DS-14-695 (2) �v E�
Miami Shores Village c _ TV-9—D
Building Department AUG
112111
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B
Tel:(305)795-2204 Fax:(305)756-8972
i i1NSPECTION LINE PHONE NUMBER:(305)762-4949
r FBC 2016
BUILDING Master Permit No. 6%5,
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING tEVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ?, Nw 101 �;
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: &0 'SO Is the Building Historically Designated:Yes
Occupancy Type: $1 Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): CAPf�``RFa LTL, 1_L , Phone#: F126' -773 32&1
Address: SGA�iA,f A��� ���f� -7*-
City:--m6kej tt State: C_ . Zip: 3 3 1 8 1
Tenant/Lessee Name: ,�ti�/d-• Phone#:
Email: AA?4,%..
CONTRACTOR:Company Name: G �9 1p9uv rn_fmS �-�' Phone#:
Address: SAn..f 12—A0,€ti,
City: State Zip:
Qualifier Name: XA1,,4&L CA-P V C-11MLta` Phone#: 3., S" 77% 3101
State Certification or Registration#: CGC, i s& 9 49 3 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State•. Zip:
Value of Work for this Permit:$ I oyo : Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
Description of Work: RtS%,n.CF/+ ,0' iE'ad tMj f�►9 Ptiarc.T D/L�t.#wo.n Lr �iacK! s;Oc t�.acK
' 4"er Ts Ec.:�n4.t�F Q►k V.-I'- Of i-•- ('*M*2 &R,jj6._ RAcK e F 1 Mf HcpKf 1v Y t o
Specify color of color thru tile:
Submittal Fee Permit Fee 35 'n CCF CO CC
Scanning Fee$ MRadon Fee$ DBPR$ Notary$ S
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ U ��
(Revised02/24/2014)
Bonding Company's Name(if applicable) t
Bonding Company's Address
City State Zip
o-
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued., In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
44001(
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
6 R day of 4'+-G-'J- ,20 14f .by d day of A-el.5,tr ,20 by
XA.A, CA+P )ems who is personally known to .ZCa,ewA G4? Of L-cy w`,who is personally known to
me or who has produced 9'L• C 031 IS 5 c1 56 306-0 as me or who has produced DL. C 13 1 4 0<1 3,4_o as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sig Sign:
Print: Print:
Sea Notary p9- *
orida Seal: '�f Piga Nora• �,�,,
Joan :,,i F,,t a of Florida
a4�°`"`�Q; Joanna nano
• 753 •` MY C. `a�:nr,rF
My ComSao 082753
Ovno Expires
**** ************ ****ew�s> *�xea*eee*m*ee*a��s*s�s�e*** `e�ix410%ft
/ /ases**/eewmee*s
(O
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revisedo2/24/2014)
f 7 ,.. . �, ..�. ...: . : > LOCATION SKETCH
• Q1
1 a SCALE: NTS.
F��
N {�y•aDi
122.778 fP ONIIV rra°o �, •�•
9
� Fo ` z� cD 750' o
CP
(Y
LD
. `
1
o `°•
o, ,.a,p•L I o I _ A
47.9Q A59z �:
N 4- 1Aa
a d
!
s t?R Y1�. . t r AD
:fiQ4.
�t
�,:
r
0
J
-04
o cm;)
r p p
I 15 75' 0 3.90' C N 0
° " n 5.50' ,00Z .►v ` ° W c°C►. z
0 11
: c� ,chi v � "a � � :�•��`:.;+.J�.' � •K iV0 m rte» r/~i
►. ' ` St ,� C71 N.W. NORTH MIAMI
�. 41 .21151 �'
;a AVENUE
+j
v o r R$ •
,s w a at
�. FFA Sv h� Q>p,•
>f g , .�, j ;' ': : : � � .N✓ems
rr r r ® R �/1 FA-tF /•l3 p MaGT E i
�'.':: ..-• 4' C.LF. .'' t a m l�a
' .... �'�'"',> 4 '� :°5a�ONG�sIL�E`lWAe�K• :.''1��,�28 .�. •. a •'R• �'� � � ,
aim Alik
. ',� ;• ,�. nom• o_ .ti�a .
NO OBJECTION
° 4r
Florida Health Miami-Dade County'�RKw� r
S O.S.T.D.S. & Well Program
Application No.: PROPERTYDRE
AD SS. -Z N.W. 108TH ST., MIAMI SHORES, FL. 33168,
:D
t
::WA•:
. . . . . . . . . .
211
. . . . . . LEGAL DESCRIPTION: LOT BLOCK
ABBREVIATIONS: ; : _ OF RUNNINGS MIAMI SHORES EXTENSION N0. 7 SUBDIVISION
SM-C IDEW4LK.CBS=CONCRETEBLOCKSTRUCTURE.CLF=CHAINUNKFENCE•PL=PROPERTYLINE,DUE=DRAINAGE UTILITY EASEMENT IP-IRON PIPS.
