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941 NE 92 StMIAMI SHORES VIT T AGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5 .f 2 • Time Z Type Insp'n /"..e Permit No. �j 1 Name 1 Address 4 c) �`- 2 Company $1L For Inspector: 7:( 6 Approved Correction Re- Insp'n Fee Name & Date /S/0c3oy 4616-cc"- PROPERTY OWNER New Construction Name Yp 'nli ail ae R l i f—. Enclosure Address cH l n , `. q& s - / . I Ai E. Alteration Exterior . . !� f F f L 3 rc'C _ 3 ' ) ' i Home Telephor s l 7540 / , l52=11/14...se Business Telephone Demolish Fax S Relocation of Structure TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell OnI Foundation Only Add'I Attachment Other Add'I Detachment Other . APPLICATION \ORlo 1 / INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: 4) d Address Folio Number) / /) (i 00 ' 00 Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit N � - , t 1 'I�e 5 r- FL 33133 -0 .910 pt Zip .T )(Description of Work City State Linear Feet PERMIT APPLICATION Zoning Square Feet Value of Work at' i Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Units Floors ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies.' I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF P RIDA, CO , TY F MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE ature of Owner Signature of Contractor / Qualifier ,; Gael R. rhamcpler Print Name � n Print Name Sworn t• .nd subscribed before me this , J day of Sworn to and subscribed before me this day of Si SEAL: Personally known IA o A t ELA M BECKER In 0 cOVMS *ON NUMBER Q CC786697 yl, NO Y COMMISSION EXPIRES FO an M NOV. 15,2002 ,.;..� OR, Produced Identification Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Type of Identification Produced -' of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair TY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water IEleater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture Q'I'Y. I TYPE Soakage Pit TY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well lice Maker Pump, Sump Utility - Water Dishwasher IIndireet Wastes Relay " epair Vacuum Pump Disposal 'Interceptor Roof 'Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Draine..ne d, 4" i ile/Res. Lavatory Septic Tank Water IEleater New Drains, Area Meter See (Gas) Sewer Connection Water Re-faipe Water Service Drains, F:ccr Minimum Pee Shower Drains, French Miscellaneous (Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION B y1 / D • E 7(//( Zoning Electrical Mechanical Plumbing Fire Public Works Structural / f 1 �" Building Official Page 4 OFFICE USE ONLY ❑ CONCURRENCY (New Construction) CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review o S, O 0 (sq.ft. = x/1000 x0.60) (¢.005 /sq.ft.) (0.01 /sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ REVIEWED AND PREPARED BY: PERMIT APPLICATION ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2N° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION .. -. �' "'� J FEE TEMPORARY SERVICE BEAMS & LINTELS 4 / ° J I - 3/- L. �Ve3 $ SEWER FRAMING / 'd / -4Cw m:14 'tic sf1 $ GAS $ $ FINAL 5u- /4 -- ,.0 ct' /4 . '/_ TS/ O BY RE- INSPECT BY CLEAN -UP -N o I!e4 C r- ; k..`. -, t, c e CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING -N o I!e4 C r- ; k..`. -, t, c e GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES FIXTURES & FINAL �7 I {t° "Sy ✓ ,2 ; J ' r ' I U 4, ,,!� CONTRACTOR ., °<'.. C ,. - PHONE PERMIT NO. •. c'' DATE FEE $ 0 NEW BLDG. I ALTERATION ADDITION > REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE -N o I!e4 C r- ; k..`. -, t, c e ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL �7 I {t° "Sy ✓ ,2 ; J ' r ' I U 4, ,,!� BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTI ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY /400 rTi�7:J BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE rr OWNER•S NAME 4 14. h. Coo. - )ex PRESENT 9 41 N. E. 9 LOT 4 & E� "5 ADDRESS i St. BLOCK 1 Golden LICENSE NO. SUBDIVISION Gate Park PHONE NO. JOB LOCATION (ST. OR AVE.) 94 1 N. E. 92iid St. GENERAL CONTRACTOR Owner - Day Labor ADDRESS 941 Ni. L. 92nd St. PHONE NO. LICENSE NO. BUILDING PERMIT NO. n164 DATE 6/14/56 PERMIT FEE $ `5.00 BUILDER'S BOND NQ 2012 DATE 8/14/56'- ZONE REQUIREMENTS CU. FT. PLAN CUBE ,f 647.6 CU. FT. EST. COST $ 800 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C. . .Markel DATE 8/14/56 NEW CONSTRUCTION TYPE C3S STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION REPAIRS DESCRIPTION ALTERATION DESCRIPTION Jalousied Porch AQdition ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. OS Z �/ / /O - i .. (O 1 ISSUED y C BY e24...)," ''....... TO /400 rTi�7:J BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE N° 71g CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building Lot Block Subdivision ;'"? Street Address c Approved use by occupancy Remarks This Certificate of Occupancy is issued to the above named for building at above named location only upon the express p tavi9lon that the applicant will abide by and comply with all conditions of Ordinances Nos 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building OrdinanEca . iami Shores Village pertaining to the erection, construction, alteration or remodeling r ildings or structures,' ` , n om BUILDING DIV(SION C tf . 0 C C ././1/".C, PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER IT.. 1::. C00 (0) 1949 ' ,12.00 12-31-49 $4.50 8-15-49 13326 ,., ,, /.1"; a o /2- 3/- S /i,o o ;- /3- se. /5 .- /. e# ' "V ; -".3 e-e-) _.. /. •3• . 6./.___-6 t .- 7) (;_ (-- --'..4 . ..S• / ADDRESS 9/ • 92 u. LEGAL ) CLT.. 7) 1.;: 'RECORD GARBAGE TAX OWNER'S NAME . M. COOPER PRESENT ADDRESS ROY 1120 Miam 38 Florida LICENSE NO. 20 52 PHONE NO. JOB LOCATION (ST. OR AVE.) 41 N. E. 92nd Street LOT BLOCK 7; E4 8 SUBDIVISION Golden Gate Park GENERAL CONTRACTOR r''er ADDRESS Same PHONE NO. LICENSE NO. 6258 BUILDING PERMIT NO. 62 DATE2/ / PERMIT FEE $14•00 - . ` ` BUILDER'S BOND d NO. 676 DATE: 2/28/8 L ZONE REQUIREMENTS 16,500 CU. FT. PLAN CUBE 18,758 CU. FT. EST. COST $ 10,000.00 •TC DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: EWS DATE 2/28/48 X NEW CONSTRUCTION TYPE CBS CBS STORIES 1 ROOF CONSTRUCTION I Tile P Porch = COfySIUCII Frame: til e floor Oak Floors thrn i hnllt REPAIRS DESCR IPTION Liv Rm - Din Rm - Kit - Porch - 2 Bedrm - 1 bath _ ALTERATION DESCRIPTION 1—fAr Att Qs g�e — ADDITION Bldg Inspector SUBMITTED TO PLANNING BOARD APPROVED 2/28/43 R JEC E'T?RE S RE D s UNCIL REASONS Originally approved by Planning RE- SUBMITTED TO PLANNING BOARD Bofrd under I alne of "SKIPPER" August 1947 SUBMITTED TO VILLAGE COUNCIL REMARK / '.45---70 C �, i j V Qi., / / q v / CERTIFICATE OF OCCUPANCY NO. 718 ' p ISSUED 4/ BY ` DH / TO 11.1.4. Cooper. 9h1 i =" n_i`nc; Cad- BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE • INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOU DATION Q 3/26/48 JDH TEMPORARY SERVICE - S S BEA S & LINTELS 6/i/48 JDH FRA ING 8/27/48 JDH FINAL 3/3 9 JDH CLEAN -UP CONTRACTOR H M Cooper, Owner P PHONE None PERMIT NO. 6409 D DATE 4/16/48 F FEES 9. 5 0 NEW BLDG. X A ALTERATION ( ADDITION R S PERMITS P PERMIT NO. D DATE F FEE TEMPORARY SERVICE - S S SEPJrIC TANK WalddenW 0 0 7 7/8/48 $ $ 1.00 CONTRACTOR H M COO er PHONE PERMIT NO. X 1 8 39 DATE 7-20-48 FEE $ 7.70 NEW BLDG. X I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE Cooper 6498 5/11/48 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. S MOTORS S FIXTURES $ $ a !NSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE A 5/13/48 JDH ROUGHING 8/27/4 mN H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 3/16/49 JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 3/19:/h3 BY JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 3/19:/h3 BY JDH i V Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/12/2002 Applicant: CHRISTOPHER Owner: WINGEIER S) JOB ADDRESS: 941 Contractor Local Phone: Parcel# 1132060060060 Signed: NE 92 Fees: FEE2002 -3844 FEE2002 -3845 FEE2002 -3846 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 1/8/2003 Construction Value: $200.00 Work: REPLACING CONCRETE STEPS TO FRONT OG HOUSE If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. Building Permit Permit