278 NE 101 St (12)Owner's Name and Address
Lot .1L1 ) 1 1 ....d�. �.1............r':^Ck..:. .
Disapproved ....,� \`� . Date
(Signed)
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the appro\•a1 of the detailed statement us cue plans and specifications herewith submitted for the build •
in or other structi*e 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.
Date..._..._.........._ ,19..
rite- /.Lc y ax
Registered Architect and /or Engineer
Name and address of licensed contractor D 1EIN
Location and legal description of lot to be built on; ,
'Subdivision
Street and Number where work is to be done ..._ .
State work to be done and purpose of buildi{tg (by floors).
(/`iC Y
and for no other purpose.
New Building Remodeling Addition Repairs; No. of Stories
To be constructed of Kind of foundation R f f
Estimated Total cost of improvements $..Z ' ( v Amount of Permit S.. 1.
r 1
Zone cubage required Plan Cubage
Distance.to next ne.uest 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 scith the provisions 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 cruse to be posted for i, section on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such s i ; • tra , n, op» a rk to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
PLANNING BOARD DATE
Chairman Member
Member Member
t,t„ ttt .. .,,,•,t tt»n,twr..txt,n, et.
1111(0_11 1 4 /6 ao y
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
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 tru .
Permit No.._. '.!! f Date '/ Read, Sworn to and Subscribed before me.
Notary Public. State of Florida
My Commission Expires
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•iu.pt•etion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
- -,
CLOSETS
BATH
TUNIS
SHOWER•
LAVA•
TORIES
SINK[
SLOP
SINKS
LAUNDRY
Tuns
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N1
TOTAL
FIXTURES
CONTR.
LIST
CHECK
•—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
5
SW 114'0
POOL
'
CONTR.
LIST
CHECK
Permit No . Z
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 ofJihe 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 work.
Owners Name and Address C V
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
fr (EXX No. ..2Zg wt /b/ Sz
Registered Architect and /or Engineer
Et 2 a f1 b Namo � /� ,y[ .� _ . �....... __��._....
1/ L o c a t i o n and g D e e s s c t i p f i o n Lot_ i ' t . s 2 01 Hkx�_ Subdivsion. 9 i AILI2
Street and Number where work L to be performed —No Street .._..___._..._..._.
State work to be performed and purpose of building (By Floors)__._._ _..______ _..—
New- Berilding._..._ __.__..........._.. Remodeling ___. _ __ Addition
Size Septic Tank_. ..Type of Tank
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well. ..- ._..
Nature of Water Supply: City—Well. Size of Soakage Pit
Repairs No. of Stories. .
Amount of Permit $ k45 _ (Signed) _
(Signed)
Notary Public„ State of Florida
Muter Plumber.
Plumbing Inspector.
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 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to he
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 err
required by the Act. The undersigned agrees to employ only such sub- contractors, on .. k to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, ( ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath os and rays that be is the .. _. - •------ __ - -.. _ _...._.
of the above described construction, that be has carefully read the deposes application, and that be did sign the rams, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when Walt raiaspsotloa 1s mida•aaoaasary by Improper notice for laspedtion, or faulty
materials and /or worinaanahip.
PROFESSIONAL LAND SURVEYORS
4694 Palm Avenue. Suite 203 • Hialeah. Florida 33012
DADE: (306) 621 -1261 • (305) 621 -1220 BROWARD: (305) 563 -2066
1
13
4 14
J.H. MAN U CY, INC.
ba
•N `
�a
die
I .,
as recorded in Plat Book
FOR: Lloyd
I1
I
I co
Legal Description;
19
This
b. C � cal :3 as •
I
N r
'LD
Z I
Z2
m
23
NOTES:
THIS is to certify that I'
have consulted Federal Insurance Adm
ministration Flood Hazard Boundary
Map and found that the above is
located in Special Flood area:
FLOOD ZONE "C"
Lands shown hereon were
not abstracted for easements and /or
rights of way of. record.
State-ol•Flurida
ngrX>
. RaV
West J of Lot 2 and Lot 3, Block 34 "
of "MIAMI SHORES SECTION ONE ",
1 HEREBY CERTIFY THAI THIS PLAT OF SURVEY WAS PREPARED
UNDER MY DIRECTION: THAT IT MEETS THE MINIMUM TECHNICAL
STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA
(CHAPTER: HH;6 FLORIDA ADMINISTRATIVE CODE) FOR THE ,
TYPE OF Y SH N H, E N AND II TRI •AND CORRECT
TO:THE = �! .. GE AND
J,H anucy, Professional Land Surveyor 411
Robert Bloomster, Jr. .• 1b'.L.S. #134
ogle: April• 18, 1985
Copies of this survey are invalid unless
embossed with the seal of the abovesigned.
Survey Certify to:
At
I.
PIPE'.1
5 ��wtrw1
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10 alPage 70
A /K /A 278 N.E.0101st.
Mary Caballero
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"CORAL GABLES FEDERAL"
St.
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DATE: April 18, 1985
•
according to the Plat thereof
of the Public Records of Dade County,, Florida.
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ORDER No, 29240
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CHARLES C. MITCHELL, P.E.
CONSULTING ENGINEER
1871 N.E. 167th ST.
NORTH MIAMI BEACH, FLA
TEL. 945-0202
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7 CHARLES C. MITCHELL, P.E
CONSULTING ENGINAR
1871 N.E. 167th ST.
NORTH MIAMI BEACH, ELA.
EEL 2414202
57-
THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS"
NO OTHER DEVIATIW:S FROM THE MIAMI SHORES BUILDING AND ZONING
ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOVI.
ALL OTHER APP! !CABLE STATE AND COU:JTY LAWS MUST BE COMPLIED
WITH BY ALL PARTIES.
AuthorNed S D7te
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS ARE NARr n '»'T K.'OWLEDCE OF ALL BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
PLANNING & ZONIi!G BOAiu.i
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL:
REMARKS: