134 NE 102 St (13)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
Registered Architect and/or Engineer y�
Name and address of licensed contractor PIP R J �S . A �? t'e9C4 e
Location and legal description of lot to be built on: // �d'!/(!� /g 6
Lot / u / �n
/ Block / V Subdivision /'/ � � 0 Res s - : ' �' ' b
Street and Number where work is
work to be done and purpose of building (by floors). state exterior colors (submit samples)
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Disapproved (
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Signed)
APPLICATION FOR BUILDING PERMIT
R I�S �.e//at..J
s to be done
/a (( 0/ 6 , 2
/Joe P1S
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering -
Estimated Total cost of improvements S //' ' Amount of Permit S ( t i r *
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 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 subcontractors. on work to be performed
under this permit, 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 appeared
1 W 4 3 R ( 1 , e 7 ) S i / ' ' L . - / to me well known.
and who. being by me first duly sworn, upon oath deposes and says that he is the `— — e e .-/ do y &-'f v l
of the above described construction, that he has carefully read the foregoing pplication, and that he did sign the same, and that all facts therein by him stated are true.
Permit No. 7 15 Date Z V Read. Sworn to and Su
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
7+04P61-7 Per 7
Date
let /0 19 Po
No. /li Street72L' /iae /1
boo o » f /p -£t !- .&-
and for no other purpose.
C ( c
d before me.
Notary Public. State nothrforPublic
Stab of Florida at Large • ..
My Commission Expires NA -
June 2D, 1994
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 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 525.00 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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SPECIFICATIONS:
— WOOD FENCE TO BE A MAX. OF 5' -0' HIGH.
— ALL MEMBERS TO BE P.T. WOOD SOUTHERN PINE N. 3.
— WOOD POST TO BE AT NOT MORE THAN 6' -0' APART.
— THREE ROWS OF 2 X 4' RAILS SHOULD BE PROVIDED.
— BOARDS TO BE 1' X 6 X 6 -0 DOG EAN D/C W000.
— ALL NAILS TO BE GALVANIZED TYPE.
— NOT INCLUDED AS A STANDARD FINISH. FENCE CAN BE
T(Pic& . PENCE: S .riDri
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This property described as:
Lots 10 and 11, Block 14,
AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
PROPERTY OF:
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, ' ` ' ' , ' , ` - ,• .,, G all :• � , ' `% � �
c, � (7� , ,, , , $2 do �'e/lcP.. fi; . � y/O.
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Not valid unless embossed 1 A BOUNDARY
with Surveyor's Seal.
SURVEY
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 . the Plat, other than as
shown her t•.
rr( , ,ctrl 1(1),+.7''
Fla. Reg. Land Surveyor
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Certified To: American
AliP Southern Mortgage
Corporation is Successors
and /or assigns as their
interests may appear.
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Bellows, 134 N.E. 102nd Street, Miami Shores, Florida.
DATE SCALE
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LANNES and GARCIA, INC.
ENGINEERS - LAND SURVEYRRs PLANNERS
Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155
Mailing address: P.O.. Box 561131, •Miami, Florida 33156
DRAWN BY
DRWG. NO
18. -465
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