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PL-11-754Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 158948 Permit Number: PL -4 -11 -754 Scheduled Inspection Date: June 22, 2011 Inspector: Hernandez, Rafael Owner: SALUP, ANTONIO Job Address: 9333 N MIAMI Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)488 -7694 Parcel Number 1132060130350 Building Department Comments SPRINKLERS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 21, 2011 For Inspections please call: (305)762 -4949 Page 11 of 21 r 01 -12 -2001 14:34 ROBAINA WELL DRILLING 72E2430241 PA EI T39dd t,20092982. 9N111180 113M kNd'It9$O L0 :£0 TOM-20-TO DRAW A 1!' ► Wtt14. LOCA D CATS SITE «" ID ,` i 4 GADS AND LANDMARKS SUCH AS WILDING FOUNDATIONS), Slz lC TAN* SYSTEM(S), OklVEWAV(S), ETC. Pslo'Vtoa >I `A#VC>Ca BtTW1 1t Wlei L ANe i �utn�r� r.sre t R Nos i3,'S9�. ¢ agsbaugaZnee if alb FOR MIAMI-DAD COUNTY HEALTH nitrAwnwdirr en ONLY Fes Reeeiradt.E OD? • a a Penult hued 8y: RIt Lad /� t! t 3'/1 ?I ,-,-„ Chian Nos ate "/I Pernik Repro Oiu f :.1_2,t, Spada) Permit Canditloan See attachment if any. • Manes To Nome Fed►* Ft, Distaste from Sep* Tank Systems / G Ft, Properly Grouted qYes 0 No, Cam Top at I.east 12 Indus Above Grade M'Y. 0 No Wen Ih. Ceske Dspth r Ft. Casing Tie QXes 0 No. Proper Cenerste Pads dies a No, Will Completion Report 0 Yes 0 NO Inspector's Comments: Inspected By Data: /; .1-1/ APprorsdan ppr.v.d Weer Samp I*b & No, h/% `i Dater Floe! Approved By: Data( • 1/, THIS PSJWIPT IS tar VALer YNTIL PROPERLY WNW ST AN AUTIIIEBDOMB OR MRISIDITATIVEOPTHE DM ITSNAU. DE AVAILASUI AT THE WELL SA8 puma AV.D1t1ILunn O?ORATIONS. fW .i 1lesuHd r IN dotikem qftwa Please notify 1VIDCRD at (39Sj Sl3 one .34S9 ay fes �e advance a well Is rifled se chart we may do a fiat insertion during its construction as mottled by our sobedlde. Conditions of approval: *According to Dade County Code. rm>ddential potable water was require a 4 IL min. diameter pad with 12" min. thick, and a min. setback 011100 R. to onsite sewage hutment and disposal systems, *It is required for Baal approval on Potable wafer wells a submittal of Sampic Col ci )ban di Report for Drinking Water bacterlologieni analysis (Non Conform, Total Coffering E,coli/FC) performed by • State tae . ror coaaaeudve d urn &cranks. 2011-06-15 2032 ROBAINA FELIX X 7862430241 Page 1 sJ 241 i-�— c�r7 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Permit No. 77 57 APR 292011 Master Permit No. OWNER: Name (Fee Simple Titleholder): /44)7 °An D c_)4Z. de Phone #: g'6 cag Address: q, 3 3 3 A). G,v-2 . City: Ait [Au 4 4 o (CAS State: - Zip: 3 s 15-6) Tenant/Lessee Name: Phone #: Email: TSa W P tO Yd kao cam • JOB ADDRESS: "[ 3 /0- gCam, ewe • City: Miami Shores County: Miami Dade Folio/Parcel #: Zip: 0 3 CSC Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: W 1U9- t Phone #: Address: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect /Engineer: Phone #: Value of Work for this Permit: $ 2 0 O Type of Work: ❑Address ❑Alteration Description of Work: ✓ - P f t t L i2 S S 5 are/Linear Footage of Work: UNew ORepair/Replace ❑Demolition ****** ** * ***** ** * ** * * *** ***** *****x *** Fees * * * ** :********** x:: x*: xx : ***x: **** *************** Submittal Fee $50 a Permit Fee $ /5-b — CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ /) b a Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. f Signature V ' Signature Owner or Agen Contractor The foregoing instrument was acknowledged � ed before me this The foregoing instrument was acknowledged before me this day of ,t-(�- , 20 i I , by 4—t! v \10 •, day of , 20 _, by who is personally known to me or who has produced AD who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. s`\\e\\��� w "' rttt,�i dLS 1'4 NOTARY PUBLIC: • bi °3 o Sign: a'�- ��• E Sign: Print: _� o ,�: c� Print: '.,../ ... ••,ry,% \NISS' My Commission Expires: /ss1/, 1r / /1111111 \N1�'`,R�� NOTARY PUBLIC: My Commission Expires: ************ ******* **** ** ** ************************************ * * ** ** *** * ** * ****** *** * * * * *** ** x****** ** *** APPROVED BY y "fpm! Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 //j� OWNER BUILDER DISCLOSURE STATEMENT NAME: AP-0 tJ I ° -S742 1) p. DATE: V /zi ADDRESS: x'1353 s.) ' /'lta U24 Gtd`P /"BCD- ti rbi /es 3 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial /IS 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial 4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial Initial 74-5 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner- builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. A Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial AS 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http: / /www.mvtioridalicense.com /dbpr /pro /cilb /index.html Initial AS 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractors workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this 9. day of L- , 20 By DYN -10\) l c� ‘1)51/\1-1-Z Y who was personally known to me or who has Produced there License or — t D as iden V: ......,....sec <�a0 •o Miami Shores Village APPROVED B BY D DATE ZONING DEPT BLDG DEPT 4 47°1/ SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS -(V 2011 -05-17 06:27 ROBAINA WELLDRILLING U9/ I:i/ ZU I 1 14 Au MAR 7862430241>> 3pi1Je9)L 2, STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL Q Southwaat 0Northwest C St Johns Rim South Plenld# CSuwannee River OOP ODeleeeled Aunty Of Apltiuba), (` en Mtwb ' FINda Whom Applicable) A P1/1 1®uu i/uut n* wow ossauo rri mountell /Or oun y a>a &An OW p1.p.6Itl Mrboo apoourIsm OW arm** 2. 3. J. 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Qatse Obt ,nee Prom: ....GPS „`Mip Surrey i"rr.i: 'nrtit.`lat„%'i1"1. 1r. naaar �ar.,�.+•��t reewrr..loe�. a..tbrl.w.a'N.eM r .r ri. memoir reeimm +ra wmwalw ado- Conon; - r-._NAD2T IAD93 ___„„ Wii81)o ►anoom u.11a..rle.i+rnw.lws. ► Nr.+ ■/aL attar °r=t 1�w�rr�s.raar , ,...t1.r1.ii..R r irm "1:=2 w r i 't rwlr�iN p fm. VIA Rpprrr t vninted ev e - i f ..., ...._ wou•DINS Fa* ltagMad 3 Romig No, 11411 RFRi111T IR *Wr w t 911 909 049•499:04,44.94494.9944 Dv a.1.111hMi.9$T N4pAai M &darksai,.a..+dre ow was .. M ow* r.s. af.,n...lr, w .w Eviraorm Dote. , ,1$ f KertilAntow► 0999 149. 