935 NE 99 St (6)Issue Date: 12/28/2006
Owner's Name: ALEJANDRO AGUIRRE
Permit Type: Fence /Wall
Work Classification: Wood Fence
Job Address: 935 99 Street NE
Additional Information
Miami Shores Village, FL
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 06/26/2007
Contractor(s) Phone
JP HOGAN CONCRETE CUTTING IN 954/370 - 6161 Yes
Primary Contractor
Type of Construction: Concrete Precast Additional Info: FENCE
Classification: Residential
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
CCF $0.60
Education Surcharge $0.20
Permit Fee - Wire & Wood $100.00
Scanning Fee $6.00
Technology Fee $2.50
Total: $109.30
Building Department File Copy
Applicant Signature
uired Ins • ections
Re
Invoice Number
FW - 12 - 06 - 27114
Total:
Parcel #:
Block:
Section:
Foundation
Final
Permit Status: APPROVED
Permit Number: FW -12 -06 -3042
Amt Due
$109.30
Phone:
1132060340251
Lot:
PB:
Total Square Feet: 17
Total Valuation: $ 1,000.00
'6/\(13' \„tocc'
n
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
wood fence SHADOW BOX
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -35510
Permit Number: FW -12 -06 -3042
Inspection Date: 02/26/2007
Inspector: Grande, Claudio
Owner: AGUIRRE, ALEJANDRO
Job Address: 935 99 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: JP HOGAN CONCRETE CUTTING INC
Building Department Comments
Friday, February 23, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1132060340251
Lot:
Phone: 954/370 -6161
Page 1 of 1
BUILDING fDI °ogk
PERMIT APPLICATION IS
FBC 2004
Tenant/Lessee Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No.
Permit Type (circle): Electrical Plumbing Mechanical Roofing
AGtStrl.Z t At. EJAN4n.o
Owner's Name (Fee Simple Titleholder) C (.. 4 /ZG4•tIRr�t,, 305 151 5S t
Owner's Address 9 3,s" N E• 9 9 441 Trit.ctT
City fl S State ' I. Zip 3s / ?J
/u /A
Phone # /V /A
Job Address (where the work is being done) 93s IL) G 99+4, S T rt.•e t ( .
City Miami Shores Village County Miami -Dade Zip 33 31
sififo.kir 32 —cCt 3yO2 3
Is Building Historically Designated YES NO
Architect/Engineer's Name (if applicable)
/u/A-
Phone #
Structural Review. $ Total Fee Now Due $ � o •
See Reverse side
laY tAr
z
Permit No. rwoc,
Contractor's Company Name / mow Phone # jar–S/0 – 79 7/
Contractor's Address /3 3 / / 15tti-S %O t. A V G •
City DAt!I State / f. Zip 333
Qualifier Name 1st$Nc •r C X #or i iN Phone # 3e J =3/6 " 7/
State Certificate or Registration No. G c.c. /S 7057 Certificate of Competency No. yyce-- 76P/
Value of Work For this Permit $ 6cD —/ (C Linear Footage Of Work: / 7 L
� w
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /DO ( CCF $ CO /CC
Notary $ Training/Education Fee $ o() Technology Fee $ 2 -
Scanning $ (Oa) Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Type of Work: ['Addition ['Alteration ❑New E ..' I epair/Replace ID Demolition
Describe Work: S A) S %» // /7 i(N cr p S� (�U OO czt S/f .do Boy Ate'
Bonding Company's Name (if applicable) N
Bonding Company's Address / fr
City State !!! Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Signature At
The foregoing instrument was acknowledged before me this /7
day of 200 i/DQ .T (It 12126,
who is personally known to me or who has produced
/J r
NOTARY PUBLIC:
Si
Print: ~ .6 74- A E"L �v ,
My Commission Expires!
