101 NE 102 St (4)•
P'E 'rMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) /, X o6 /.1 /7,O 5
Date Address / 0 / /4/2= •' / 0 9 2 C c 1 Tax Folio 1l' 3)06-013
Legal Description rn /0-70 6//e /3 17 /L ast Permit it „l'W 4
Owner / Lessee / Tenant POs - N. /e //�9
Owner's Address /0/ 4/z-' /02 s i P S '7 v
Contracting Co. . ' 2:c Address
01070/ �hone 7
/02 ,52 hone
/37P74 z ,
%� 7 4cj , Ph one /�' J Qualifier .�l /.�t�i'lii gy/ u � � ST SSdf a� � -�- �/�, 3��/ �(p
State# 6/56 (9/J9/ q Competency# In. o.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING E�
(fENC
- SIGN
WORK DESCRIPTION - 1 Qo4- C -4 'ft Cara �� re to r-�
9 � Qy004 � �u Mq claw I�c� . e : ,;� r,.._._.N.. _.,.�.�. - ice 5 kf
`__-__ r _ ' LJ L / 1. Estimated Cost /59.3.
7 '1 '9/
N•%� as to Owner and /or Condo President No ary = to Contra
My Commission Expires: My Commission Expires:
* * * * * * * *
*
*
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 t -•at all work
will' be done in compliance with all applicable laws regulating coast tion and zoning.
Furthermore, I authorize the above -named contractor d•• the work stated.
/
L1, - .L /
C> # '
, � � U ISMAEL
, ' MY COMMISSION / CC 241622
�, a EXPIRES: December 6.1996
t, �z� Bonds Mu Notr/ Piblo Undermtb n
PERMIT FEE:_ APPROVED: Fire Other
/QO , f00 �
Zoning ing / e 2 - L2__% Electrical
Mechanical Plumbing Engineering
4
255 CIRCLE- SUITE 404
CORALGABL FLA. 33134 THOMAS .1. KELLY INC.
BRWD (3 05) 779- 3256 LAND AC--SURVEYOR
FAX : (305) 441 -6494
' PI ILI
N
30'
to
0 0
6) 0
is
q
(ogiJa
?IP
49
0 0 1 0 0
%" G � 4)6)
bP�� SLOT If
•
ti9
1
t3I
Y
o� •
•~ otlr
►' 5 f�
A.
1431 4
o ff. r-, (0)
1 141I- i. .....
A r r a�
t ..
X5',45
4u�_ N 1 I(0
89 0
(
.304
I O�.tiZ (C1 *'
SURVEY NO.,L 'I09
SHEET OF
L..
N
cfN
Q
tkeA
cJ '
4).`
2S5 ALHAMBRA CIRCLE - SUITE 404 THOMAS J. KELLY , INC.
CORAL GABLES,•FLA. 33134 LAND SURVEYOR
'. WO : (305) 444-7692
e. w0: (305) 778- 32ee FAX: (305) 441 -6484
SURVEY OF LOT 5
LOCATION SKETCH
SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS REC')RDED IN PLAT BOOK No.
PUBLIC RECORDS OF .1:0!4 COUNTY, FLORIDA.
FOR.
DATE :
ma, • Pi t 102 N� Ut3
r�I1�r'I +iLa b
SCALE: I ° 1 00
amok
(oZrv. yT•
0
1-
o FLOOD ZONE :
17. THIS IS A FLOOD HAZARD ZONE /2509
N COMMUNITY PANEL N • i SUFFIX : DATE OF FIRM:
c.) PANEL BASE FLO OD ELEV.: 7 LOWEST FLOOR ELEV.: HIGHEST ADJ. GRADE :
,' ,� V�6
NOTE : UNDERGROUND ENCROACHM eNTo + IF
he above described TED. G e o t minimum my em is adopted by nowledgs and
I hereby certify that this sketch of survey
belief as f yrveyed and Plona�dLand under Surveyors direction.
and the further
Florida Land that-this
Association
and also ) CH 21 HFh6 FA. code. There
th ociety of P ''j�,� xcept as shown.
ar_ o encro Notes: I. If shown,bearings are to an assumed meridian (by plat
_ S- 9L 2. If shown, elevations are referred N.G.V. Datum 1929
JO . A. PER A - Dote of Field Work 3. This is a land survey.
P ofessionol land Surveyor #4858 Closure above I :7500 SCALE I ° = �Oo
State of Florida
(Not Valid Unless Imprinted Wlth An Embossed Surveyors Seal)
0 ■ ' ■ -
AT PAGE No.
pll'Gl
10
fII,$ r 6 2Z- ZOIO
SURVEY NO./7c.Lia3-9
SHEET__ OF-7e—
BLOCK
_a_
L IS NOT A FLOOD HAZARD ZONE
METRO -DADE
OTHERS
TICKET NUMBER
METROPOLITAN DADE COUNTY, FLORIDA
BUILDING AND ZONING DEPARTMENT
PERMIT SECTION
111 N. W. 1 STREET
SUITE 1010.