Number: BP2002 -1228 WINGEIER CHRISTOPHER ST Contractor's Address: Page 1 of 1 Legal Description: AMD PL GOLDEN GATE PK PB 7 -54 LOT 7 & E1/2 LOT 8 LOT SIZE 75.000 X 140 -INSPECTOR) BY: Signed: — (Contractor or Buiider) BY: 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 responisibility for all work done by either myself, my agent, servants or employes. • C • 8 11 A Pay to the order o U MIAMI BEACH /ALTON ROAD 1801 ALTON ROAD MIAMI BEACH, FL 33139 1.800- 788 -7000 24 HOU CUSTOIti1E ERVICE i irl�ttrl +fa. Cynthia 63-8413/2670 2576 9Dll +::uclth Aur., Apt. 22 Miami t aril, 3313B re WASHINGTON MUTUAL BANK, FA Dote // 5/ a /70 reC_ Ave I $ / 3 4 02hdc Areyoz_dollarstzrs I: 26708413 LI:35 Lill 30873511 2576 legrbses •Oetab Co Ina 'Miami SI'06 STATE OF FLORIDA) COUNTY OF DADE) I - 1 h� The undersigned Affiant,� 1 0/14 e l (i� l(t Noes hereby attest that the (property owner) attached survey, performed by /110 V AFFIDAVIT ve 11 name of survey s company) performed on -( /-1 /0 ( , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code rezulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Affiant is SWORN TO AND SUBSCRIBED before me this Witness(sign and print) Witness(sign and print) day of personally known to me, produced '� ti v, �Jei 0, . ` i 6 J 4 3 2 i i� i' j 7 / ./ :,..:) 55132.N W rIh §THEET, SUITE 202 MIAMI, FLOHl 1 8 TELEPHONE: (305)' 264 -2660 FAX. (305)264.0229 DRAWN BY: LC�•1 ' SURVEY OF LOT 7 AND TIIE EAST 1/ 2 OF LOT 8 • • •, • • • • •• 1 • • • • • • • • • • Subdivision: AMENDED PLAT OF GOLDEN GATE PARE • • • :• • According to the Plat thereof as recorded In'the ')Slat'_ Book MU. 7 at Page No. 54 of the public records of MIAMI -DADE County, Florida. •• • • • IS • Property Address: 941 NE 92 ST, MIAMI, FL 33148. For: MICHAEL ROBERT CHANDLER O. • t' I A ARC A/C = AIR CONDITIONER PAD A E. = ANCHOR EASEMENT A/R = ALUMINUM ROOF. NS = ALUMINUM SHED ASPH = ASPHALT B C. = BLOCK CORNER. BLDG = BUILDING B.M = BENCH MARK BOB = BASIS OF BEARINGS C. = CALCULATED. C.B = CATCH BASIN. C 0.S = CONCRETE BLOCK STRUCTURE. CBW = CONCRETE BLOCK WALL CH. = CITORD DISTANCE CH. B. = CHORD BEARING CL. = CLEAR C L.F = CHAIN UNK FENCE. C M E. = CANAL MAINTENANCE EASEMENT. CONC = CONCRETE. C.P = CONC. PORCH C S = CONCRETE SLAB. O E. = DRAINAGE EASEMENT D M E. = DRAINAGE MAINTENANCE EASEMENT. DRIVE = DRIVEWAY. o = DEGREES. E = EAST. E T.P. = ELECTRIC TRANSFORMER PAD. ELEV. = ELEVATION. ENCR. ENCROACHMENT F H = FIRE HYDRANT. F I.P = FOUND IRON PIPE. F I R = FOUND IRON ROD. F F E. = FINISHED FLOOR ELEVATION. S�f1VEVNU 1 UOU95213 ghtronlottiaTAIttivi ; / LAND SURVEYORS "" • ' • • ..iitETNO.____•_.___ —.OF, LOCATION SKETCH Scale 1° = NTH ( GOL OE M OR / vL � ST ABBREVIATION$ IN OEANG F N D = FOUND NAIL 8 DISK FR.= FRAME FT = FEET FNIP = FEDERAL NATIONAL INSURANCE PROGRAM F N = FOUND NAIL. H = HIGH (HEIGHT) IN 8 EG. - INGRESS AND EGRESS EASEMEN L P. = LIGHT POLE. L F E = LOWEST FLOOR ELEVATION L M E = LAKE MAINTENANCE EASEMENT. • . MINUTES. M = MEASURED DISTANCE MON. = MONUMENT NOT = MANHOLE M/L = MONUMENT LINE NAP = NOT A PART OF. NGVO= NATIONAL GEODETIC VERTICAL DATUM N : NORTH NTS. = NOT TOSCALE . • NO = NUMBER 0/5 - OFFSET. 011 = OVERHEAD. O H L.= OVEHI IEAD UTILITY LINES OVH t. OVERHANG 0 R 8. = OFFICIAL RECORD BOOK PVMT = PAVEMENT. PL = PLANTER. P/L = PROPERTY LINE. P.C.0 = POINT OF COMPOUND CURVE. P.0 = POINT OF CURVE PT. = POINT OF TANGENCY. POC = POINT OF COMMENCEMENT POB - POINT OF BEGINNING • • • PRC _POINTOFREVERSE CURVE. PROP. COR = PROPERTY CORNER P B = PLAT BOOK. PG = PAGE PWY =PARKWAY PRM - PERMANENTREFERENCE MONUMENT. P L S - PROFESSIONAL LAND SURVEYOR. R. = RECORDED DISTANCE RR = RAILROAD. RES = RESIDENCE. R/W. = RIGHT•OF•WAY. ITAD RADIUS OR RADIAL. 11 P. = RADIUS POINT. RGE = RANGE. SEC. = SECTION STY = STORY. SWK = SIDEWALK 5 IP = SET IRON PIPE 1. 8 46044 S = SOUTH. S = SET NAIL 8 DISK LB46044 SP = SCREENED PORCH " =SECONDS T - TANGENT. TWP. = TOWNSI IIP. U E = UTILITY EASEMENT. UTIL. = UTILITY U.P = UTILITY POLE. W M = WATER METER. W.F.. W000 FENCE. W.S. = W000 SHED' A - CENTRAL ANGLE W = WEST. CENTER LINE - ANGLE LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL FIAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS. IF ANY, AFFECTING T11E PROPERTY THIS SURVEY IS SUBJECT TO DEOICAI IONS. LIMITATIONS. RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. 