2011 -05-17 06:04 ROBAINA FELD( XROBAINA WELLDRILLING Page 1 5582 N.W. 7th STREET SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 264-2660 FAX: (305) 264 -0229 DRAWN BY: AL. OutturuiLJLarS LAND SURVEYORS SURVEY No. 5- 0005508 -3 SHEET No. 2 OF 2 1 1 1 c O FA N— NO IDJ ov F.I.P 1/2" • NO CAP N. •o BOUNDARY SURVEY SCALE =1" = 20' MIAMI k': AVE. 81.00'(M) NO ID. 56' ASPHALT PVMT. 10' CONC. SWK..... • �j •. o PL. P 81.00' •'. 0.20'CL A 10.50' 20.30' 6.50' ;n,� c 12.75' v 9.45' N F.N. • ' .NO ID.' R=25.00' L=39.12' Tan 24.85' d=89 °39'40• CH=35.25' illik411414111114116 B.C. • o: F.I.P 1/2" •;`I • . NO CAP 21.50' c> NO ID. 0.30'CL REMAINDER OF LOT -11 BLOCK -3 0.10'CL 8.75' LOT-11 BLOCK -3 Q 0.90' ONE STORY RES. # 9333 LOT-10 BLOCK -3 U T BRICK PAVERS CCONC. WALK 10.50' 9.0' co N 'O U • U.P. 37.50'. 2' VALLEY GUTTER 30.00' T 1 POOL lO 0.20'CL 4' C.B.W. V U 81.00' F.I N ASPHALT DRIVE ONPL ONPL H p 37.50' P 1/2" CAP 15'ALLEY (N.A.P.) ' i' 10' ASPHALT PVMT. SURVEYOR'S NOTE: I- There may be Easements recorded in the Public Records not shown on this Survey. -The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes. 75.00' TOTAL R/W 5582 N.W. 7T11 STREET, SUITE 202 MIAMI, FL 33126 TELEPHONE: (305) 264-2660 FAX: (305) 264-0229 DRAWN BY: A.A. Nova Surveyors, Inc. LAND SURVEYORS SURVEY NO 5- 0005508 -3 SHEET NO 1 OF 2 SURVEY OF LOT 10 AND THE NORTH 1/2 OF LOT 11, BLOCK 3, OF AN AMENDED PLAT OF MIAMI SHORES SECTION 1, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. PROPERTY ADDRESS: 9333 N MIAMI AVE, MIAMI SHORES, FL 33150 FOR: ANTONIO S. GONZALEZ kt) _SUBJECT PROPERTY r+r LOCATION SKETCH r�Itrl� L'1 1` t61 17 I tb :L 121 • 22 23 •245 s'. • I I 1 5C 5Fy • N.C. Scale 1" = NT.S. t6 19 • •` -.53o 1 lt• Ik - 19 2- 21 02 31 ,toy I • • • i Igo r_,, 4 15 .N I 1 i $ �. /1 In :t, Ib1 t9 ' iB l .i 2G !1 ' i3 Ll 12t 4 I' 11-1 _ I. ; - M Ita / I H 1S, c'j3- • . • 1.• 2.. •• �I- ,tT.An4 • . Ac c,- - -.J -f'1 `1-x'E 1 1 ,,,_1 �o h J,r 1 tCI 9 1. S 17 �' S�o� • n y0 rl '= e2 I ra .ten 25 ^1 SU I dt 84 '6.'1 SL 93Rd JJ• . • If:, fi': 7o1 1 . '1p. 1 I 1 tl 7 1 b' `s 4a 51 2 � '4 '>, 12. 11 IO('J d 7 p ABBREVIATION AND MEANING A =ARC NC = AIR CONDITIONER PAD A.E. = ANCHOR EASEMENT AIR = ALUMINIUM ROOF NS = ALUMINIUM SHED ASPH. = ASPHALT B.C. = BLOCK CORNER B.C.R. = BROWARD COUNTY RECORDS B.M. = BENCH MARK B.O.B. = BASIS OF BEARINGS C = CALCULATED C.B. = CATCH BASIN C.B.W. = CONCRETE BLOCK WALL CH = CHORD CH.B. = CHORD BEARING CL = CLEAR C.LF. = CHAIN LINK FENCE C.M.E. = CANAL MAINTENANCE EASEMENTS CONC. = CONCRETE C.P. = CONCRETE PORCH C.S. = CONCRETE SLAB D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE MAINTENANCE EASEMENTS DRIVE = DRIVEWAY ENCR. = ENCROACHMENT E.T.P. = ELECTRIC TRANSFORMER PAD F.F.E. = FINISHED FLOOR ELEVATION F.H. = FIRE HYDRANT F.I.P. = FOUND IRON PIPE F.I.R. = FOUND IRON ROD F.N. = FOUND NAIL F.N.D. = FOUND NAIL & DISK FNIP. = FEDERAL NATIONAL INSURANCE PROGRAM IN.BEG. = INGRESS AND EGRESS EASEMENT L.F.E. = LOWEST FLOOR ELEVATION L.M.E. = LAKE MAINTENANCE EASEMENT L.P. = LIGHT POLE M. = MEASURED DISTANCE M/H = MANHOLE N.A.P. = NOT A PART OF NGVD = NATIONAL GEODETIC VERTICAL DATUM N.T.S. = NOT TO SCALE O.H.L. = OVERHEAD UTILITY LINES O.R.B. = OFFICIAL RECORD