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FW-15-420BUILDING PERMIT APPLICATION Miami Shares Village Building Department 10050 N.E,2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑BUILDING ❑ ELECTRIC ❑ ROOFING FBC 20 1() (l Master Permit No. 1 20 Sub Permito. ❑ REVISION ❑ EXTENSION '^ ENEWAL ❑PLUIVIBING [-]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS SOB ADDRESS: .,,1 --- .._/ ........ �tMiami Shores _— County: Miarni Dade Folio/Parcel#: + ' > ((,f (_I 0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction T-_)ype: _-- ,, t/ /_ Flood Zone: ,,_,- BFE: FFE: OWNER: Name (Fee Simple Titleholder): f3y"t/PjK /�/ MC,(, ,01.1 Phone€1: Address: 1c� /1JJ City:—_State:t Tenant/Lessee Narne: v_ phone#: Email: CONTRACTOR: Company Name:(.( J✓ V Address: City ............... 1 �-� St3T(': Qualifier Narne: J0 r? `off, 611] /N , I State Certification or Registration #:... ...1.. . ' � _ Certificate of Competency h: DESIGNER: Architect/Engineer: _........ _.......... ......... -_........... _._..._._._... _...... ... Phone Zip: _._ li.� _..._...... -(—aycJ Address: __... _ ......... .... _._...._-_ _CitY: ...___. ._State: Zip Value of Work for this Permit: $L't) � — Square/Linear Footage of Work: O--OQ L.P:- Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: _--f/.-1. L/'✓-.,_...- r -'fs - - -r'L .�.......... ..._(r.:. _ �`.�' Specify calor of color thru tile: Submittal Fee $ 00 Permit Fee $ 00 CO CCF $ Scanning Fee $ Technology Fee $_ Structural Reviews $.. _.. _...__..._ Radon Fee $ Training/Education Fee $ CO/CC $ DBPR $ Notary $ _.._ Double Fee $ TOTAL FEE NOW DUE $ GG. ............. 0 SCALE 1"=20' 0 10 20 1 I I I _-� x � I Fences Good Side Out. The vertical and horizontal supporting members of a fence shall face the interior of the plot on which the fence is located and the finished side shall face the adjoining I lot or any abutting right-of-way. - I 115 — n P-4 I US ]INK 1 Ur - I G.. �J _. HOE � 0 IF 1 -6 U1. RK V,/ Y'R/ I � � I � I I I I I I I I I I I I I I I I I � I I 1 II LOT 11, BLOCK 135 1 I LOT 12, BLOCK 135 1 "MIAMI SHORES SECTION No. 6" 1 I "MIAMI SHORES SECTION No. 6" I s I (PLAT BOOK 8 AT PAGE 130) I (PLAT BOOK 8 AT PAGE 130) IA NOT PART OF THIS SURVEY) I I (NOT A PART OF THIS SURVEY) I ( I Q c� w LO Lo �N N O W� 0 0 I 0 I 0 ------------ i ` t ----- I 7ND FENCE / I o z I n bo CHECKED: = o 0 I J GRASS 0 0 0 0 RO 0 I � I Q BLDG. BUILDING ® 0 1 � w (g.O.B.) WOOD /STEPS I n CPPB ar 10.1' CHAIN LINK FENCE G% 55.0' I � I © ONE STORY CBS HOUSE (C) RES. No. 289 Q C 1 r7 CB N 1 - CH. P,GR�H N FOUND o6 15.2' n PK NAIL bo J v, GRASS Lo N N 0 FOUND 1/2" I.P. NO ID Ln 2 CO o w o' z w :D 0- c� Cn m O a i 00 0 o Cn of LL -O o Q O m n O ¢ � ~O o � 0_ z rZ - LEGEND: ABBREVIATIONS: CHECKED: = 3 Co Coo CLEANOUT 0 0 RO 0 I 15-830 BLDG. BUILDING ® CATCH BASIN J v, GRASS Lo N N 0 FOUND 1/2" I.P. NO ID Ln 2 CO o w o' z w :D 0- c� Cn m O a i 00 0 o Cn of LL -O o Q O m n O ¢ � ~O o � 0_ z rZ - LEGEND: ABBREVIATIONS: SURVEYOR'S NOTES I–DATE OF COMPLETION: 02-15-2015 PROPERTY ADDRESS: 289 N.W. 92nd STREET MIAMI SHORES FL 33150 HIGH CBS FOLIO NO.: 11-3101-033-1140 CERTIFIED TO: Fui D JE CONSTRUCTION HOLE 11–LEGAL DESCRIPTION AND PROPERTY ADDRESS: IDEWALK Lot 13 and the West%2 of Lot 14, in Block 135 of MIAMI SHORES SECTION No. SIX, according to the plat thereof, as recorded in Plat Book 10 at Page 39, of the Public Records of Miami -Dade County, CE Florida. I11 -ACCURACY THIS SURVEY WAS PREDICATED ON THE EXPECTED USE OF LAND, AS CLASSIFIED IN THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA," _ PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE IS "SUBURBAN" THE MINIMUM RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7,500 FEET. THE ACCURACY OBTAINED BY MEASUREMENT AND CALCULATION OF CLOSED GEOMETRIC FIGURES WAS FOUND TO EXCEED THIS REQUIREMENT. IV -SOURCES OF DATA: — — — — — — — — — — — — — J — — — — — — — — — — — — — — — — 3TCl , I" c _ LB7799 PROFESSIONAL LAND SURVEYORS AND MAPPERS 12211 SW 129th CT. MIAMI FL 33186 tel: 305.316.8474 fax: 305.378.1662 www.3tci.com THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY 3TCI. NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. BEARINGS AS SHOWN HEREON ARE BASED UPON THE CENTER LINE OF N.W. 92nd STREET WITH AN ASSUMED BEARING OF N 87'35'04" E, SAID LINE TO BE CONSIDERED A WELL MONUMENTED LINE. THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON ONLY AND THE CERTIFICATIONS HEREON DO NOT EXTEND TO ANY UNNAMED PARTIES. BOUNDARY SURVEY FEB Q (�2015 OF 289 N.W. 92nd STREET MIAMI SHORES FL 33150 n n f NW 94TH ST Q - Z Cl1 3 NW 93RD ST S B E IT Q c� 3 NW 92ND ST EILLU-M Z � Q Q Z 3 NI ,j ES -T z Ln FMITM LOCATION MAP SEC. 1-53-41 NOT TO SCALE THIS PROPERTY APPEARS TO BE LOCATED IN FLOOD ZONE X, AS PER FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) COMMUNITY PANEL: VILLAGE OF MIAMI SHORES, NUMBER: 120652, MAP -PANEL: 12086C-0302, SUFFIX L, EFFECTIVE DATE: SEPTEMBER 11, 2009 AND A FIRM INDEX DATE OF SEPTEMBER 11, 2009. IN SOME CASES GRAPHIC REPRESENTATION HAVE BEEN EXAGGERATED 0 MORE CLEARLY ILLUSTRATE A PARTICULAR AREA WHERE DIMENSIONS SHALL I, I,VF.' PREFERENCE OVER GRAPHIC LOCATION. - ` V -VERTICAL CONTROL: THERE ARE NO ELEVATIONS DEPICTED IN THIS SURVEY. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED-EXCEFTAS ";PPCh!CALLY- SHOWN. SUBSURFACE SOIL CONDITIONS WERE NOT DETER'%NED.,AS THIS FALLS OU-tGInF THE PURVIEW OF THIS SURVEY. THESE CONDITIONS MAY INCCUDETHE QuF_kI,QNATIUN OF' WETLANDS, FILLED-IN AREAS, GEOLOGICAL CONDITIONS OR POSSIBLE CONTAMINATION BY HAZARDOUS LIQUID OR SOLID WASTE THAT MAY OCCUR WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY. VI–SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" AND THE SURVEY MAP RESULTING THEREFROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER, THAT SAID "BOUNDARY SURVEY" MEETS THE INTENT OF THE APPLICABLE PROVISIONS OF THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA", PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING LAW, CHAPTER 472.027 OF THE FLORIDA STATUTES. 3TC1, Inc., A FLORIDA CORPORATION FLORIDA CE ICA BY: TE OF AUTHORIZATION NUMBER LB7799 --- o — -------------- ROLANDO ORTIZ REGISTERED SURVEYOR AND MAPPER LS4312 \ STATE OF FLORIDA NOTICE: NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING DRAFTER: CHECKED: A/C AIR CONDITIONING PAD Co Coo CLEANOUT FES RO 2014-7 15-830 BLDG. BUILDING ® CATCH BASIN (g.O.B.) BASIS OF BEARING CPPB CONCRETE POWER POLE C.L.F. CHAIN LINK FENCE G% GUARD POLE CBS CONCRETE BLOCK STRUCTURE © GREASE TRAP (C) CALCULATED Q GAS VALVE CB CATCH BASIN HANDICAP SIGN CH. CHORD DISTANCE ,o (� / LIGHT POLE CENTER LINE L% LIGHT BOLLARD CONC. CONCRETE EBv ELECTRIC BOX A DELTA (E ELECTRIC MANHOLE E EAST FIRE HYDRANT ENC. ENCROACHMENT 'C% IRRIGATION CONTROL VALVE F.I.P. FOUND IRON PIPE (M MONITORING WELL F.I.R. FOUND REBAR M% MAIL BOX F.F.E. FINISH FLOOR ELEVATION a SIGN F. N. FOUND NAIL OS SANITARY SEWER MANHOLE GV GAS VALVE Q STORM SEWER MANHOLE L LENGTH N NORTH Q TELEPHONE MANHOLE N. C. V. D. NATIONAL GEODETIC VERTICAL DATUM UNKNOWN MANHOLE 0. E. OVERHEAD ELECTRIC LINE PM❑ PARKING METER 0/L ON LINE 4- SPOT LIGHT MEAS. (MEAS.) MEASURED nSPOT ELEVATION P.R.M. POINT REFERENCE MONUMENT �s SEWER