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 ANO ABOVE GROUND ENCROACIIMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS ANO SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS 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 FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE WORLD SAVINGS, IT'S SUCCESSORS AND /OR ASSIGN`S 1•. 11 • • 1 • 1• • • ••• Date : 0.00 x 0.00 2) IF SHOWN, ELEVATIONS ARE REFERRED TO 8MI OFNGVD OF 1929 3) THIS IS A SPECIFIC PURPOSE SURVEY Situated in Zone: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 07/17/1995 Base Flood Elevation: Certified to: MICHAEL ROBERT CHANDLER ROYAL TITLE & ESCROW COMPANY, INC. LAWYERS TITLE INSURANCE CORPORATION LES'iENRIYEICAL 09/04/2001 WOOD FENCE CHAIN LINK FENCE C8 S. WALL (C8W) EXISTING ELEVATIONS PROPOSED ELEVAIIONS $URVFYORS'S NOTE51_1) IF SHOWN, BEARINGS MIL REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLA 1 IN THE DESCRIPTION OF THE PROPERTY IF NOT. THEN BEARINGS ARE REFERRED T O COUNTY TOWNSHIP MAPS 4) THE CLOSURE IN TIIE BOUNDARY SURVEY IS ABOVE 1.7500 FT I HEREBY CERTIFY. THAT THIS 'BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON. AS RECENTLY SURVEYED ANO DRAWN UNDER MY SUPERVISION. COMPLIES WITH TIIE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY TIIE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017.6. FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472 027, FLORIDA STATUTES 8Y'. C�J f 1 •.i — �OT�U — _ JCJ4tA) IBARRA (DATE OF FIELD WORK) PROFESSIONAL LAND SURVEYOR NO 5Z"C) L4. STATE OF FLORIDA (VALID COPIES OF THIS SURVEY VALL BEAR THE EMBOSSED SEAL OF TIIE ATTESTING LAN() SURVEYOR) 10 [U2 BOUNDARY SURVEY e :._• N ona ururvars • Ji � S j uo J l � �-� • • • LAND SURVEYORS • • • • • 541ttT NO. i- OF .. • • .. .. • • • • • • • • . • • • • ••• • • • • f vJ ' •.•• • •• ••. •• • • • • • • • • •• • • • ••••••• • • • • . • Registered Architect and /or jeer STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 Villar 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. \ --e Date.. �, �,pp Owner's Namc and Address 0 ...... ,.. ..,Q ,., e y.... _ No C f £ /..... StreeL. L/E 2— Name and address of licensed contractor Locatio and legal description of lot to be built on: Lot . . ... j o ._. ...... Block Street / and Number where work is to be done State work to be done and purpose of building (by floors )..____... New Building Remodeling �y Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 6 - -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 subcontractors, on work to be pe formed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) 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 st o at are � Permit No.____ G' 7, `` �� Date 3-4 ^ —7 _Read, Sworn to and Subscribed before me. . M Disapproved _ _..�: Mate.__ ( _.__, (Signed) v .. %�� Building Inspector My Commission Expires BUILDING INSPECTION DEPARTMENT Aes- Notary Public, State of Florida r!` ! 6 /.? and for no other purpose. to me well known, 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 heron obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for ins:arctinn or faulty materials and /or workmanship. MIAMI SHORES VILLAGE APPLBOATI FOR BUILDING PERMIT NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fee of 31.00 will lea charged materials and /or workmanship. BUILDING INSPECTION DEPARTMENT. 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. S. Earley ,�s�..._... __..... _ ._._.._.._ ....._.__ .. Owner's Name and Address e.._.. -._ ._. No ... .. . Street...... Registered Architect and /or Enginata .R E .D z,._. .:.... :,..:,.- :,... Name and address of licensed contractor Orkiri East. Co . Inc . 1960 N. b. 27 Ave . Eland Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be dono 911I..I1I. E,...R2.. $,o... IyEautx ...