MIAMI, FL 33128 -1974
To Whom It May Concern: ��II
The undersigned, as owner of the property located at /0/ /t E• /c9 S7:
faeftni 4c S Dade County Florida, hereby absolve Dade County of
any and al l legal responsiblity for any claims, losses, or damage on expense which
may. ari as a result of the placement of rte«
in the utility easement area. Furthermore, have contacted the following utilities
and have received their consent.
UNCLE 1- 800 -432 -4770
TICKET NUMBER
FLORIDA POWER & LIGHT 789 -2020
TICKET NUMBER
()S ffri 1 .J) t Le Jf a.
NAME
METRO -DADE CENTER
Building & Zoning Department
Suite 1010
111 N. W. 1 Street
Miami, FL 33128 -1974
DATE : - 10,// g
DATE:
DATE:
DATE:
TO BE FILED WITH OFFICE COPY OF PLANS
ISMAEL RAMOS
MY COMMISSION 0 CC 244522
EXPIRES: December 8, 1998
Bonded Tbm Norm Public Unde:utters
** NOTE: PLEASE ALLOW A MINIMUM OF FOUR DAYS AFTER LAST CALL FOR FIELD CHECK.
SINCERELY,
BUILDING ❑
PLUMBING ❑ PERMIT
ROOFING ❑
Owner of
Building J ' . .. . 1 . / : )
Architect
Contractor ,...
or Builder ','
I
Legal Lot
Description l �� Bl.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
N9 5791
Work to be performed under this Permit
Address of Value of ._ I Amount of
Building .i ir 1. r / . - _ Project $ y ( 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.
Signed• e - INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
DATE
Subdi-
vision
Contractor's
License No.
BY AUTHORITY
AOOOT e
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 Pr Kett tl
Registered Architect and /or Engineer ---
Name and address of licensed contractor.. 0 6 '1 -
Permit No
Disapproved
(Signed)
f f/
NOTE: A charge
the Planning Board.
APPLICATION FOR BUILDING PERMIT
Date
Date
A re- inspection fee of $1
materials and /or workmanship.
Building Inspect
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
/ 1)-E S L-
Location and legal description of lot to be built on:
Lot . ...c _ _.1 _ c Block 1.3 Subdivision .M k, 4A s L � 6 � S' (L-
Street and Number where work is to be done__._. 0 1
IVC
State work to be done and purpose of building (by floors)
Date
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
� �
Estimated Total cost of improvements $ 3 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, Permanent Supplement,
and has complied with 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 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 su contracto , on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 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.
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman
Member
Member
Council Approved Date
No... f _61.. Street 1
196y
to me well known,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
.00 will be charged when such re- inspection is made .necessary by improper notice for inspection or faulty
"- 2 •
)
A A
1
y sr
91t c
t7i
().
3 c4.
1/r• K. L �rcck �er
1 of AJC Iola
S4'
N 1/4644 x x
I o a.1 s i
/Wik
r
3 54. 4
•
MIAMI SHORES VILLAGE
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.
. G•
Date o , 19 n
Owner's Name and Address.....- 5= ' - 4.— • No d 1 Street A 1. • / '
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors) 5
.ert .dL. .Ek_ ( 'eS .4..t .�- -1 - r - s&--ii—,47,, e• and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation
ic,�ov • g' 47
Estimated Total cost of improvements $ -.. 4 Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Remarks
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 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
•
(Signed)
STATE OF FLORIDA, C ss • l
COUNTY OF DADE. J
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 Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING ❑
ELECTRICAL ❑ PERMIT N? 9798
PLUMBING ❑
ROOFING ❑
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Owner of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
J •
Bl.
Work to be performed under this Permit
Subdi-
vision
Sq. Ft
Value of
Project $
DATE )- °,
Contractor's
License No
Amt. of
Permit $
BY AUTHORITY
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 application
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 responsibility for work
done by his agents, servants or employees.
Signed• BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
iC
Owner's Name and Address
MIAMI SHORES VILLAGE
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.
ari /.
Registered Architect and /or En -e' `) ei
Name and address of licensed contractor Zry 11.z4Lei P
Location and legal description of lot to be built on:
Lot 1° . /:6 Block / 3 subdivision.
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repays No. of Stories
To be constructed of Kind of foundation.... 4 lei P� ..,i?ee./:e _._ Roof Covering
Estimated Total cost of improvements $ ...3
Zone cubage required
Distance to next nearest building
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 ti; /tie
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 him
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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Amount of Permit $
_Plan Cubage
Size of Building Lot
Date ° / , 196
No Di Street/I/41( 7.._ .1'
•
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 are true.
Permit No. Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.