REV-16-1489 Miami Shores Village7FDTV
Building Department 12016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 PV_
Tel-
10 tNE N U R: 05 6 -4949
FBC 2W
BUILDING _ Mast Permit No. 71:-P(/-5-16
PERMIT APPLICATION Sub Permit No.'9e%"'1�t�p
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
�,Q� CONTRACTOR DRAWINGS
JOB ADDRESS: / N� /0 �%"��J��'
City: Miami Shores County: Miami Dade Zip: 33/5
Folio/Parcel#: 37.6 00 6�✓L�� Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE�: FF�E:
OWNER:Name(Fe Simple Titleholder): kUk -14Am&dl` Phone#:
Address: �O4)
�
��Wue 60e4(�d
City: State Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: �"li �� Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration M Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: / G1V l'iI 0 ////OyZcS (/ we, (xl)
fed vGt �%, '
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ �—�• ill 459 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 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 biaapprovead
and a rei ction fee will be charged.
Signature Signature
_,. OWNER or 4ENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
31 day of 20'1 by day of 20 by
5iCrnL)0�1� L�t-"who is personally known to who is personally known to
me or who has produced A _Z_ery�2 as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
`���11111
Sign: '••:F �i Sign:
2020 :6
Print: � �y :oma Print:
Seal: a? e ;o= Seal:
. a
a
*�******at*********�********�** *>�f� d'd 1 �****s*******,e****�rr�rs*ter********�x�**s*�*s**�****�r**�r***•
APPROVED BY 3 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
JOHN MARRA & ASSOCIATES, INC.
Professional Land Surveyors & Mappers _
WW W.IBARRALANDSURVEYORS.COM
777 N.W.72nd AVENUE 2904 DEL PRADO BLVD SOUTH
SUITE 3025 SUITE NO.202 UNIT 1
MIAMI,FLORIDA 33126 CAPE CORAL,FL 33904
PH: (305)262-0400 PH: (239)540-2660
FAX:(306)262-0401 FAX-(239)640-2664
MAP OF BOUNDARY SURVEY
137 NW 106th STREET,MIAMI SHORES,FL 33150
LOT-5 I LOT.4 I LOT-3
BLOCK-205 I BLOCK-205 I BLOCK-206
- --- d !/
12 5 ASPHALT
pvnaT �J r\ 15'ALLEY
C3
t c
U.P. U.P. .M.
.3'PWY 75.00' W
NO CAP R .. `=t'CLF. 7-1wN1.O2'CL
g TE
.'.'.4'''" C.L.F.
'CLF. ....
. . .... ......
-'. . . OVERHEAD WIRE • • •
5'W.F •• • • ••• •
• • • •
. . .. 6666•• •• • 6666••
0 609.96 • • •
. . . . 6666 �••••�
`, rr%iii ••9• •• •• •••9•
ON PL 9••9•• • • ••i9••
�� �.'•.•
9. 000000 6666••
7 1.85,CL. • •6.9••
t •
LOT-12 9• ' i/ 00 LOT-14 i 0 • • 090•:9
BLOCK-2051 • ONE STORY '/ N BLOCK-205 • . ...• • •
RES.#137 •.•� .••. �••••�
LOT-13 tr •• •
N Q' BLOCK-205 �1.)tA
V 44k
'C.L.F. I
0
0.75'CL. _ 2.33'CL.
�9, i70t46r' 9.91'
cn
_v C.S.
cmo °'
o
F.I.P.112 0� F.I.R.IrV F.I.P.112"
NO CAP a NO CAP NO CAP
P.C. 27j68''.'.'.'.'.'.'. . .' . .'. .'.".'.5'LONG.SIA9t'. . . . . .75.00�.'.'.'.'.".".'.'.'.'.'.". . .'.'.'.'.'.'. .'. . . . . . .. . . .75.00'. .
F.I.P.1/2" . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . ..
NO CAP
22.6'PWY
cq M
bi-
NW 106-th STREET,:
18.5'ASPHALT 75'TOTAL KIEHP-OF-WAY
ENCROACHMENTNOTES.-
A. WEST SIDE OF THE SUBJECT PROPERTY,NEIGHBORS WOOD FENCE IS
ENCROACHING INTO THE SUBJECT PROPERTY.
LEGAL DESCRIPT/ON•• DRAWN BY: DA
LOTI3,BLOCK205,DUNNINGSMIAMISHORES DCTENSIONNO.4,
ci�Q-:fit I FIC q � ACCORDING TO THEMAP OR PLAT THEREOFAS RECORDED/NPLAT SCALE: 1"=20'
BOOK 48,PAGE 20,OF THE PUBLIC RECORDS OFMIAM/-DADECOUNT);
' NO.6m FLORIDA.
OT STATE OF CER T/F/CAT/ON.• FIELD DATE. 0610912015
A* J MARIA A.ANGELI A SAMUEL A.GUFVARA
NELSON TARACIDO,P.A. SURVEYNO: 15-002333-1
OLD REPUBLIC NATIONAL 717LEINSURANCE COMPANY
BANKERS MORTGAGELENDING,INC., ITS SUCCESSORSAND ORASSIGNS, SHEET: 2 OF 2 MAY
L.B.#7806 SEAQ- AS 7HEIRINTERESTMAYAPPEAR
Y. -
' � _
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WITH ALL FEDERAL