* * * * * * * * * * * * * * * * * * * *_
(Revised 02/08/06)
i
Lug
As identification and who did take an oath.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
as ide
Contractor
The foregoing instrument was acknowledged before m , his /
day of , 20 6(7, by 1-1-7446 `� 14
`s pef rally known to� or who has produced
NOTARY PUBL
Sign:
Print - 6,44. t) L fi rrepcy e
— i
APPLICATION APPROVED wwipiiiii00 / /t7 C15° Plans Examiner
Engineer
Zoning
My Commission Expires: 91/$'
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: Mtitt 4L c �9 rt. 104
J k i t DATE: //— /G — O 6
• ADDRESS: 93r" N C 9 `{ – -L S7h -c-c }- . �t 1 I ekr a /.
• • •
• • •Da.herebypetitton the Village of Miami Shores to act as my own contractor pursuant to the laws
• ' Staieof glorida, F.S 489.103(7). And I have read and understood the following disclosure
•
• • �t *t wlr�cir entitles me to work as my own contractor; I further understand that I as the
'. 9 (40er mpst,aggear in person to complete all applications.
• • State Lawreqaires construction to be done by a licensed contractor. You have applied for a
• permit uricdaranexception to the law. The exemption allows you, as the owner of your property,
'to act as yaps Own contractor even though you do not have a license. You must supervise the
• . "aonstructtdd /otirself. You may build or improve a one - family or two- family residence. You may
•
• • also build or trrrrove a commercial building at a cost of $25,000.00 or less. The building must be
•: •fd;your own use and occupancy. It may not be built for sale or lease. If you sell or lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work under your supervision and must
be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please,read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Initial to‘q\ •
2. I understand that as an owner- builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial h.
3. .I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review. .
Initial
4. I understand that ,the building official and inspectors are not there to design,
alter or give advice;on. how to meet code —. only if the structure meets the
minimum code.
•
Initial .t.{
5. I understand that as an owner - builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate'any contract disputes.
Initial
•. .
• • • •
I understand that if I compensate any person or company fpr Wptk performed
they are required to have a business license in the county. If for any reasorr they
do not posses a business license I will be responsible and limit for any wrong
doing from this unlicensed companyor person. • • •
•• •
Initial• • • ••••
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.
7. I understand that if any person gets injured on my constructiogproiect —t 0 ai'e
entitled to workmen's compensation. And if they do not pd'sses•a wortctr n',,s
policy I could be held liable for all doctor and related cost which could biclutle
loss of wages during recovery from injury.
Initial / 4 a
8. I understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaining
the proper permits by licensed contractors.
Was °knowledged before me this /7/ / day of
Produced there License or la .cam
Initial t el •
20 6'
By Al/t Tj9PVD t20 T /:6" C4 I?E who was personally known to me or who has
as identification.
OTARY
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• 1 ly L.,c.)ge
• - AVOCA F-ences
Sea 1611.2.1 Fences. Fences not exceeding * In height from *grade may be designed for 75 mp
. (33 m/s) fastest wind speed pr .90 mpt 140 m/s) 3,second gust.
r rrrrr
ri
Sec. 1611.2.1.1 Wood Feirics, Wood fence , den shall be as specified by 2328.
Sec, 2328,2 ; 4" ) A", Post Spacing
. • ••
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Axlinulr'YI , 7,1 AllOVJGD 5
. 4..--t r
. • • Fences < = 5 ft. High - 5 ft. On Center
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-.: Fences <= 4 ft. Hi
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Section 2328.2. NOMInal 4x4x8 pcists,
No .2 Grade or better embedded, 2 f
Into concrete tooting l'q inches In
diameter and '2 feet deep:.
Sec. 2326,2:10 All Posts, poles and columns embedded In concrete ch is n
and supporting permanent structures shall be approved pressure treated wood
contact use except naturally durable wood may be used for posts;'poles and c
concrete for structures other than buildings, and walking surfaces or In structures
above ground level and not exposed to the weather.