F=FOUND•A/C=AIRCONDITIONER PAD.PIC-PROPERTY CORNER.anH=DRILLEDHOLE,vWF-WODENFENCE,RES=RESIDENCE•CL-CLEAR.RBz�REBAR ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 52 AT PAGE 33
UE=UnU Y EASEMENT.COhC_-CONCRETE SLAB. RNV-RIGHT OF MY.DE=DRAINAGE EASEMENT. CA.=CENTER LINE, O-DW47ER,TYP.WPICAL,
I M=MEASURED.R=RECORDED,ENCR-ENCROACHMENT.COMP=CBMPUTER.ASH=ASPHALT.N/D=NAIL&DISC.S=SET,FEE=FIN1SH FLOOR ELEVATION, OF THE PUBLIC RECORDS MIAMI—DADE COUNTY, FLORIDA
OIS-OFFSET.P/P=POiPOLE.OHP=OVERHEADPOV4ERLINE,VW=VATERMETER .
MAS6N Y = ELEVATION BAESED ON LOC.# 3100
.o> MASdNRYVIia.L.
CONCRETE=. :• t.:•.e••t •:.•s :••t .••r .:•.. •:..: •:. $ ,•...
NOT VALID UNLESS EMBOSSED WITH MAINTENANCE&DRANAGEEASEMENT=M&O.E. CBM# N-567 ELV-10.54° TYPE OF SURVEY:BOUNDARY SURVEY, SINCE 9987
SURVEYOR'S SEAL I HEREBY CERTIFY That the survey represented
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2)NOT VALID WITHOUT THE SIGNATURE theteon meets the minimum technical requirements BLANGO SURVEYORS INC.
t AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT adopted by the STATE OF FLORIDA Board of Land
COVERED BY PROFESSIONAL LIABILITY INSURANCE 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) SwI veyors pursuant to Section 472.027 Florida Engineers•Land Surveyors,Planners•LB#0007059
Aiii 'UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC Statutes. 555 NORTH SHORE DRIVE
I VERTICAL DATUM OF 1••9.29.. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL There are no encroachments, overlaps,easements
RESTRICTIONS NOT SHOWN ON THIS SURVEYTHAT MAYBE FOUND IN THE PUBI..ICRECORDS OFTHIS COUNTY. 9).. appearing on the plat or visible easements other than MIAMI BEACH,FL 33149
:CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING as shown hereon. (305)865-1200 Email:blancosurveyorsinc*ahoo.com Fax: (305)865-7810
INFORMATION. 10)EXAMINATION OF THE ABSTRACT OFTITLE WILL HAVE TO BE MADE TO DEI ERMINE RECORDED
REVISED- INSTRUMENTS,IFANY,AFFECTING THIS PROPERTY. �' {J• 't FLOOD ZONA: SUFFIX: DATE: BASE'
,..CCC.,ac�CJa JkjJt� {.. X I. 9/11/09 NjA
' • _. . .Additions or deletions to survey maps or reports by other than the signing party or pasties.is prohibited ADIs N.NUNEz PANEL: 0302 COMMUNITY#' 120652� .
Without Written consent of fixe signing party or parties.
BEARINGS MEN SHOWN ARE REFERRED TO AN ASSUMED VALUE Op fiMD€JB-'5'2 33 REGISTERED LAND SURVEYOR DA E SCALE: OWN.co JOB Na
PAGE STATE OF FLORIDA#5924 G/11 j 4 9'=20' F.6lxnco .14-171
Zif 7, ' (A
LOCAMN SKETCH
Ga
o b r- SCALE: NTS
oto
uvaw
0 co
2.77 (PM) �? r I_
a 37.50 I r i _
® L7 C f n
i(� z° n �� o CDP r- O rfi1
a cpJ jO 47. 0 ,09 JZ •�: T 1 1 z z 0 ® •-•�
a•.¢.- .
i zty ;''.•.' ?I z.
679 �; 10 I r t i= n•
` • : :•:' ;:. :60 m W c� 4.00 •?: : :? ''• '�' o r' m m w 1u
•
0,70 X: : X: X. X r1lP �J23a: P ' ':' : 1^1 p > CD
ai ® c} �r-S''':;'; F ..a 4 r I Z a cn
o o �n o
9 5.75'
0 -490,
d % M N om"° o CD
II i w
5.50' ,o05z "j� to 0; ° D w
fA
C, ITI
f` y
C.
NXV NOM 141441,
70
� f ¢ c 915' UE
I / r.
-0 r �rrrrrr '�>Q,
..
