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BP-03-1519Permit Number: BP2003 -1519 1 TIA Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 166273 Inspection Date: November 03, 2011 Inspector: Rodriguez, Jorge Owner: CADILLA, ARTHUR Job Address: 124 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MICHAEL HOFFMAN DESIGN & CONSTRACTORS, INC Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060132690 Phone: 305 - 673 -2244 Building Department Comments EXISTING SIDING ON FROM OF BUILDG & STUCCO, REMOVE EXISTING DRIVEWAY AND WALKWAY REPLACE PER DRAWINGS Passed . Inspector Comments fa Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 November 02, 2011 Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Horida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 RECEIVED OCT 3 12011 BY BUILDING Permit No. " ® 19 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING ' F OWNER: Name (Fee Simple Titleholder): rD ( i CO` Phone #: 19,5 - 9--g-0 3 Address: 1 `a-Li 3 6 63 CQ s3" • ��,� City: M i'a M, t 6 h 0 re State: 1PL Zip: .3 S 1 3 Tenant/Lessee Name: Phone #: Email: V JOB ADDRESS: \ ' -t 1\)e- C4 (Q 9 City: Miami Shores County: Miami Dade Zip: ?)3 i Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: b�- ( ,;-,....,,,r.,,$)s', .r..44 A-r, r�G cik CONTRACTOR: Company Name: , , ----- - - - --L d� v Phone #:—S(0' J 10% 1 t Address: \ Z �� -42- • \' ` , ...qr.. A -e 9 City: \ \N ' . c„,,,,,,,- S-e e- e)0,-, S te: Zip: tJ'3 . O\ Qualifier Name: ` •� ..4 h .,_ Phone #: State Certification or Registration #: cG C > J 4�. ". u .D 2 Certificate of Competency Contact Phone #: g(.p^ P\a °°`7R1 7 mail Address: \N"\\N CiciNN a 1'`t'\ dk Nt'� c • GC) 'INN DESIGNER: Architect/Engineer: Phone#: 5 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddition UAlteration ONew ORepair/Replace ODemolition CA#LArt„,. 1144- 3 -/i S Description of Work: ******************* ******+x ****** * *x:**** Fees * * ** x+ x+ x****** *********** ** ********** ******** Submittal Fee $ Permit Fee $ 1 w ° C• CCF $ CO /CC $ Scanning Fee $ 3- Radon Fee $ DBPR $ Bond $ Notary $S -L' Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 0 ° 00 f 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. Signature Signature of Owner or Agent *V Contract The foregoing instrument was acknowledged before me this �r� The foregoing instrument was acknowl . ged,�be�fore me this `�� day of t.3 , 20 l(, by \- a-ZU CZ (U,. day of t� , 20 .t, by I C4I I, who is personally known to me or who has produced (4—'1 9 who is personally known to me or who has produced 1 1 niotio As identification and who`tlidll ylanRath. as identification and who did take an oath. NOTARY PUBLIC: ��`` ��%i� ' %, NOTARY PUBLIC: �`' ',% A cl) Sign: ' . b> °, Sign: : �' s9 Print:. Print: mss ' °`" ° .. d -s � My Commission Expires: �;� (o ��` My Commission Expires: ', <'� ate* c� . '.....1..‘0��•� %,l���,gs�A..... \\a\\e�� �1 / / /!1I I 11111111‘N\ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) From:Dunia Iglesias FaxID:305 -673 -0190 Page 2 of 2 Date:11/1/2011 10:06 AM Page:2 of 2 OP ID: DI '4K"- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDiYYYY, 11/01/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 305- 532 -2471 Florida Assurers, Inc. 960 41 Street, Suite #206 305 -673 -0190 Miami Beach FL 33140 -3326 LEIGH B. NEEDELMAN CONTACT Mr . am: (A C, No): EMAIL ADDRESS: PRODUCER HOFFD -1 CUSTOMER ID #. INSURER(S) AFFORDING COVERAGE NAIC S INSURED Hoffman Design & Constr, LLC 1235 MERIDIAN AVENUE #5 MIAMI BEACH, FL 33139 INSURERA: Endurance American Specialty LIABILITY COMMERCIAL GENERAL LIABILITY INSURER B: INSURER C 03/13/11 INSURER D : EACH OCCURRENCE INSURER E : 1,000,000 INSURER F : DAMAGE f0 RENTED PREMISES (Ea occurrence) • THIS INDICATED. CERTIFICATE EXCLUSIONS INSR VIVIVII ■••I•I.GIl• IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADM INSR SUBR WVD POLICY NUMBER (MMJDD ) (MMIDD/Y YV) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CBC10000184000 03/13/11 03/13/12 EACH OCCURRENCE $ 1,000,000 X DAMAGE f0 RENTED PREMISES (Ea occurrence) $ 100,000 X I CLAIMS -MADE I I OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GE 'L PRODUCTS- COMP/OP AGO $ 1,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N/A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CONTRACTOR Fax:305 -756 -8972 f`CDTICIf•ATC u #I nrn CANCELLATION MIAMISH MIAMI SHORES VILLAGE 10050 NE 2nd AVENUE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LEIGH B. NEEDELMAN O 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ALEX SINK CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. 