Sec. 2326.2.6 the expression •unaturaily durable wood" refers to the 'heartwood
species...:
T. Decay resistant- Redwood; Cedars; Black Locust
2. Termite resistant - Redwood, Eastern Red Cedar.
2k4 Horizontal. Wood. Members.
h - 6 ft. On Center
Sec. 2324.2 Nalls, bolts
and other connectors that
are used in locations
exposed to the weather
shall 1de galvanized or
otherwise corrosive
resistant.
Sec. 23243 In general,
nails shall penetrate the
second member a distant
equal to the thickness of
the member being nailed
thereto, There shall be
not less than two nails
In any connection.
Nail Sizes:
4d: 1-1/2" long
6d: 2" long
8d: 2-1/2" long
: 3" long
12d:
16d: 4" long
contact with ground
suitable for ground
olumns embedded In
where wood is
of The following
Final Inspection
To be made after installation arid completion of all elenfenfs of d`cfStrUoti
o.r � v r r r• r r r r, r
The following items will be checked at final inspection:
Wood fences shall be. constructed. of decay and to mire ;tesistantri aterial, ap.aoecified. in. Section.
2304.2.1 of the Florida Building Code (FBC).
rt C CO Oor O
Wood fences shall be designed according to the loads as specified in Section 2328 of the Florida
Building Code (FBC).
. ■•• •
EXCEPTION: Unless designed by rational analysis wool f erice$ it pxceedingsix feet ilf
height may be constructed to meed the following minimum requirements: •.. •
. • •
1. Vertical post of PT. 4" x 4" spaced according to Section. 2328.2.4 FBC. Seadotajl on.f tml•.
page; . .
2. Posts shall be embedded two (2) feet into a concrete footing ten (TO) inches'i diametir; • : • .
3.. Horizontal framing shall consist of a minimum of three (3) horizontal rails o ". x 4" Pressure
Treated :(PT):iumbgr • • •
4. All lumber shall be a minimum of #2 grade or better; • • • .: " •
5. All -fasteners shall: be corrosion' resistant.. • .
WARNING: Premanufactured sections may not comply with this code, and Produce Approval may
• be required:
Board On Board
E. Stockade
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2'-0"
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5'-0" MAX •
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Ownev' Si
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a
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411
2" X 4" Wood kali 4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
I "X "or "X8"
Wood Pickets
Concrete
WOOD FENCES
4" Wod pos
2915 Fences
Wood Posts
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced_ 5 fee inches on
centers, having a fiber stress of
1200 p.s.i. in bending, and shall be
embedded 2 feet -0 inches into a
concrete footing 1 fcot-O inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisiops of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 . feet -0 inches on
centers for these heights.
•
G BAL
PENSIONS INC.
Land Surveying Services
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FOR MARIA CRUELL. AGUIRRE & ALEJANDRO AGUIRRE
PROP, ADD: 935 N.E. 99th STREET,
MIAMI RHORFS, 33136
IMCMETIZT
191 DEC 8 21)06
BY:
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TYPICAL
FND.I.R. I/2'
TYPICAL
FND.I.R.112' 0
• ••
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OT•••••
ti
'a-•• ••
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• slr 9.g'
272.50'
• •
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P
I.R.
2.65'
ga
3 00'
z .000'
O M
3.
ASPHALT
DRIVEWAY
8200 NW 27 STREET, SUITE 108,
MIAMI, FL 33122
PHONE: (306) 612.4226
FAX: (306) 612 -1914
16.00'
21.40'
70'Total RAN
LEGAL DESCRIPTION:
EAST 34.00' OF LOT 18 BLOCK: 170
& ALL OF LOT 19
15' ALLEY
/ 84.00'
/ 10' ASPHALT
in
ONE STORY C.B.S.
RESIDENCE # 935
28.70'
(XNO
[NO
5' CONC. SIDEWALK
84.00'
20' PARKWAY
N.E. 99th STREET
THIS PROPERTY IS More THAN 2 ARLES AWAY FROMTHE £4A0.OADE COUNTY LAKE BELT AREA.
