FENCE PERMITDate �9 Job Address j i NE 4g 9.
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/ Lessee / Tenant,,1'fl1eS • A Y 4
Owner's Address 1 1 46 to p. g a St Phone 77-59-& 9,,
Contracting Co. (LI}rV Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Signature of owner and /or Condo President
Date: Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * *
FEES: PERMIT . 5# RADON C.C.F.
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing
wa-v e_f-
Tax Folio I I 3,)05 — c f l -
Master Permit # 340kkr;
7 r ot
FENCE/ SIGN
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING �
WORK DESCRIPTION C 1A1/\ 1, 11/1 k c�ivtl3 e ( be I 1�, / � K �v
.114GLI,t 4 ) c. NeArorti kite& .)cq
Square Ft. Estimated Cost(value) ..LC
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 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, 'r or Owner-Builder
Notary as to Contractor or Owner- Builder
My Co •
p.RY OFFICIAL NOTARY SEAL
O , SANDRA M MONTIEL
* ...COMMISSION NUM ER
CC401261
cp MY COMMISSION •EIW
A UG. 1
Other
Electrical
Engineering
o /-. t.(Y
C�tRa �
2
O•Z•
i
2`.t
r
2 �,
NO BELOW CROUPD MIPTOVL6!£NTS, FOOTEf79.
FOUNDATIONS OR UHLTTiS NAVE CEEP1 LOCATED
041 Sr/O1971 ON THIS SUAVE Y.
I.R. = iron rod
1.P. = iron pipe
Asph = asphalt
RP = radius point
P.T. = point of tangency
R = radars A = control angle
1. = arc length CL = centerline
Esmt = easement Cone = concrete
Typ = typical P.1. = point of intersection
P.R.C. = point of rovorso curve .
John Penner
1 S.E. 4th Ave., Suite 2t1
Delray Beach, FL 33403
Phone 407. 243.4624
Fax 243 -4869
Wost Palm 735-7639
West Palm Fax 7957641
Ton Free 1- 800. 7733531
Fax Ffoe 1.800- 954 -4406
thereby certdy that the 'Sketch of Boundary Survey' shown hereon meets
the minimum technical standards sot forth in Chapter 61G 17.6. Florida
AdrninistrativoCodo pursuant to Section 472 .027.Flo:IdaStatutes. Unless
othertvise noted elevations shovm hereon are based On tho National
Geodetic Vett at Datum of 192, and bearings are based on plat.
<•'"\••••._ _ %
John W. Runner P.1 .S. No. 4139
Certified To:
P.O.B. = pond of beginning UIE = u
P.C. = point of curvature
P.O.C. = point of commencement 015 = on
WPF = wood privacy fence CLF = c
P.R.M. = permanent reference monumoro 0!E = dr
JAMES C. S W ANEOI AND Alm 3 S W
GREAT WESTERN BANK A FCD Het SA%
Ito' Successors and/or Arn1m
I:1.EiN dr ASSOCIATt S, P.A.
COMMONWEALTH LAND INSUPANIC
Flood Zone: AE El. ev r 8
Map No: 12 C>
Map Date: -, .2 - = b
Date: G 2 • °Dt3
Job No:
r7 -O(v1
Revised:
C)=
Nor
sealed
Sur
oo' 75.00
,( A
2
N.
amt L.A.
lS' 5167
bbA- 1A�-'t
o aI' ,
75.00'
.
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N s
1145 N.S. 92ND STREET
MIAMI SHORES, FLORIDA
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24'
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AY LURE
Aex: Z:.., t. rco.rdzd :.-n PL loo 44, Pe 63, r: ec:G:J &r ea:
rcc d.; cf Daet Cc:. r. y, ; is :d >" .s .' , ling, c 4 b:tr:
B Co: y, Florida.