38308Date 7/13/95 JobAddress 11300 N.E. 2nd Ave. Tax Folio
Legal Description ` ' n 3
Owner/Lessee / Tenant
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Barry University Master permit #
Historically Designated: Yes No
on file 34354?
Owner's Address 11300 N.E. 2nd Ave. Miami Shores, Fl. 33138 phone
Contracting Co. Suncore Engineering, Inc. Address 20260 N.E. 15th Ct. Miami, F1. 33179
Qualifier Darryl Hart ss# 653 -1660
State # Municipal # Competency # E - 1977 Ins. Co.
Architect/Engineer George Seiler Address 7480 Fairway Ur. Suite 205
Miami Lakes, Fl. 33016
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Storm Drainage; 4 - Type "J" Catch Basins, 4 - Storm Manholes
355 1/f French Drain.
Square Ft Estimated Cost (value) 26,200.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
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, SIGNS, POOLS, ROOFING and MECHANICAL WORK
WORK DESCRIPTION
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. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date Signature
FEES: PERMIT RADON
C.C.F.
Notary as to Owner and/or Condo President Date
My Commission Expires: My Commission Expires:
LVTAIVY PUELIC STATEF �a ti
amass= E. AUG.203995
ZONDBD 6t MRAY., INS. UN6.
NOTARY TOTAL DUE 7-r-
7 J
7
Notary as to Contract • or Owner - Builder Date
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
i 74T = v1
09/11/1995 09:35 305 -317 -7830
PPL
SUBMITTER'S NAME:
SEND TO: •9,.e.
FACSIMILE PHONE NUMBER : 75. - ( 7
FROM: EgAz e//
TOTAL PAGES (INCLUDING THIS SHEET)
0
CONSTRUCTION SVC
facsimile Cover Sheet
SHOULD ORIGINAL COPIES BE DISCARDED? YES
IF NOT. PLEASE ARRANGE FOR PICK -UP BY NEXT BUSINESS DAY
EXTENSION:
COMPANY /DEPARTMENT : C �/ Ci 44/ A _ S/4 diEms
DEPARTMENT 2 TELEPHONE NO:. .? 77 G D /
DATE . 4�1 l 9 TIME : Q r f A.,en
SPECIAL INSTRUCTIONS •
IF YOU DO NOT RECEIVE THIS MESSAGE CLEARLY
PLEASE CONTACT US AT
(TELEPHONE NUMBER)
TELECOPY OPERATOR'S NAME:
r,.ns 3171$loetuel 0a. 110
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FOREpIAN'SSIGNA11 E DATE
FOREMAN'S SIGNATURE DATE
SUPERVISOR SSTWNATIR E DATE
MULLS CERT. DATE
Easement? Yes ❑ No X.
TreeWork? Yes ❑ No X.
SUIVeyStake? Yes ❑ No I,
Designer ke? Yes it No ❑
WorkentNSIE0? Yes ❑ ND X
CTIBpedaltAt ? Yes ❑ No til
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RELOCATE POLE.
11300 N. MIAIvil AV.
p
EN
CNY MIA 514,
County Rd.
County At
State Road
FAA
WMD
RR Xing
Dr. Dist.
Tratwn.
Request Tel. Co. Se Poles? Yes ❑ No ❑ TM. nt Per
Request Tel. Co. Transfer? Yes ® No ❑ NONE
Designed B E. REN CU R R L
Soto 7/(0/95
Drawn BY Checked - * j� /
7 /'�
• N JO B SKETCH
Regr�tCAWTransfer? YesX No ❑ Telephone Co. Job No.
POLE LINEFEET Q
TRENCH FT.
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RuralLocatlonSec. TWP. S. R . : E.
POLE LINE FT. ON TRANSM. POLES
DUCT BANK FT.
SCALES N T5 j
st. u. AtoF No. J
Pd. Map No. C040
TLMtSD Model No.
I Map Posting? Yes ❑ No IX Posted By
Work Order No. 2 853 ER No. 4 Loc'n Code 877
Form 1451(Stoeked) Rev. 9/91
THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
0 WITH NO VARIANCES 0 WITH VARIANCE(S) LISTED IN "REMARKS"
NO OTHER °NAPO'S :42N1 TYE M!1`,:11 SHORES BUILDING AND ZONING
ORDIPANCES WILL BE PE,.1177D (17 SPECIFICALLY LISTED BELOW.
ALL OTHER API)! ICIT; r .our'3Y LAWS MUST BE COMPLIED
VITH BY ALL PAVIC,.
FIRE DEPARErii
PUBLIC, V:011;'‘S
1 FOIE DEPA;:[
BUILDIrIC
e! 'gri Date
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
COMPLIANCE WITH THE SOUTH FI..0r11:, BUIW: .7.0DE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQWRED. TE ni.;,:1TECT, BUILDER &
SUB CONTRACTORS ARE OW:s.CI:0 r.fH :!011 OF ALL BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
1 11111111111111 1 11 1 POM INIIIOMPONII
41-