,
ADDRESS ‘ ..4471--
INSPECTION• Cd." •
TIME READY
REMARKS •
N •f - g., ,.s AL, r► iiru ¢S
Pe ; ¢ - 4/ fay4 dam
q ¢o — Sc - ra a47
INSPECTOR DATE
•
This property described. as:
•Lot .7 . and the East 1/2..... .
of Lo:8,
Block '72,.
MIAMI SHORES
SECTION NO.3,,
according to the Plat
thereof, as recorded in
Plat Book J.O, Page 37
of the Public Records of
Dade County, Florida.
it \
PROPERTY OF:
�.�• t;J. t0 _i a_
Z 6
to
gyp
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