VALVE (REC.) RECORD UB[] UTILITY BOX R RADIUS Qv WATER VALVE R/W RIGHT-OF-WAY ® WATER METER S SOUTH WP,) WOOD POLE SEC. SECTION WOOD POLE WITH T TANGENT WPPo TRANSFORMER U. E. UTILITY EASEMENT W WEST SURVEYOR'S NOTES I–DATE OF COMPLETION: 02-15-2015 PROPERTY ADDRESS: 289 N.W. 92nd STREET MIAMI SHORES FL 33150 HIGH CBS FOLIO NO.: 11-3101-033-1140 CERTIFIED TO: Fui D JE CONSTRUCTION HOLE 11–LEGAL DESCRIPTION AND PROPERTY ADDRESS: IDEWALK Lot 13 and the West%2 of Lot 14, in Block 135 of MIAMI SHORES SECTION No. SIX, according to the plat thereof, as recorded in Plat Book 10 at Page 39, of the Public Records of Miami -Dade County, CE Florida. I11 -ACCURACY THIS SURVEY WAS PREDICATED ON THE EXPECTED USE OF LAND, AS CLASSIFIED IN THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA," _ PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE IS "SUBURBAN" THE MINIMUM RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7,500 FEET. THE ACCURACY OBTAINED BY MEASUREMENT AND CALCULATION OF CLOSED GEOMETRIC FIGURES WAS FOUND TO EXCEED THIS REQUIREMENT. IV -SOURCES OF DATA: — — — — — — — — — — — — — J — — — — — — — — — — — — — — — — 3TCl , I" c _ LB7799 PROFESSIONAL LAND SURVEYORS AND MAPPERS 12211 SW 129th CT. MIAMI FL 33186 tel: 305.316.8474 fax: 305.378.1662 www.3tci.com THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY 3TCI. NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. BEARINGS AS SHOWN HEREON ARE BASED UPON THE CENTER LINE OF N.W. 92nd STREET WITH AN ASSUMED BEARING OF N 87'35'04" E, SAID LINE TO BE CONSIDERED A WELL MONUMENTED LINE. THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON ONLY AND THE CERTIFICATIONS HEREON DO NOT EXTEND TO ANY UNNAMED PARTIES. BOUNDARY SURVEY FEB Q (�2015 OF 289 N.W. 92nd STREET MIAMI SHORES FL 33150 n n f NW 94TH ST Q - Z Cl1 3 NW 93RD ST S B E IT Q c� 3 NW 92ND ST EILLU-M Z � Q Q Z 3 NI ,j ES -T z Ln FMITM LOCATION MAP SEC. 1-53-41 NOT TO SCALE THIS PROPERTY APPEARS TO BE LOCATED IN FLOOD ZONE X, AS PER FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) COMMUNITY PANEL: VILLAGE OF MIAMI SHORES, NUMBER: 120652, MAP -PANEL: 12086C-0302, SUFFIX L, EFFECTIVE DATE: SEPTEMBER 11, 2009 AND A FIRM INDEX DATE OF SEPTEMBER 11, 2009. IN SOME CASES GRAPHIC REPRESENTATION HAVE BEEN EXAGGERATED 0 MORE CLEARLY ILLUSTRATE A PARTICULAR AREA WHERE DIMENSIONS SHALL I, I,VF.' PREFERENCE OVER GRAPHIC LOCATION. - ` V -VERTICAL CONTROL: THERE ARE NO ELEVATIONS DEPICTED IN THIS SURVEY. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED-EXCEFTAS ";PPCh!CALLY- SHOWN. SUBSURFACE SOIL CONDITIONS WERE NOT DETER'%NED.,AS THIS FALLS OU-tGInF THE PURVIEW OF THIS SURVEY. THESE CONDITIONS MAY INCCUDETHE QuF_kI,QNATIUN OF' WETLANDS, FILLED-IN AREAS, GEOLOGICAL CONDITIONS OR POSSIBLE CONTAMINATION BY HAZARDOUS LIQUID OR SOLID WASTE THAT MAY OCCUR WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY. VI–SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" AND THE SURVEY MAP RESULTING THEREFROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER, THAT SAID "BOUNDARY SURVEY" MEETS THE INTENT OF THE APPLICABLE PROVISIONS OF THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA", PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING LAW, CHAPTER 472.027 OF THE FLORIDA STATUTES. 3TC1, Inc., A FLORIDA CORPORATION FLORIDA CE ICA BY: TE OF AUTHORIZATION NUMBER LB7799 --- o — -------------- ROLANDO ORTIZ REGISTERED SURVEYOR AND MAPPER LS4312 \ STATE OF FLORIDA NOTICE: NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING DRAFTER: CHECKED: FIELD BOOK: JOB NUMBER: SCALE: SHEET: FES RO 2014-7 15-830 1 "=20' 1 OF 1