1235 NE 100 St (11)\ IAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date ' E'
Approved
Correction
Re- Insp'n Fee
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A.04
Type Insp'n
Permit No. PL 01003- a;2
Name 1 le — 74 o 44f
Address
Company A
Phone # 30,5 - S 7 Q g
Inspection Date 1 ` 1-0y
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date o 1�
Type Insp'n I OD \ pc)0
Permit No. O
Approved
Correction
Re -Insp' n Fee
Name
Address tO -BS ,ccs-
Company 5o r
Phone # '%U Q
050
Inspection Date sz:l It,
Compa
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Requ
Date( Z Time
Type Insp'n -Q3-Q ii;Fa
Permit NopL 03 ~ a Zi
Name / 2Z nryt/•44—)
Address I . C , ( D D LI
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MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Req
Date It Time
Type Insp'n 1 " " 1
Permit No. )L &0O 5 z..Z
Name _.0 •
Address 123 S— 1,L & t O� b t
Company W) am t CU3TOm SuD; mrnt f.
Phone # 5oS ao (
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name
Date'
Type Insp'n POCA C
Permit Nor
2-3 5 10051
Compan \C1'n I C us I pCdS.
Address
Phone #
Inspection Date
Approved ❑
Correction 4
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Re- Insp'n Fee
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ,_ a WL
Type Insp'n .0 / /le
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Permit No.
Name
Address
Company
Phone #
Inspection Date
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Approved ❑
Correction ❑
Re- Insp'n Fee ❑
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Insp'n
Permit No. . )3s D
Name
Address 1 35 E, I0Q.2
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Phone # 3 OS S ( �' � O4
Inspection Date Q 1 0 k f
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Re- Insp'n Fee
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 n�P
Building Inspection Request 'd»"
Date AIR (9S
Type Insp'n% / A /
Permit No. N 03
Name x:4 5
Address i z ' 54/ /0
Company
Phone #
Inspection Date 9 \6
Approved
Correction ❑
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp n (nol � t1 �i
Permit No. 15 00 '-
Name 1 ' `CA I ✓ —
Address t2_35 NE.. 160 v J
Compan tSS
Phone # `N J n"'k
Inspection Date
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date3
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Type Insp'n
Permit No. P 03- t3, S a
Name arz_74Avyv&eL
Address ( 35 /7 - I Do •
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Phone # 3 0- - 59 a,- 2 o V
Inspection Date 3/
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Approved C ❑
Correction
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LEGAL DESCRIPTION:Lot 4,Block 1,GORDON SHORES,according to the Plat thereof as recorded
in Plat Book 45,page 8 of the Public Records of Dade County,Florida.-
GENERAL NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE.
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. Updated :June 15,2004
3) (2.22) DENOTES THOSE ELEVATIONS REFERRED TO NGV DATUM.
4) LOCATION AND IDENTIFICATION OF UTILITIES ON AND /OR ADJACENT TO THE PROPERTY WERE N OT
SECURED AS SUCH INFORMATION WAS NOT REQUESTED. UPDATED:Nove er. 20,2003
Updat 30,2001
1) PtinTS I ca gri MF� �
* n� s - ry
DeThomas aron & Cliff,Attorneys' Title insurance Fund. me
CERTIFIED TO:Louis and Susana B
Steven Lee,Esa. and Kenneth and Evelyn Cuichens DATE :August 24,193
APPLICABLE ZONING, UNDERGROUND. ZONING AND BUILDING SET BACKS , MUST BE CHECKED BY OWNER.
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY.
