26976f /S/
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement or the plans and specifications herewith submitted for the build
ine 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 spedfled or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date..._» - AQR-t L %,d.._._.. .,19. &2
Owner's Name and Address S Am la 4.lal,�,.i, ..d�.,,tbi .,_._. No. A7 s...»..... Street E ».21r..L...4T _.
Registered Architect and /or Engineer , nss•••••n.- •• :,•enrnr.vm.<-m.+n.ext•::.
Name and address of licensed contractor C A . 111,..... gAlt ~ tar— /C)7. .W Z?xi -. k°......% �.EI.V.L..`d
Location and legal description of lot to be built on: 1/ AI-a / 7 G 7 re 3
Lots...I.°-2 -..3 ¢...4 Block /.I...... ._ Subdivision r..t1wC.1 .,caF A4/ h X44 .Ciy�.. PE 15 ill
Streeet aand- w ry ere work is to be done b 72 NE .T ....cT .._..mho i.... dL. 2..E s , ag • ...._
State work to be done and purpose of building (by floors)..M7:4-4..1- Y.Ytl4.....1.1&t. -.. —..s». - »6.12gFg1.._KS,I.YL
......_.. ».... »........_.. » ...» ... ».»..... ....•...and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation...... _....... oof Covering
Estimated Total cost of improvements $ /".4949.,..12.4.. » »...__» Amount of Permit .A. .._.Z_ ......................
Zone cubage required _.._.. _..._._.Plan Cubage
Distance .to next nearest building ......- ..._.... Size of Building Lot Z.2.7 C.. /13® '
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 ; tractors, 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
644' Zgake)
eeL, d t4r..a t uCO:e ra CO .
75-7= `e /�/
...-- • - -• • . »» 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.. /1� I Date67 ---- Read, Sworn to and Subscribed before me.
Disapproved .. Date *
(Signed)
Notary Public, State of Florida
Bu ding Inspector My Commission Expires
PLANNING BOARD.
..DATE
Chairman -- Member .....:.» .., ......_........._..._
.Member » . » »_ .... »..... .. Member »....._........._...._...—..._...._ .._..•......»... »._..___ ......... ...._.._
Member ..... Member ....
Council Approved — ..Date Disapproved Date
SUIT: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained froth
the I'l.ennir,g Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
N.E. 7th Ay E.
a
LEGAL DESCRIPTION:
Lots 1, 2, 3, 4 and the East 1/2 of Lot 5,
Block 101, MENDED PLAT OF SECTION 4 OF MIAMI
SHORES, according to the plat thereof as re-
corded in Plat Book 15, Page 14, of the Public
Records of Dade County, Florida.
n
tri
2500'
15.50
0
N
5.50'
•'.. +','T°
25'
2500'
cznc.drive
2.0'
v):
m
o Li,0o
. y.iW
.p
1— 0-- w
,kr 23.10`
in O
N M
20.84
20.0'
co g
260d
.4 12.50'
carport
0
• S
0
3, FOUND PIPE �;�� 130.00' PIPE
! ;+ o �, idea higi if shorn are based
n t.c j 6n ed meridian.
t
SURVEY Pon: BAMMAN, Sam, 672 NE 98 Street, Miami Shores, FL 33138
Mgr vat.,0 WILLS* Lr♦a03EEO WITH
SURVE'YOW$ SEAL
MORTGAGE SURVEY
r.LRSV CERTI►V ' that a.. .weer r..r.N.r.a IOW .eh
"Oat a Ii.0 Mali MOO aaarv+kal rnaue....t. 01100440 04 a, Ih.
F 4 P L. S. , Me F. LT. 0,sod R10 Otani N Lena *.ra.,ra
Thera are 00 .1.ar00I4.,. Ii.•0*d *S6.0eaah.sMa *Monty
an tM Nat r MISN et .04044011 Waal Nafh e/ Mean Wont
GAF? S. CASTEL
Rspistersd Land Surveyor No.4129
Stote of Florida
GARY B. CASTEL SURVEYING INC.
LAND SURVEYORS
9561 S. W. 661h STREET
MIAMI, FLORIDA 33173 1306) 279 -2571
F40QD ZONE : A -14
DATE:
5 -15 -85
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degIRSOAR
THESE PLANS ARE APPROVED
� _ .
FOR ISSUANCE OF A BUILDING PERMIT
VARIANCE(S)LISTED IN "REMARKS"
MIAMI SHORES BIJIIDING AND ZONING '
UNLESS SPECIFICALLY LISTED BELOW.
AND COLJNTY LAWS MUST BE COMPLfED
AutlinrindSignotum Date
• WITH NO VARIANCES • WITH
NO OTHER D[V|ADVS FROM THE
ORDINANCES WLL BE PERMITTED,
ALL OTHER APP!ICABLE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
|
PUBLIC WORKS
POLICE DEPARTMENT
.
,
BUILDING DIRECTOR
EEC
'
PLANMG&Z9NI~G ROA.YD
VILLAGE COUNCIL
•
,
nrrnwvnL
�
PREUKNNARY
, ` FINAL:
REMARKS:
` ~| '
.
COMPLIANCE WITH THE SOLJTH FLORIDA BUILDIA CODE AS ADOPTED /
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS ARE r?yRrFUW|T!' `"r IC•O'AftE�rlIF0FAU BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.