FENCE PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7/2/92 Job Address ./1 /tom 1 /a/ Tax Folio
Legal Description / Historically Designated: Yes No
Owner/Lessee / Tenant /72.-: /27p$. 4' l,/ /46", Master Permit # 4ar(,
Owner's Address / yJ0 £ /0/ .0 - Phone (Ja 7r 9 - o vv
Co. 'him vi�,, � s) ' , ldress 2 7 , 44,6 9,?
SS# Phone 75 912/
Qualifier 1 dee. s' /f/fe...
State # C'4C or 7 V2 ? Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): II 111 I] ICC! ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION e cD de r �f 14 6 ass. // f / r &'
,mot /7, y w.e. -�i Ir 'T ,,,
1 Estimated Cost (value)
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.
Signature of owner and/or Condo President '
c -?P iefk / - 76/97
tary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date
My Commission Expires:
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
Building
C.C.F. �!i NOTARY TOTAL DUE # 46 6eP
Signature of Contractor or Owner - Builder Date
Electrical
Plumbing Engineering
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L O C A. T .IO N SKETCH
S C A L E : N T S
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Survey for: Blum Building Contractors, Inc. ,
1430 N.E. 101st St. Miami Shores, Florida 33138.
41?:6 60(s00
SCnIP T I3 : (Fern i snaj C'y C:: a. ^.t) .
LEGAL DESCRIPTION: LOT 6 BLOCK
OF REPLAT OF TRACT A OF MIAMI SHOP.ES BAY PARK ESTATES Subdivision
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 56 AT PAGE 86
OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA.
'.;• r, r%., i;.-. x:: o s < �;>�ac._- ••.-<:.:..�._.�...... �..zcr..c� : :.�c�n;a�mir: r: i..: r_ m-. n: v: ta,: c.:-:.:: c�.:,. ar.... y.: �,aa ::o�•t•n'• : :...r...r�=,.n :. -..::+.
��•3 :" ... - ... `47..' ..._: t +.'7.'.•�,,. :"�:.. a. cam. -�.:7. �.•sn..
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I HEREBY CERTIFY That the survey represented
hereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments. overlaps. easements
appearing on the plat or_visible easements other
than as shown hereon
CIL. LJ)
NARK M. KRAJNIK
Re9istereCLand Surveyor No. 3 371
State of Florida
BLANCO, DANIAL & ASSOC. INC.
Land Surveyors • Planners
4100 Aurora St. (Mailing Address)
Coral Gables Fl. 33146 555 N.'Shore Dr.
Suit B Mia. Beach F1. 3314
(305) 865 -1200 . Fax* (305) 865 - 7
DATE:
SCALE:
6 1 " =20'.
SUFFIX: DATE: 3 BASE:10
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OWN. BY:
F. S(A►4 co
JOB No.
1.
96. -.19:7
Att, coretTe s+ ,t,
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a architects +
27R Northeast c.'_ • ..•_
278 Northeast 103 Street • Miami Shores, Florida
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od
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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.
yyyy�� / ��,� Date G� / /7 -2.f.. . - ry . ,
Owner's Name and Address ...��%! f.� /� t...l(yre/1..:31. _ No....l �.Lfl..... Street L... ....L €�. .
Registered Architect and /or Engineer , .,:,,., „._ ,......
Name and address of licensed contractor....... �.. ....;�..k' ,<,.L ;" Y . .• .•• ••.
Location and legal description of lot to be built on: /
Lot !O Block f Subdivision. .._. ...... / .. 2 •� . i: _
1.
Street and Number where work is to be done..... /. 6 �,� .� � ,/ -
State work to be done and purpose of building (by floors) /./._
D
Bui ding Inspcfpr
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of 6- 1– Kind of foundation / Roof Covering
Estimated Total cost of improvements $... . 0r 00 Amount of Permit 3�..._
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. MI 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 obligati.ns as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pen anent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub contrac rs employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspectio the site of the ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s • a or on work to . performed under this
pernit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared 1
•
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 e. //
Permit No. ._1 –2 -2.-- Date i " 5-g Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
ANNINC BOARD DATE
Chairman v Member
Member Member
Member Member
Council Approved Date 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 31.00 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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44
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2 7e 10 - 4
l/ '
MEAMa SH ®F-`ES VOLLASE
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.
/1/add Owner's Name and Address 4J4 /1/add o.
Registered Architect and /or Engineer
Name and address of licensed contractor �� � ., ..., T ...l.tf ., , g1.�, .. .l
Location and legal description of lot to be built on:
Lot �/ Block
Street and Number where work is to be done ,/.f -_J_ & ,,..___111 _ . c
i
/ �
a�
State work to be done and purpose of building (by floors) � � y PY ✓� // . / i" ti_ A
Subdivision r' a4/1 L�1'�ZIV 4/
Date._ __._/_. �j�_ 7 � Street_ .,...&r..././ _ . ,19-
_ / ...tom 1/ »... -
e -
and for no other purpose.
Repairs No. of Stories
New Building Remodeling Addition
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 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 pennit 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, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contr. . s or sub - contractors iployed by him
in the work to be performed under this permit; and will post or cause to be posted for ins ecti . o the site of the wor uch public notice
or notices as are required by the Act. The undersigned agrees to employ only such s ac ors o work to be rformed under this
permit, as are licensed by Miami Shores Village.
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and sr
of the above described construction, that he has carefully read t}
therein by him stated are true.
Permit No._____.1— 0 _ Date Sure i HI
Disapproved Date
_
(Signed) `(5..J.. ti^@ Q.I-L?C—
Building Ifispector
Chairman
Member
Member
PLANNING BOAR/
Council Approved
NOTE: A charge of $1.00 will be made for ma
the Planning Board.
A re- inspection fee of $1.00 will be charged v
materials and /or workmanship.
/
(Signed)
' - -;an the same, and that all facts
-.to me well known,