SURVEYOR'S NOTES:
t) THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE
DESCRIPTION FURNISHED BY CLIENT.
2.) UNLESS A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOWN
ARE THE SAME AS PLAT VALUES.
3.) THE LANDS SHOYaN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER
RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY
NOT BE SHOWN ON THE SKETCH.
4.) UNDERGRAUND PORTIONS OF FOOTINGS, FUNDATIONS OR OTHER IMPROVEMENT
WERE NOT LOCATED.
5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME.
6.) WALL TIES TO THE FACE OF THE SAME
7.ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM
(1929) UNLESS OTHERWISE NOTED.
8.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN
9.) THIS SURVEY IS FOR MORTGAGE PURPOSES ONLY, NOT TO BE USED FOR
CONSTRUCTION PURPOSES.
(FLOOD ZONE INFORMATION)
ZONE: X COMM:120652 PANEL: 1202 SUFFIX: . DATE' 7 -17 -95 BASE: WA
NOTE: ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF N :ti'3 E
ON THE CENTER UNE OF SOUTH PROPERTY UNE
EASEMENT VIOLATIONS: O YES
APPARENT VISIBLE ENCROACHMENTS: ❑ YES
COMENTS:
SCALE: 1' =20'
TYPE OF PROJECT:
BOUNDARY SURVEY
PLAT BOOK: 14 PAGE, OR MIAMI -DADE COUNTY, FLORIDA.
5' C.L.F.
M ami Snores ViHiage
APPROVED BY
ZONING DEPT
BLDG DEPT
I' pyw
f I
AtalligIff
S UB,/ C TO COMPu .— WITH ALL
RULES ANC REGULATI
17.90'
19.10'
24.65'
MIAMI SHORES
SUBDIVISION: SECTION EIGHT
4.2 18
20' ASPHALT
CERTIFIED TO:
MARIA CRUELL. AGUIRRE & ALEJANDRO AGUIRRE
UNION PLANTERS MORTGAGE., ITS SUCCESSORS AND /OR
ASSIGNS.
ATTORNEY'S TITLE INSURANCE, FUND, INC.
PENALVER& PE NALVER,P.A.
ABBREVIATIONS:
SWK= Sidewalk, CBS= Concrete Block Structure, CIF= Chain Unk Fence,
PL= Properly line, DUE = Drainage Utility Easement, IP= Iran Pipe,
NC= Air Conditioner Pad, PIC= Prope ty Corner, DM= Drilled Hale,
WIF= Wood Fence, RES= Resldence, Cl' Clear, R8= Reber, UE= Ully
Eesemmt, CONC- Conc. Stab, RMM Rigid at Way, DE- Drainage Easement,
CII= Center Llne, 0= Diameter, TYP= Typical, M. Measured, R= Recorded,
ENCR= Encroachment, COMP= Computer, ASPH= Asphalt, NIB= Nell A Disc.,
S= Set, FFE= Finish Floor Elevation, OIS= Offset, PIP= Power Pole,
OHP= Overhead Powerllne, WM= Water Meter.
/ •EREBY CERTIFYTNAT TIE ATTACNED SE .i YOF TIE
ABOVE DESCRIBED PROPERTY IS A ME TON
OF A REID SURVEY RIDE ENDER
UICAL STANDARDS SET
AL LAND SURVEY
THE CODE, PIRSR
REGISTERED LAN
STATE OF FLORID
NOTF• Nr1T 4e1 in IINI CCC
JOB NO: 0401 -116
TYPICAL
FND.I.R. I /2"
250.00'
PICAL j
ND.I.R. /2,
UTCH.
SURVEYOR # 4843
LB # 0006874
TYPICAL
p FND.I.R. I/2'
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of p
Building 11, 1 I ■
MIAMI SHORES VILLAGE, FLORIDA
0 DATE �'• 19
PERMIT N? 7284 Contractor's
License No.