411:::::›
I HEREBY CERTIFY: That the attached Plan of Survey of the above described property is true
and correct to the best of my knowledge, information and belief, as recently surveyed and
platted under my direction, also that there are not above - ground encroachments other than
those shown. This survey meets the minimum technical standards set forth by the Florida
Board of Land Surveyors pursuant to Chapter 472.027 Florida Statut
SURVEYING,INC. /��_
L.B. NO. 3333 ��
241
147 ALHAMBRA CIRCLE No. 2
CORAL GABLES, FLORIDA /CICZARO D. ALONSO
PROFESSIONAL LAND SURVEYOR
Phone: (305) 444 -7359 CERTIFICATE NO. 3590
44 8.94.88 THIS IS A BOUNDARY SURVEY STATE OF FLORIDA
NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL `
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PLAN OF SURVEY
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{ Miami Shores Village
Building Department
I
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder)
Owner's Address /) 3 5 /jj C
City /') t A-41 � I k c State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated
/CU
/ �Co$ CO an/7
Contractor's Company Name 11 2 4 ,i t / C� of /c' ' ,c7;,_• /v1�1 /K 1 Phone
J P) / L) 7 • f f\
Contractor's Address / L L `r S S
City Ph h /3737 i )/) /1 / &- 3
Qualifier :1 L 4 i. , / Ai fl GLJ C - c"
Architect/Engineer's Name (if applicable)
¢ (L; 2 .0 F: /z- Phone
Architect/Engineer's Address J 7 6 1. (.u) Li �"
City f -� / � �} u (..32. C State 1— Zip
$ Value of Work For this Permit
Number of: Bays
Type of Work: ['Addition
Describe Work: ;
County Escrow Fee $
Education/Training Fee $
Code Enforcement $
Minus Plans Check Fee $
Stories
0-31" /CJ / CC `� t
['Alteration
L)
County Miami -Dade
YES NO v
Zip
State i — L< Zip
Families Bedrooms Baths
[New ❑ Repair/Replace ❑ Demolition
' 'MIDI 04 1a
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * **** * * * * * * * * * * * * * * * * * * * * * ** )
Permit Fee $ /n?a Notary $ �tJ
Radon $
Tech $
Permit No. ' R Z0(1 22-q
Master Permit No. T) ncf: 12
Mechanical Roofing
hone # 309 15 ( l
Phone #
Zip
Square Footage Of Work:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Scanning $
Bond $ Struct. $
Total Fee Now Due $
(Continued on opposite side)
C`_'L 12SkC1 PCV G ;O 00
Bonding Company's Name (if applicable) 'L. A
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address _
City
State
Signature C }
L
L.
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has 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
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AM CONDITIONERS, ECG WORK PLUMBING, SIGNS,
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with
applicable laws regulating construction and zoning. all
"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 FINANCIN
CONSULT WITH YOUR LENDER OR AN ATTORNEY NOTICE G
NEY BEFORE RECORDING YOUR OF
Notice to Applicant.. As a condition to the issuance of a building
of posted notice, the
promise in good faith that a copy of the notice of commencement permit
nd cons
ruction law brochure will be 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 the first inspection which occurs seven (7) days after the building permit is issued. In the absence o such p
inspection will not be approved and a reinspection fee will be charged. J to
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 20 by
:7/7/03
NOT ' Y PUBLIC:
iign:
'Tint:
Ay Commission pires:
Signature G
Contractor
The foregoiin$ instrument was acknowledged before me this
day of Cox { .c 20 by
who is personal ly+ known to me or who has produced e 7, - r � � �(
—__ ywho 's personally own to me or who has produced
` '= As identification and who did take an oath. I
'r'�- � identification and who did take an oath.
NOTARY P
Zip
Sign:
Print:
My Commis ' - E r,
(Certificate of Competency Holder)
tate Certificate or Registration No.
Certificate of Competency No.
**************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********** s*************** * * * * * * * * * * * * * * * *s * * * * * * * * * * * * **
PPLICATION APPROVED BY:
Plans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE MOUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
-
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECT ION
WATER SUPPLY TO:
AIR CONDITIONERS
_
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
-GENERATORS TRANSFORMERS
i
HEATER -NEW INST.
GENERATORS TRANSFORMERS
i
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES '
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA '
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
RE INSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING 4i-
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED. THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL