164 NE 100 St (7)3
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
��,.
Date ''"11� Time
Typelnsp'n { (f .Q( 1 L
Permit No. �a) P r7-O ` IOLJ
Name fende
Address 11i N 10
Company Ca) Il Imo_ r •
Phone # cJ — ` c )lJ 1 E
For Inspector:
Approved
Correction
Re- Insp'n Fee
ci)op
Name & Date
MIAMI-SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 h l�
Building Inspection Request
Date /0-06- 03 Time
Type Insp'n , ( 0 / 7.1 'e / �
Permit No. /P 2003 - I ZOO°
Name i)' >Qh c/e z
Address J & V ti& /00 5T
Company
Phone # 30 S' 7.(09 5 n9 3
For Inspector: /0 -07" ,8,a Name &
A' pproy�d_.�
Correction
Re-Insp'n Fee ❑
•
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village R E t o V E D
Building Departmen - o. 2003
1 10050 .E.2nd Avenue
- -Miami Shore , Florida 33138
Tel: (305) 795.2204
Fax: (305) 75,6:8972
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
i4t, $ j1 : i9/i ' t C r4.t O
Owner's Name (Fee Simple Titleholder) .1.—.1 .1.—.1 k' C t Phone # sac 7_ - mil 90 f
Owner's Address I I' f 9U ( On S -f "T
City M l '1 / StiviGS State Zip S3 / V
Tenant/Lessee Name SfJyy C , A de Phone #
— 4" Job Address (where the work is being done) 1/4K K ,/JC /00A1 4
City Miami Shores Village County Miami -Dade Zip 33 /3
Is Building Historically Designated YES NO
Permit No. ‘r9-0o / 4
Master Permit No.
Phone #
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) - Phone #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit ! 7,6 1 22. C2 Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace emolition
ai ir/Replace ❑
T Describe Work: tai // LJC-A - 4 S/ j A7O 1/T _AC.-/ 4�f *
CDN
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee $ Permit Fee $ 1; D a f '. 0 Notary $
rn
Education/Training Fee $ Tech $ Scanning :$`
Code Enforcement $ Bond $� $
Minus Plans Check Fee $ Total Fee Now Due $ 3 b / /
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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
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 wil • . t be approved and a reinspection fee will be charged.
Signature
Owner or A: nt
The foregoing instrument was ac pi owledged efore me this �+
day of ,4- , 201 3 , b 'ez L flr v Z
who is personally known to me or who has produced GI 1 n■err,
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Chc7nios
As identification and who did take an oath.
c 676
LISA ESCOBAR
My Comm Exp. 5/21/04
Contractor
The foregoing instrument was acknowledged before me this
, day of - 20 by
who is personally known to me or who has produced
her 1D.
Signature
as identification and who did take an oath.
Y PUBLIC:
Sign:
Print:
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
• ********** ss*• is****** s******** s * * * * * * * * * * * * * ** ** * * * * ** *** * * *s*
APPLICATION APPROVED BY:
v 3
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
MIAMI SHORES,VILIAbE
10(150 NE 2ND AVE
MIAMI SHORES, FL 33138
(305) 795 -2209
Sale
MID:542929800429003
TID: 237828
08/01/03
Batch 4: 98
15:11:52
MRSIERCRRD
XXXXXXXXXXXX 662
RPPr Code: a16.1 I114: NM
Total: $ 3�•
FPRC1 D 001609
u.iweer COP!
'-'aN( YOU)
performed on
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant,
attached survey, performed by
Y///iami Siores Vd/ag
(property owner)
does hereby attest that the
4) D ✓/9- s'i)4 j/l�G
(name of s N M'S company)
(name ofs eyor's company)
is an accurate representation of the existing conditions and
date • f 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..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this l day of
Affiant is personally lmown to me, /produced Gf r1 Uer l ccvn • as identification.
USA ESCOBAR
My Comm Exp. 5/21/04
No. CC 9387p
1 ! Personally Mown I / Other 1 D.
N otary
WHEREAS,
following described property:
Legal description /folio #:
Lot
Tax Folio R:
(9 —7
requests permission to install:
(owner)
within the public road right of way of
M iami - ChoHe6
(Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
SIGNED. SEALED AND DELIVERED in the presence of:
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207.