�- 4' C.L.F.
..''?'�"'•n•s uro• ', :e5' �,'• nm °• ¢ 8 b, » m ,�;�: •rte-• �"ia � CO 7
d t-
.,a n °• 'a till a °.,oiVG�5�¢EWAI�fC• a• `B 20 Y; .d'. a s R' •,D n h vv
C (3;z) .! `
.1 �s ff.•
1 V O OBJECTION 23 PARKWAY r
! lorida Health Miami-Dade County
g = �� �•
O.S.T.D.S. &Well Program v+'O0 °
0 ER�'Y ADDRESS. . ao•1t�$ , MIAMI SHORES, FL. 33168.
�v
0'. 0 .r
o�
3
0
o �
0
o
m
.1.x,.4 . I��1�'N. .
w
s
0
m
° ®R
d
•T� o�
TA � " l•
w
°
s
GAL DESCRIPTION:
1
2
11
LE
L .�
O
T
. . . . . . . . . BLO
CK
ABBREVIATIONS: O DUNNINGS MIAMI SHORES EXtENSI S w '�°o 5 co
F SUBDIVISION
SVVC=SIDEw4LK CBS=CONCRETE BLOCK STRUCTURE—Cts=CHAINUNKFENCE PL=PROPER7Yt3NE DUE=DRAiNAGEUTiLiTI'EASEM ENT IP=IRONPtPE 9 �f� ��
F=FOUND,AIC=AIR CONDmONER PAD,P/C=PROPERTY CORNER.D/H=DRILLED HOLE,Yt9F=MOD£N FENCE,RES=RESiDENC£CL-CLEAR,Ra=REBAr. ACCORDING TO THE PLAT THEREOF AS RECO R ' %C& 52 AT PAGE 33
UE=UTILITY EASEMENT,COMIC=CONCRETE SLAB, RM RIGHT OF MY,DE=DRAINAGE EASEMENT, CIL�ENTER LINE, O=DIAMTER,TYP=TYPICAL, N„ r
1 M=MEASURED.R=RECORDED,ENCR=ENCROACHMENT,COMP=COMPUTER,ASH=ASPHALT,N/D=NAIL&DISC,S=SET,FEWINISH FLOOR ELEVATION, MIAMI—DAD
OF THE PUBLIC RECORDS bIT ,
t O/S=OFFSET.PIP=POWERPOLE.OHP-OVERHEAD POVt£RLWE,1Mri=1N4TERMETER
0,,,
t—MODFENCE= ELEVATION BASED ON LOC.# 3100
I,MAWNRYVA L=
CONCRETE=. .•• "11.j••s.•r:s •s;•:••s .:•.s•:.•s •:. `o
IdOTVAUDUNLESSEMflQSSEDWiTH ;MAIN(ENAN�E&DRAINAGEEASEMENT=M&D.E. �'BM' N-567 ELV10>5Gt T1'PEOFSURVEY.BOUNDARY SURVEY, d �C�• �N CE 1987
SURVEltOWS SEAL I HEREBY CERTIFY That the survey represented N
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2)NOT VALID WITHOUT THE SIGNATURE thereon meets the minimum technical requirements O SURVEYORS ING.
AND RATS)=D SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT adopted by the STATE OF FLORIDA Board of Land
- - d COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5). Surveyors pursuant to Section 472.027 Florida En rs a Land Surveyors-Planners a LB#0007059
'UNDERGROUND ENCROACHMENTS'NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC Statutes. 555 NORTH SHORE DRIVE
s 1 VERTICAL DATUM OF ')929- 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL There are no encroachments,overlaps, easements
RESTRICTIONS NOT SHOWN ON THIS SURVEYTHAT MAY BE FOUND IN THE PUBLIC RECORDS'fOF THIS COUNTY. 9)•• appearing on the plat or visible easements other than MIAfU l BEACH,FL 331.41
:CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING as shown hereon. �3®5) 865-'1200 Email:blancosurveyorsinc*ahoo,com Fes; 4305t 865_7$10
INFORMATION. 10)ERAM)NATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DE'T'ERMINE RECORDED
REVISED: `INSTRUMENTS,IFANY,AFFECTING THIS PROPERTY. FLOOD ZONE: SUFFIX: DATE: BASE:
_ Additions or deletions to survey maps or reports by other than the signing party or parties is prohibited* ` X L 9/11/09 N/A
Without written consent of the signing party or parties. AD1S N.NUNEZ PANEL: 0302 COMMUNITY# 120652
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE.Ol=SAID tom" 52 33 REGISTERED LAND SURVEYOR DA SCALE: DWN.BY: JOB No
PAGE STATE OF FLORIDA#5924 !11/ 1"=20' F.Blanco 111-171