BOOK 0/S = OFFSET OVH. = OVERHANG P.B. = PLAT BOOK P C. = POINT OF CURVE P.C.C. = POINT OF COMPOUND CURVE PL = PLANTER P.L.S. = PROFESSIONAL LAND SURVEYOR P.O.B.. = POINT OF BEGINNING P.O.C.. = POINT OF COMMENCEMENT P.P. = POWER POLE P.P.S.. = POOL PUMP SLAB P.R.C. = POINT OF REVERSE CURVE PRM = PERMANENT REFERENCE MONUMENT PT. = POINT OF TANGENCY PVMT. = PAVEMENT PWY = PARKWAY R. = RECORD DISTANCE RAD. = RADIUS OF RADIAL RGE. = RANGE R.P. = RADIUS POINT R.O.E. = ROOF OVERHANG EASEMENT R/W = RIGHT -OF -WAY SEC. = SECTION S.I.P. = SET IRON PIPE L.B. #5044 SWK. = SIDEWALK T = TANGENT TWP = TOWNSHIP U.E. = UTILITY EASEMENT U.P. = UTILITY POLE W.M. = WATER METER W.R. = WOOD ROOF W.S. = WOOD SHED = ANGLE = CENTRAL ANGLE g = CENTER LINE = MONUMENT LINE LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY rSURVEY"l: - THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. - THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING, AND SHOULD NOT BE USED FOR CONSTRUCTION PURPOSES. EXAMINATIONS ABSTRACT DEDICATIONS, MADE AFFEECTIING THE PROPERTY. S SURVEY S SUBJECT TO LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN - THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND / OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. - THE TERM "ENCROACHMENT" MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. • ARCHITECTS FOR SUBMITTING LOT PLANS WITH THE CORRECT NFORRMATION FOR THEIR APPROVALL FOR AUTHORIZATION TO RESPONSIBLE - AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND /OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. - THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED. - HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. - THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F.E.M.A - AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE SITUATED IN ZONE: X COMMUNITY/PANEUSUFFIX: 120852 0093 J DATE OF FIRM: 03/0211994 BASE FLOOD ELEVATION:. CERTIFIED TO: ANTONIO S. GONZALEZ A J 5010 �r 10181 - c I t be ^ ^b 0 5 .I < ; L LEGEND TYPICAL —014- OVERHEAD UTILITY LINES z7:22 C B S = WALL (CBW) - x--x- C.L.F. = CHAIN LINK FENCE - 0-0- I F. = IRON FENCE -1/-rr W.F. = WOOD FENCE . 0.00 = EXISTING ELEVATIONS SURVEYOR'S NOTES 1) IF SHOWN. BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY. TOWNSHIP MAPS. 2) THIS IS A SPECIFIC PURPOSE SURVEY. 3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 4) IF SHOWN, ELEVATIONS ARE REFERRED TO MIAMI -DADE COUNTY. BM# ELEV. FEET OF N.G.V.D. OF 1929. SURVEYOR'S CERTIFICATION I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. BY: GEORGEIBARRA (OAT K) PROFESSIONAL LAND SURVEYOR NO. 2834 STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON: REVISED ON. SURVEYOR'S SEAL rc` W, yOt Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: 1 --79--f DATE: SI t. f,0 ❑ Contractor pet.Owner ❑ Architect Picked up 2 sets of plans and (other) ��--- Address: 4333 - m kr, AN E. From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: Cr RESUBMITTED DATE: PERMIT CLERK INITIAL: yr � Miami Shores Village Building Department y-29- i( 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. /Z(/ 7 57\ Job Name PLUMBING CRITIQUE SHEET