Fax: (3051756 -8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
44 /(h 1 A/DO ? , hereinafter referred to as the Owner of the
Diztuez u ,4
f� Pf �o ►�tf
Block / Subdivision
VD 0 1 s
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. I f it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE • - 's / day of /vtvJT 2(09 3
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
I {1//L, l 6 being the legal property owner, for the property
Located at: /&
Legally described as
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure
Statement, which entitles me to alrork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two- family residence or a farm out - building. You may also build or improve a
commercial building at a cost of $25,000.00 or less. The building must be for 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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 - holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. Did foregoing instrument
Was acknowledged before me this 4 day of
B y e r t! IX
Produced 6 n ° . 1 Gees c - as identification and who did take an oath.
S4 20 03
who is personally known to me or who has
(VI &xch.
Notary
LISA ESCOBAR
My Comm Exp. 5/21/04
No. CC 938731
I I Personally Mown Other I D.
5582 N.W. '''h STREET, SUITE 202
MIAMI, FLORIDA 33128
TELEPHONE: (305) 284.2880
FAX: (305) 284-0229
DRAWN BY:
Survey of Lot: 6 -7 Block: 16
Subdivision: AMENDED PLAT OF MIAMI SHORES SECTION NO.1
According to the Plat thereof as recorded in the Plat Book No. 10
at Page No. 70 of the public records of MIAMI -DADE County, Florida.
Property Address: 164 NE 100 ST, MIAMI SHORES, FL 33147
For: FRANK MENDEZ
/oJ
A . ARC.
A/C • AIR CONDITIONER PAO.
A.E.. ANCHOR EASEMENT.
A/R • ALUMINUM ROOF.
A/S • ALUMINUM SHED.
ASPH. • ASPHALT.
B.C. • BLOCK CORNER.
BLDG.. BUILDING.
B.M.. BENCH MARK.
B.0.8. • BASIS OF BEARINGS.
C. • CALCULATED.
C.B. • CATCH BASIN.
C.B.S. • CONCRETE BLOCK
STRUCTURE.
CBW • CONCRETE BLOCK WALL.
CH. • CHORD DISTANCE.
CH. B. • CHORD BEARING.
CL • CLEAR.
C.LF.. CHAIN LINK FENCE.
C.M.E. • CANAL MAINTENANCE
EASEMENT.
CONC.. CONCRETE.
C.P.. CONC. PORCH.
C.S. • CONCRETE SLAB.
D.E. • DRAINAGE EASEMENT
O.M.E. • DRAINAGE MAINTENANCE
EASEMENT.
DRIVE. . DRIVEWAY.
o • DEGREES.
E.. EAST.
E.T.P.. ELECTRIC TRANSFORMER
PAO.
ELEV.. ELEVATION.
ENCR..ENCROACHMENT.
F.H. • FIRE HYDRANT.
F.I.P.. FOUND IRON PIPE.
F.I.R.. FOUND IRON ROD.
F.F.E. • FINISHED FLOOR
ELEVATION.
Nona ttrur ors
LAND SURVEYORS
LOCATION SKETCH Scale 1" = 4Y1"5
NE
ABBREVIATIONS AND MEANING
F.N.D. • FOUND NAIL & DISK
FR. • FRAME. •
FT. • FEET.
FNIP.. FEDERAL NATIONAL
INSURANCE PROGRAM.
F.N. • FOUND NAIL
H. • HIGH (HEIGHT).
IN. & E0. • INGRESS AND EGRESS
EASEMENT.
LP. • UGHT POLE,
LF.E. • LOWEST FLOOR
ELEVATION.
LM.E. • LAKE MAINTENANCE
EASEMENT.
' . MINUTES.
M. • MEASURED DISTANCE.
MON. • MONUMENT.
MM. • MANHOLE •
M/L. • MONUMENT UNE.
N.A.P. • NOT A PART OF.
NOVO. NATIONAL GEODETIC
VERTICAL DATUM.
N. • NORTH.
N.T.S. • NOT TO SCALE.
M • NO. • NUMBER.
0/S. • OFFSET.
OH. • OVERHEAD.
O.H.L.• OVERHEAD UTILITY LINES
OVH. • OVERHANG.
O.R.B. • OFFICIAL RECORD BOOK.
PVMT. • PAVEMENT.
PL • PLANTER.
PA_ • PROPERTY LINE.
P.C.C. • POINT OF COMPOUND
CURVE.
P.C.. POINT OF CURVE.
PT. • POINT OF TANGENCY.
POC. • POINT OF COMMENCEMENT
POS. • POINT OF BEGINNING.
/5J1 J L
/00
P.R.C. • POINT OF REVERSE
CURVE.
PROP. COR. • PROPERTY
CORNER.
P.B.. PLAT BOOK.
PG. • PAGE
PINY • PARKWAY.
PRM • PERMANENT REFERENCE
MONUMENT,
PLS.. PROFESSIONAL LAND
SURVEYOR.
