1249 NE 100 St (4)a
,[ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 - 2- 5 - f Job Address 1.74 p ^/E Ago rp- S . Tax Folio
Legal Description E. 2.,(' o 9 Ll o'TY o C Lo -r
Historically Designated: Yes
Owner/Ixssee ' enant AV CAMS J ` r (. R1'�cl ��EwBo/{N Master Permit #
Owner's Address 4,2 /7 /il F to c TW -ST. ,);.J a 12 eS
Contracting Co. pp -i2. o,
O (A' - �' 1 C6 •
Qualifier clef) /,‘ 1 /Dice- s
Square Ft. Estimated Cost (value) !O 0 42
Signatur
r - G
of owner d/or Condo President Date
:o Owner and /or Condo President Date
Iv y srnmission Expires:
FEES: PERMIT
JOEL BRODER
My Comm Exp. 2 /2".r.JC
Bonded By Servho
No. CC534717
FU 1,g0
1 ‘ v RADON
1 1 Personally Known 1 1 Othe 1. D.
APPROVED:
Zoning Building 61°1
Mechanical Plumbing
C.C.F. �v
i-rd
.+(
No
Oe
film e,e
Phone Z3e -366z -- 9,J
Address ; 6 / A/ v/- ./// --9 • /liAAte,
State # Municipal # Competency # /.Zofo
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRIPTION /A, 7:4 S LL 75— 4-<r "" � el ' % o RP o Ar go
Pr') G o o 7e/ice 4crzoss' egce o ?' 44; Cg res.
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 OF 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 AFFID ' VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating c ction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
ture of Contractor or
Notary
C•
B14_Ae •
ssi•n Expires:
ontractor or Owner - Builder
NOTARY TOTAL DUE 2/01
Electrical
Ins. Co. A N+ Cie /CA Al
er- Builder
JOEL BRODER
My Comm Exp. 2/2j;30
Bonded By Serv!ce
No. CC534717
11 Personally Known 1 J Othe 1. D.
SIGN
f�zr -
Date
7
Date
Engineering
4n #4x Mccd Post
2 Wood Ra
1 or Iva"
Wood Pickets
W ocd Posts
5' -C"
High Or Less
'High Or Less
High Or Less
-0" . . O,C.
= 5 -0" 0.c.
= 4' -0" O.C.
2915 ?ences
•r
--Y.2915.1 ?locd fences, tic located on r_ property
' r �!� �` t a by zoning repul scions they cnnno t 'be used
1 : // as a Nail o_* a buil�dic4, :hall be constructed .
'�. to meet the following m±;zLniun spec! C1cr_z {ons.
0:
(z) ?ences not: exceedsng feet in height
shill; be constructed to meet the fol? ovine;
minimum requirements: from nominal 4 inch by 4
inch by 8 fWe t 0 inch long posts :paced 4 feet
0- inches on centers, ha Ting a fib*: s t res.s of
1200p.s.i.' in bending, and shall be embed4ed 2.
feet 0 inches in o t.ccncr eta footing; 1 'foot 0
inches in d diameter.mnd 3 0 inches deep. .
Other components be deoi(;-ie.{ to comply
with the prorisions of this .Chapter and Chspte:
23. • _
'0;) Fences not e±ceF!. 5 fed. r.nd 4
fee: 1 t, g ht ._ t' cnn true e
s:•
pro-rL e:i !. ;.r._a ? =r.^:1 2915. 1'(ethherein,
to f Re : o ;ache %: n ".et 0 rncheo on center:
for the heizhte.
1 .
L._
NO
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r0.'
00'
.
•iii
! /0
- -
— 1..' it
pis {iron described as:
hQ' ast 25 feet of Lot 5 and
:the-West 50 feet of Lot 6, Block
000011 ' SHORES,
/according to the Plat • /
thereof, as recorded in
Dade;'County, Florida. kia
Plat Book 45, Page 8 �+/
of the Public Records of
A
Not valid unless embossed
with Surveyor's Seal.
•'
/.
75. &H)
A BOUNDARY " • SLRVEY
I hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Board of Land Surveyors pursuant to
Section 472.027, Fla. Statutes. There are
no encroachments, overlaps, easements
appearing on the Plat, other than as
shown her
Fla. Reg. Land Surveyor No. 4113
1
Sch oviJ a kl
5 4 V A
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d# h'I ' eps FLOOD ZONE: AE t ,
:} ak • 1,a‘^77ON,.
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DATE
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ro tit
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t to
t:oJO . 01 0 0
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Note: Underground encroachments and utilities, if
any, not located. Fence ownership by visual means only, egal ownership not
determined.
2.ie-4 bbrn, Michael and Caryn. and Larkin, Paul R. Jr.,
PROPERTY OF: 1249 N.E. 100th Street, Miami 5hoae5. Flamm.
r t � O !Apt-
r, -�r�
to . u,F.i�svo'
.G. totiu)tatito •
Peru
Ap Way
FLOOD INFORMATION:
Communtiy No,: 120652
Panel No.r 93 •
Suffix: G
Date of FIRM: 1 -20 -93
Base Elevation: +8.00:
N.G.V.D.
SCALE
/ 1 `• O
LANNES.and GARCIA, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
359 Alcazar Avenue,
Office address: ..seeeiftimorAvertae , Miamr7Horitta
Co Gables, Florida 33134.
Mailing address:
Coral Box 561131, Miami, Florida 33156
Telephone: (305) 666 -7909
A 4 - 26 93. Recertified; Flood Zone Information Added;
Certified'To and Names Revised. -� •
4 6 /era f 4-c aa4�er1 4.411 ;� N£ ESV� ✓i $ Rcs 4.321
DRAWN BY
W
DRWG. NO
186 -13449
193 -1892'
BEARINGS. IF ANY SHOWN
BASED ON
Location and legaldescription of lot to be built on:
Lot / *)- i L
v_. ..S3? ' 6 Block ../
Street and Number where work is to be done / ) '`7 5 .A..? r"
State work to be clone aurposebuilding,(by fl rs) 7
/
Remarks
Chairman
Member
Member ........
Council Approved Date
MIAMI SHORES VILLAGE (0
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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 No. .._/ 1—`1 9 Street Do
Registered Architect and /or Engineer
Name and address of licensed contractor
Date l — 1 7 '"
Date 1/.1! / 7 , 19v Y
Subdivision � cod o tii .._c?-stt.t..t
/744 t
New Building Remodeling
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ If" 0 •sr
Addition Repairs No. of Stories
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, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint
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 subcontractor), on,wor o be performed under this
permit, as are licensed by Miami Shores Village. C . - .R 4..■ � — r c.. 47"---A..
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. 1 ss
Before me, the undersigned authority, a notary public, duly authorized 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 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
Disapproved
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
and for no other purpose.
Bui • ing Inspector My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Disapproved 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- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
74r
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