❑ Work to be performed under this Permit
Signed.
i 7 2
Architect 2. "t <s. , 1L.. I e. . ! C c�
d.4
Contractor r 1 _
or Builder s •- `' " L 1 r ► L•-•••• ( i . J e" G i . I cl l 1 r4 !� [ ..J Z *.:0 ll�t�
Legal Lot Subdi-
Description Bl vision
r
Address of !` _ �` �- of Amount of
Building 3 r to L 1 !
Project $ a Permit $ l" Value
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. .7 / i
p
L..,
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance! all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authbrities of Miami Shores Village. In ao
cepting this permit I assume responsibility for sill work done by either, myself, my agent, seryant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
AI 1107
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o. other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag -, F orida, and all previsions of the Laws of the State of Florida, all ord of Miami Shores Village and all rules and
regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d
plans and specifications must be kept at binding during progress of the work.
M Date_ _ ._ _ A �G1.4_ `' __ 19.
M Owner s Name and Address ___ A C M Q01Z.E QQ __. No._ 3 7 3 5 __. Street__ N . E. . 99 ** ST.
Registered Architect and /or Engineer - - - - - - - - - - - - - - - - -
N a m e • and address of licensed contractor _ _ _ENEMAL C.4 I N e ._f 7 1 B S - - - . W. _2. a v g. _
Location ^nd legal description of ' 't to be built on:
E•34'or18, 15
Lot__ __ _ _ Block __ .LT co -_ _ . _ Subdivision_._ _ MiA_rn n Ell orte 5 S EST . il i _ (!.11. I 4, P • 3 3)
Street and Number where work is to be done_ __9 3a ._ -.1u ._E. ._99i__`__.Sr. .. _
State work to be done and purpose of building (by floors) C'H A.t N 1.119 K. __.- El_v gli _. S _'__1-1_47___ _ ____ _ ___ __ _ _
- - - -- 1 .1.2., _ FEe- .. _.
-.. - - and for no other purpose.
New Building _ __ ____ _ __ Remodeling . _- ___ Addition. Repairs No. of Stories _ ._ .. ... -
To be constructed of . _ -. Kind of foundation _ ______ ___. ____..._ -. ___ Roof Covering
Estimated Total cost of improvements $ 25 0 o - . ._ _ _ _ _ _ _Amount of Permit $ Gee
Zone cubage required_ _ ._ _ __._ _ ___._ ._. _ _ _ _ _ Plan Cubage
Distance to next nearest building_ . _ __. _ __ __ __ _ . _ __ ______ _____ _ __ _ _Size of Building Lot____ _
Maximum live load to be Lime by each fl o o r _ _
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 G E' Fgxlce. Co.lPre ; -_ 71. 85 N.W 2,6 ' Ave. MlArlt
The undersigned applicant for this building permit does hereby certify that ha 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 previsions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed u der this permit; and will post or cause to be posted for inspection on the s of the work such public notice
or notices as are required by the Act. The undersigned agree: to errploy only su .. ontractors, o e pe f cned ,ymder th :s
permit, - are licensed by Miai. • Sho es Village. �
Remarks.... _.
Disapp -oved
(Signed)
--:
u' : ing Inspec
( Signer:"
STATE O^ F LORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary publi.., duly uthorized to administer oaths and take acknowledgments, personally ap-
peared __ _ _ _
- -- -- - -- - -- to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the .__ _ _ - _ _ ._ _ _
of he above described const;u_lion, tha.. he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him s,' ated are tru
Per it No... ! _ ._ Date. 3-/7 __ _ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires __ .__
P — i NING BOARD _ DATE
Chairman Member __
Member Member
Member _ _ . _ Member ..... _ --
Cou• it Approved _ _ Da,e D sapproved Date
NOTE: A charge of $1 00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board
A re -in_ ec' i fec of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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