$$�ta ro _ State work to be done and purpose of building (by floors) ItiOn Tent FLbmi ga 7 q • .j �a��;,._], .. Q �,�,_�Q ••_._ , 8,00 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 $ Amount of Permit S. 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, Pennanc•nt 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 ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. lt of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that allts therein by him stated are true. Permit No._.._._? 6- '14 .L I Date / :�� Read, Sworn to and Subscribed before me. Disapprove f Date.._.. �.. __.. r (Signed) .. � ....�.....� - �:✓ Building Inspector PLINING BOARD DATE Chairman Member Member ...... �....._.... - ..._.. - _ Council Approved Date Sept . 25 , 197b Notary Public, State of Florida My Commission Expires to me well known, Member Member Member ...._ Discpprov. Date mailing corrections oa changes to this application after approval has been obtained from when II31ch Pe- inspection is v do necessary by hnprcper native for inspection ore faulty Village of Miami Shores N9 4941 JOB ADDRESS INSPECTION TIME READY REMARKS INSPECTOR DATE c J Village of Miami Shores • JOB N° 4987 ADDRESS INSPECTION TIME READY REMARKS DATE INSPECTOR `' • Village of Miami Shores JOB ADDRESS INSPECTION o,=; el r esi <a TIME READY /' REMARKS INSPECTOR N? 4816 DATE ` P` MIAMI SHORES VILLAGE, FLA. JOB e•-, ADDRESS INSPECTION / / a • TIME READY i ,0. REMARKS "FCTOR N? 5106 DATE /o — /�i Village of Miami Shores JOB ADDRESS /. N° 4883 7)p INSPECTION ' =-- TIME READY REMARKS c2 INSPECTOR DATE BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building B1 N? 5150 Work to be performed under this Permit— Subdi- vision Value of Project $ DATE. 1 1 `f 19 Contractor's License No. BY AUTHORITY r "V Amount of ...• 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. INSPE TOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comp:iance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper at. thorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AS 801 '0 L ;UILDING :LECTRICAL 'LUMBING 1OOFING Jwner of wilding Architect =ontractor -3r Builder .gal )escril7tion 'Address of wilding , MIAMI SHORES VIL GE. FLORID, ❑ PERM 1 T N . O i s ted Lice No. Work to be performed under this Permit Bl. Value of Project $ l , / wi 195 ' 1 Subdi- vision Amount of 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 application ierefor 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 ime 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 _ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ,ertaining 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 one by his agents, servants or employees. Signed i ' t 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 .ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I "assume responsibility for all work done by either, myself, my agent, servant or employee. f7 COI RACTOR OR BUILDER BY AUTHORITY e < <i 01 '4m 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. 'I Date , 19. Ji Owner's Name and Address... No Street Registered Architect and /or Engineer Name and address of licensed contractor Locatiop. and legal description of lot to be built on: .. Lot Block Subdivision V Street and Number where work is to be done -... i . ._:.._.___. _ r _ _.__ State work to be done and purpose of building (by floors )-- -, ;.1.:_, ., and for no other purpose. Repairs No. of Stories f New Building Remodeling Addition ,' To be constructed of _._�; < > _- ; .. :Y_. Kind of foundation_ Roof Covering . I.. L 7 Estimated Total cost of improvements $ -_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 - — r o -4-- e 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 "b- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on t site of the work s h public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractgrs work to be per rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed),..:.,:, /� ' 4- ' G STATE OF FLORIDA, COUNTY OF DADE. 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. q 0 13Ooir10^3 It I -C . 