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DRIVEWAY PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /D Job Address /D 7 /ve S Tax Folio D � '�/� l Legal Description Cp `J " " p� Q q ( Historically Designated: Yes No Owner/Lessee / Tenant tQT lQ e l S Master Permit # q(1701-3 Phoner. ) 75 7 - 55 9 5 Contractin Co. /1-24 4 Le` / ("dctipief4/ Address - 1 f7 /(///) 1 �- Qualifier Z- Lis c g al) 7-E 5 / S k Owner's Address M70 41.6 !'2 4d State # Municipal # Competency # C : 750 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN vela/4,� , - �FA u> �'' a f' s�`�' WORK DESCRIPTION Square Ft. �S 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that al work will be done in' mpliance with all applicable laws rep1atmg construction and zoning. Furthermore, I authorize the above -named contract a e anA or Condo President " Da ..r Condo �res .nt ► ate � , 3, ,�w, 4 � na Flores My Commission E es: ,, My Commission CC674216 *>•,;o Expires August 21, 2001 s to Owner an FEES: PERMIT 5 RADON Py Address Estimated Cost (value) 155 Signa Notary • o Contractior Owner.$ det ilena Flores My .mmission Expires: *a,� * M y Commission CC674216 °. Expires August 21, 2001 C.C.F. , NOTARY BOND TOTAL DUE 3,5"3 Zoning Building APPROVED: 6iff / a, p I f { r ! t' 1 Mechanical Plumbing r to do the rk stated. Electrical 60 -Builder ate Engineering PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this " Noticce of Commencement. 9 description P ! L I g a11' �"� O P t ' , 'Qa 1. Leal descri lion of roPe and street address: a FOP✓; c i,5 /(7() ti. E 9 9 — s ,C/60v 5I of F'/ . 3 if 2. Description of improvement: % r e, / Qc-e- € ki s7 ✓1 c /1/' l 64)0 ct GU 4 �'7‘ (2),,y ( 4 3. Owner(s) name and address: PQ j lj / 4f i,j.(11. /010 N L:' 9 „2" 6 / /Qil� i $j4orp Interest in property: Name and address of fee simple titleholder: 4. Cont name and address: ` n7.c 67 A ()p wr,' � C cyc 9 , , 7'< r /MA) k /'f 9'� _4 --t- im p / -s rl 336 5. Surety:(Payment bond required by owner from contractor, if any)., Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner u by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor►s Notice as provided tion 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differen is specified) e =' NOTICE OF COMMENCEMENT Signature of Owner Sworn to and subscribed before me this [ 7 day of . 19 / /- Notary Public �wu Rotes My Commission Expires: * � . � * M y Commission CC874216 Expires August 21, 2001 T 99R583595 1999 NOV 16 10 :59 om not es or other documents may be served as provided 0 Prepared by: / 7/. 'l ! , .;' / =,. " in Sec- Address: < < � !� 4 _ C. % -r y Lzi BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 11 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12639 Work to be performed under this Permit Bi. Subdi- vision Value of Project $ DATE _ 195 Contractor's License No Amt. of Permit $ f' 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 uron 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. Signed • 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 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY r 35 - L!) - to 92 " `� ST. LOCATION MAP 8S' SKETCH OF SURVEY SURVEY of Lot 5, of "PLAT OF REPPENHAGEN'S "Q ", according to the Plat - thereof recorded in Plat Book 41 at Page 100 of the Public Records of Dade County, Florida, being situated in the Village of Miami Shores. ORDER NO. 9053 SCALE: As shown FIELD BOOK No. 354, Pge.56 DATE: March 15, 1988 WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY is true and correct to the best of our knowledge and belief as surveyed and platted under our direction in March, 1988. We further certify that this survey complies with the Minimum Technical Standards for Land Surveying in the State of Florida, Chapter 472, of Florida Statutes. A. R. TOUSSAINT & ASSOCIATES INC. LAND SURVEYORS 620 N.E. 126 Street, North Miami, Florida By: [�- Lc. V. Pres. HOWARD C. GAMBLE Registered Land Surveyor No. 1683 STATE OF FLORIDA vner's Name and Address No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision_ is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - icture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami villa a, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and ons of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved .nd specifications must be kept at building during progress of the work. Street and Number where work is to be done_ State work to be done and purpose of building (by floors) __ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAe� SH4...-E>eb VILLAGE !�`"�BUILDIN INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date -- - - - - -- and for no other purpose. New Building___ Remodeling Addition Repairs No. of Stories__ To be constructed of___;!_.__ ��'._� - Kind of foundation 4.� Rgof.C�tvering ' 2 Estimated Total cost of improvements $ __Amount of Permit $ /. E P , Zone cubage required____,_ _______._____ -- - _ _Plan Cubage e 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 performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)_ 19 -. 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 Re Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector f 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ' • PATic, 9.82 4-1 . Ss' V. PFZ.M. • - , 92nc' ) 1-1(DI-C r 2 . cPst2w A--( pp,•./C WIrZE FeNce SKETCH OF SURVEY SCAL-E : I c). , Ft:). Pire SET ga, PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) ID10 E1Z S4. Legal Description _5 I ei &'4" ect 1 Job Address Lessee / Tenant Owner's Address 1 0 "7 o (U E. 9 2_ .Sk Contracting Co. 0.00k CCIAS4tA.C410 �i C. Address Qualifier '7306 Ca cl■ phone State# G�, 8 0 Competency# 25 4,a°? Ins. C Architect /Engineer Bonding Company Mortgagor ► 6- P /pc- Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION C G�CI6'�1 W as C. \ A- c?/srl U eJ & &� w I 1 " X � rr GLO T 1 Z p+- No e 61.\:-IS Mt?C SP►►nom . Square Ft. M Estimated Cost 1442._. 2. °=- 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. 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. 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 Furthermore, I authorize the above -named contractor to do work st =ted. Signatu e f Owner and /or Condo President Date :01/ gga9- Notary as to Owner and /or Condo d My Commission : pires: c Oy „ ' 1-LC �` ��Presi ;FLORIN �DJ * BONDED P.0 G NVI INS. E . PERMIT FEE: APPROVED: c %: �� O Mechanical Zoning Fire Building Plumbing Address Address Address Signature Date: / Tax Folio J/ j'ae /J e z'/ Master Permit # phone 1 5 1 - 5 5 1 , 9 71 tractor or Owner- Builder 2 N ary s to ContractoPubli" ir-VORAJWIuw My Commission ExpiresM• COMMISSION EXPIRES APRIL 16, NP * * * * BONDED AV STEMBLERVAMS S N Other 1i Electrical Engineering • ZSS —LW4e1 and zoning.