R. • RECORDED DISTANCE.
RR, • RAILROAD. •
RES. • RESIDENCE.
R/W. • RIGHT-OF-WAY.
RAD.. RADIUS OR RADIAL.
R.P.. RADIUS POINT.
ROE. • RANGE.
SEC. • SECTION,
STY. • STORY.
SWK.. SIDEWALK.
S.I.P.. SET IRON PIPE LB. 48044
S. • SOUTH.
S.N.D.. SET NAIL & DISK LB.48044.
8P.. SCREENED PORCH,
`• SECONDS,
T.. TANGENT. •
TWP. • TOWNSHIP,
U.E.. UTIUTY EASEMENT.
UTIL • UTIUTY,
U.P. • UTIUTY POLE.
W.M. • WATER METER.
W.F.. WOOD FENCE.
W.S.. WOOD SHED.
4 • CENTRAL ANGLE,
W. • WEST.
CENTER LINE, r,..
. ANGLE.
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY):
EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS,
LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS
PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK
PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE.
EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN..
THE TERM 'ENCROACHMENT MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS AND THEY WILL
BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATIONFOR THEIR
APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE
NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS.
FENCE OWNERSHIP NOT DETERMINED.
THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED
HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY:
THE FNIP FL000 MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE
0.00
0.00
Situated in Zone: X Community /Panel /Suffix: 120652 - 0093 -J
Date of Firm: 07/17/1995 Base Flood Elevation:
Certified to: FRANK MENDEZ
STEWART TITLE GUARANTY COMPANY.
RODRIGUEZ LOPEZ - GARCIA, P.A.
ECKERD CREDIT UNION SUCCESSORS AND /OR ASSIGNS
1- 0002484
SHEET NO. / OF
SURVEY No.
Date: 03/19/2001
LEGEND TYPICAL
WOOD FENCE.
CHAIN LINK FENCE.
C.B.S. WALL (C.B.W.)
EXISTING ELEVATIONS.
PROPOSED ELEVATIONS.
SURVEYORS'S NOTES: 1) IF SHOWN, BEARINGS ARE
REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT
IN THE DESCRIPTION OF THE PROPERTY. IF NOT,
THEN BEARINGS ARE REFERRED TO COUNTY
TOWNSHIP MAPS.
2). IF SHOWN, ELEVATIONS ARE REFERRED TO
BMU ELEV
OF N.G.V.D. OF 1929.
3). THIS IS A SPECIFIC PURPOSE SURVEY.
4). THE CLOSURE IN THE BOUNDARY SURVEY IS
ABOVE 1 :7500 FT.
I HEREBY CERTIFY: THAT THIS *BOUNDARY SURVEY'
OF THE PROPERTY DESCRIBED HEREON, AS
RECENTLY SURVEYED AND DRAWN UNDER MY
SUPERVISION, COMPLIES WITH THE MINIMUM
TECHNICAL STANDARDS AS SET FORTH BY
THE FLORIDA BOARD OF PROFESSIONAL LAND
SURVEYORS IN CHAPTER 81017.8, FLORIDA
ADMINISTRATIVE CODE PURSUANT
TO 472.027, FLORIDA STATUTES.
BY:
� _ / q IBARRA (DATE OF FIELD R
P OFESSIO AND SURVEYOR NO. ZS LT
STATE OF FLORIDA. (VALID COPIES OF THIS SURVEY WILL
BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR).
o/
REVISED ON
REVISEDON
8582 N.W: 7th STREET. SUITE 202
MIAMI. FLORIOA 33128 •
TELEPHONE; (306)264,2880
FAX: {308) 284-0229
N
a€ -/4'
0,20
4' i
C. •
c c.
Nuna *metro At
BOUNDARY SURVEY Scale 1"
/4.9 a 7 5 '
LAND SURVEYORS
‘or- 22-
BL.ac �6
0
O
s0'4 e
iv, as" `
•
,c
GOT -Z3
SURVEY NO. - 2 0
SHEET•NO 2 OF 2
A
o '
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING /ZONING DEPARTMENT
SECTION
BY.
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subjact to compliance with alt Federal, St
Cocxity,YJtaga rotes vrd regutatIoas. Wage Mtn'
no responslbillty for accuracy oflor resutts fr
these plans.