1,6 49 SThil BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot ,. I I CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 13293 Work to be performed under this Permit Bl. Subdi- vision Value of - Project $ DATE Signed: BY INSPECTOR Contractor's License No Amt. of -.- Permit $ 'Q L..� 95 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. t r ..+ In consideration of the ance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and instyi conformity with the tans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 unit responsibility all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING - 4 Work to be performed under this Permit Owner of 7 ., Building Architect r' s Contractor or Builder Legal , Lo Descripth ddress of PERMIT Nn 6258 1 CONTRACTOR OR BU DER MIAMI SHORES VILLAGE, FLORIDA Contractor's License No DATE , '�. - 1940 BY AUTHORITY ✓ : vision r e r C �' �'� ( �- �- Value n � ".. y Amt. of c Project t:" � _ Permit /J This permit is granted to the contract' or builder named above to construct the building or to install the equipment or device described in the appli- cation herefoff in strict compliance with all ordinances pertaining thereto and w th 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 responsibilit 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,�tat c ents or specifications and }te� ssumes respon- sibility for work done by his agents, servants or employees. � I j ^�► / �.. / Signed: (� _ 1 II / S By • INSPECTOR In consideration of th issuance to me of this permit I agree to perform the work covered hereunder in compliance with ;au ordinances iud4egdlaions ertaining thereto, and in ,•ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting.thj ume respo bility for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE • BUILDING INSP,ECTION DEPARTMENT APP ►TION 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. / ) i d �i Date % , 19 (Signed) • Owner's Name and Address,/ S et and Number where work is to be done_____ r ___f__ State work to be done and purpose of building (by floors ) _ _____: Registered Architect and/or Engineer__ _L , Name and address of licensed contr‘etor_ Location and legal description of lot to be built on: Lot ` rr Block Subdivision t _.____ °'' No Street and for no other purpose. New Building _:_: _____ Remodeling Addition Repairs No. of Stories To be constructed of ! __ <__. Kind of foundation_ _1 ' Roof Covering J Estimated Total cost of improvements $.4 ' Amount of Permit $_/ 4 'i ° 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,,ife of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, or/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 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 __ ____________ __M_______ .__r `f___ Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida 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 ol• 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. ;UILDING LECTRICAL •LUMBING )wner of ;wilding architect ontractor rr Builder .ega1 )escription ' ..ddress of luilding `CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 5679 Work to be performed under this Permit {w• L Lot Bl. Z ibility for work done by his agents, servants or employees. Subdi- vision BY Contractor's License No. /U 194 Value of Amt. of ,rG f C Project ...A / j , 1 t Permit !to / fj `► 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Mans, drawings, statements or specifications that rnay have been submitted to and approved by the proper municipal authorities. This Permit may be revoked _t 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 prmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans o,dlawings or in t e statements or specifications and that he umes respon- r Signed: ' '� / /`, `` ` By - r Ir ki ' INSPECTR In consideration of the, issuance to rue of this per rt I agree to perform the work covered hereurider in compliance with all ordinances and.regulations pertaining t ereto and in s et con4or it with the pl ns, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting lrisg mit I e rps o t} 'fcl!t aWwork done by either myself, my agent, servant or employee. AUTHORITY