12 -31 -2009 EFFECTIVE DATE: 12/31/2009 EXPIRATION DATE: 12/31/2011 PERSON: HOFFMAN MICHAEL S FEIN: 270965750 BUSINESS NAME AND ADDRESS: HOFFMAN DESIGN & CONSSTR LLC 1235 MERIDIAN AVE #5 MIAMI BEACH FL 33139 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440. 05(14), F.S., ea officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05f12i, F.S., Certificates of election to be exempt... apply only within the scope ni the business or trade listed no the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.B., Notices of election to be exempt and certificates of election to he exempt shall he subject to revocation if, at any time alter the filing of the notice or .the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of Ibis section for issuance of a certificate. The department shell revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DIJESTIONS7 (850) 413 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLEH ST. 1st FLOOR MIAMI, FL 33130 2011 LOCAL BUSINESS TAX RECEIPT 2012 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 G55061 -! ' THIS IS NOT A BILL - DO NOT PAY p�RENEWAL ETHRIN INTgi NAND CONSTRUCTION STATE Ec G Ob8632574994-1 LLC 1235 MERIDIAN AVE 5 33139 MIAMI BEACH °V8P FMAN DESIGN AND CONSTRUCTION THIS IS ONLY A LOCAL BUSJNESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OP THE COUNTY IT A LATHE HOLDER FROM ANY OTHER PERMIT OR LLOENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED COLL ECT COUNTY TAX 60030000374 000045.00 SEE OTHER SIDE BUILDING CONTRACTOR WORKER /S 1 DO NOT FORWARD HOFFMAN DESIGN AND CONSTRUCTION LLC MICHAEL HOFFMAN PRES 1235 MERIDIAN AVE 5 MIAMI BEACH FL 33139 109 STATE OF FLORIDA AC# 4 9 7 8 4 5 5 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC1508632, 05/30/10 098168016 CERTIFIED GENERAL CONTRACTOR HOFFMAN, MICHAEL S HOFFMAN DESIGN & CO■STR LLC IS CERTIFIED under the provisions of Ch.489 FS Expiration date:;: AUG 31, 2012 . L100530.00046 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, F133138 Tel: (305)795 -2204 • Fax; (305)756 -8972 5/22/2008 To: Current Owner 124 NE 96 Street Miami Shores Village, FL 33138 Permit: BP2003 -1519 Address: 124 NE 96 Street Miami Shores Village FL33138- Date Expired: August 23, 2004 FINAL NOTICE Type: Stucco side of bldg, driveway and walkway Date of Last Inspection: February 25, 2004 Foundation for driveway; REJECTED. Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, CCaudio Grande (CBO) Building Director 6/28/2006 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, F133138 Tel: (305)795 -2204 • Fax; (305)756 -8972 To: Current Owner 124 NE 96 Street Miami Shores Village, FL 33138- Permit: BP2003 -1519 Address: 124 NE 96 Street Miami Shores Village FL33138- Date Expired:08 /25/04 Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Sincerely, Mabel Vargas Administrative Assistant BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. BT oO3' aster Permit No. Electrical Plumbing Mechanical Roofing (....4.1% '105 _--) 5 -) - -7'3 Ce 10 Owner's Name (Fee Simple Titleholder) �r�'wr 0 `� o�, • Phone # Owner's Address V2-.1-1 YV q Le. 4\-". S+. Cit} • a,w:. S‘., o r es State y L.. Zip S'S \ `J q Tenant/Lessee Name Phone # Job Address (where the work is being done) 2- \(\..) r (.v City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name PiV , c.Vce\ d� 'CNN ov Phone # 3 G - ` " �Z `i' 9 Contractor's Address V2:5 S Y`n -e r' A IV, c,,,,,.., \R v . 5 &p 3 90 - Tir7 Ile City iNV, o,v�;. , -e.- a.. u� . State r'" L L. Zip '3'i 1 .5 Qualifier �', c� Q. 2.\ a '\' cc Nr r-. 