2. This copy of plans must be iyalltbfa
buHding site or no Inspection vita bo conduct
JOB ADDRESS / l fl y / v 1 E. / so 5/
den tee
APPC.ICANT
PHONE#
APPLICATION
SHEET OF
• 1
MISCELLANEOUS
DATE
ZOJVINy
7 •3 e C t1 yvkilkQ /V1
CRITIQUE SHEET
COMMENTS
o3 . luo OAP 51r& k-/1
INITIALS
New Building Remodeling
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 / 00 —GN7
Registered Architect and /or Engineer
Name and address of licensed contractor /U E. /L
Location and legal description of lot to be built on: // `PCVF' /1/4.9
� Lot (O 9 '7 Block / Subdivision ,_` / A l 1 1f012 -GS �Q C-7 I b / m E U
Street and Number where work is to be done /6, C/ ,t) L / O O S '
State work to be done and purpose of building (by floors), state exterior colors (submit samples) L- X TE N Ll 10,9_7,0
and for no other purpose.
Addition
To be constructed of I Kind of foundation Roof Covering
Estimated Total cost of improvements S Q- & • BYB'O Amount of Permit $ 145+x!
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 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 obligatons as an employer of abor under the Florida Workmen's
Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisio s 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 ause 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 toployAnly such subcont actors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (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 appeared
>'` t- O Q-�. /sr r • 12.4LL S to me well-known.
and who. being by me first duly sworn. upon oath deposes and says that he is the e) LOA 4 2...4" - - -
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 t. ue.
IA 9 Permit No. I Dates ^ P' Read, Sworn to and Subscribed before me.
Disapproved �) [ _ Date
(Signed)
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Repairs No. of Stories
0-8
Date � C._ . — 19 S
No. /6 Street L /00 SY
Not y Public, of Flo Oda
� Public, State of Florida its
My Commission Expires t 6sfR1�93i —{ 7 �$
PLANNING BOARD DATE Bon 1l1N Maynard Bonding Agency
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
•" t 1: •. Pytr r +f'•^ r+ , -.i c ]� 1 ' U ' , A , F
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1
q 74,4:
,v
'his property: described as:
Lod 6 and 7, Block 16,
AN AMENDED PLAT, OF MIAMI SHORES
'SECTION NO. 1,
.according to the Plat
.thereof, cis recorded in
Book 10, Page 70 . .
of ie Public Records - of
County, Florida.
, Certified., To First Financial Tittle' Company of
Florida, : Ticor.• Title . Insurance Company Home
Ravings of America,' F.A. and Fiore,nt S. Forrest
cite: ,Underground 'encroachments, if any, not
•3 n. ,n
•
•
FLOOD 'ZONE:
•
Q 'rl,. 4i .
orie4 ' ,�' s �l J /�� •� AG I
_ 1 m:.
`PROPERTY OF: Forrest , Florent S., 164 N.E: 100th Street,
f '.
A BOUNDARY
SURVEY
I hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Bolyd Surveyors pursuant to
Sectio, 472.027, Fla. S tes. There ate
noe ro ments, •rlaps,easements •
app ng on t . 'lat, other than as
wn hereto
'un•eyor No.
/IUFC .ViF S .
a:
DATE
�- 15 - et
1.1E 1001'0
Miami
ID . :�
A 1 .n
w
Shores, Florida.
.1,'ANNES and GARCIA; INC.
ENGINEERS LAND SURVEYORS - LAND PLANNERS
Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155
Mailing.address: P.O. Box 561131, Miami, Florida :33156
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' THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
• WITH NO VARIANCES • WITH VARIANCE(S) LISTED IN "REMARKS"
NO OTHER DEVIATIO''S FROM TUE :1''T S"^RES BUILDING AND ZONING
ORDINANCES WILL BE PERMITTED, U Ntri .' SPECIFICALLY LISTED BELOW.
ALI. OTHER APP ICABI.E STATE AND OCT F Y LAWS MUST BE COMPLIED
WITH BY ALL PARTIES.
A.'It'o - i - ed S gmture Date
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
fa� - V ir da t ta iL '
j BUILDING DIRECTOR
!
- PLANNING - &ZONING BOit.: r --
- -
VILLAGE Cbe±'..
APPROVAL
PRELIMINARY: FINAL:
{ REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS ARE (4 t! !T ' - -- K: OWLEDGE OF ALL BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
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CONTRACTOR OR BUILD
MIAMI SHORES VILLAGE, FLORIDA
D
o PERMIT N9 5130
Owner of '
Building
Lot
Bl
Work to be performed under this Permit
•
BY
DATE
Contractor's
License No.
AUTHORITY
9 "
Subdi-
vision
Address of ,� 4 _ Value of I Amount of
Building Project I Permit $ <
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. -
t
Signed. '-•z •' ' ' • ,- • 1 ' - INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances arid regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.:
ABSOT