0..m Architect/Engineer's Name (if applicable) Architect/Engineer's Address City $ Value of Work For this Permit State Number of: Bays Stories Type of Work: ❑Addition ❑Altteeration ❑New ❑ Repair/Replace ❑ Demolition ' e Describe Work:�._` -dam qn 6 u e- ` � ov\. e, v �', dt + � � S c. � e. •� y.? S - .� �. v c- Families —'Zip Square Footage Of Work: Bedrooms Baths County Escrow Fee $ i- Education/Training Fee $ Tech $ Code Enforcement $ Bond $ 3 (JO .00 Permit Fee $ V0 .00 Notary $ S CO Scanning $ Struct. $ Radon $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) 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 CONDMONERS, 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 abs • c - of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent trument was ackn s wledged befo e me this g The foregoing instrument was acknowledged before me this (} �r,04� et ( 1 , day of °epf , 2 by . ' I I 1 uced Expires u who is personally known to me or who Ma be argas__y� t, 'identifies/Rd-kW who did take ,' Atlantic Bonding Co., Inc an oath. a OAMEd ti a an oath. NOT • ' r 1 _ TC NOTARY PURL Sign: �''� ` �' `'tlantic B •�Co c. Print — -- -- - -- l _ Print. Signature Contra or Ex. ires: Jul 13, 2007 My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc7/7 /03 SEP 2 3 2003 Plans Examiner MIAMI SHORES VILLAGE BUILDING DEPARTMENT ��.,,2 o � Building � nspec i equest Date Type Insp Permit NA. Name Address Comp Phone # Inspection Date Approved Correction Re -Insp' n Fee MIAMI SHORES VILLAGE chi BUILDING DEPARTMENT tom' 305- 795 -2204 Building Inspection Request Permit No. 14. 14. t . � n Name Address ! Company Phone # Inspection Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date3 Type Insp'n Fc no [ 61dc tD e. Permit No. ,, 3P cD3 _ j 1 Name L,CICl ('G Address 124 t s-f Company 1 iJ Phone # Inspection Date 3,111 Approved ❑ Correction Re- Insp'n Fee ,,.-dr. 4,4d ri L,A srz A,I 'L \t see - - 1tp 44' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type lnsp'n '(l �id( D&S-k ( Permit No. (i Name L.t, =(, i i fl Address 12'1 N s÷ Company iU( (.t i,Yr_r Phone # Inspection Date Approved Correction Re- Insp'n Fee Alf &0k, se 0o iftvd d rhike U4 ON x025\ of Cv i4esra2,- JOB No.78 -048 =S LOCATION SKETCH SCALE I " =299t FOR: Mr. R. Rossi e j /7 /8 ' / , 2a , 2 t ■ 1 � PLAN OF SURVEY Lots 12 13 in Block 20 of AN AMENDED PLAT OF MAIMI SIHORES SECTION ONE, according to the Plat thereof as recorded in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida. HERRYMAN a ASSOCIATES , INC. CONSULTING ENGINEERS AND LAND SURVEYORS , 1710 N.W. 7TH. ST., SUITE ZOE, NMANI , FL . '33115 PHONE 1143 —01171 WE HEREBY CERTIFY: That the attached PLAN OF SURVEY of the above described property Is true and correct to the best of our knowledge and belief as recently • surveyed and plotted under our direction; also that there are not above- ground encroachments other than thole shown. By 1 i1 ia.*m errym REG. LAND SURVEYOR No. 2804 STATE OF FLORWA April 16, 1978 NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL 144 'WO • TAI PLAN OF SURVEY ■ tit t! kl• 4 .. � • . a' '.4, t' • • r w . /410. ©; 1- SCALE 1" = 20' 96 7';„:? 0, ;•'f) f • 1) 210' f .. . -- tg- 83 1 C. 0 t.• Z 28'EtIC. 2., O `C` L11�,7 1 e.x l ST v1 h %v' o C S o% • k o. S 1 � C G o c.„VCArN "J. ra.�rr,�, 004- 0v.,r4 c4. llY1 wit .1-> c .a W 5 a.S 1Zh CX` c ue.c \De. so, \IN . sAr.. Lk. c e_c , 4 "'Po* V\-It c o\ oNr S ka , \1 \P e, s �, �� �-c� low ©w vv ex root a 1. Eoc' £4' e Y, co r 0.A `^ 0 G I.C, a, c G -2Ar\-\-' w a \ S rav�T12,V, Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305) 795.2204 Fax: (305) 756.8972 • ; Perniit MY. : • • 'Job.Diathe BUILDING CRITIQUE SHEET • CRITIQUE SHEET .JOB ADDRESS APPLICANT PHONE # APPUCATION C ST Iv k' 0)--V SHEET OF : -... MISCELLANEOUS — PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT- SECTION BY DATE ZONING' ELECTRICAL MECHANICAL PLUMBING FIRE 1 PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subfect to contpffancs with eft Federal, State. Y. ge tides Ind regutaUons. Viitage assumes no responsibltfty for accuracy of/or resutts from these plans. 2. Tills copy of plans met be ;YaUtdi. ea building site or no Inspection vita be conducted. DATE ZONING ' COMMENTS aectiEw co,u,57,67-/D INITIALS