FENCE00
0
UTILITY POLE
F I.P 1/2"
10.0'
10 ASPHALT ROAD
- 75:00' (D) 75.02' (M)
10.9'
25 9'
• ONE STORY
RESIDENCE
# 325
152'
co
26'
26
•
F I R 1/2"
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0
0
w
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11.5'
DD:r 4■ 1 1 -1-
- -
■
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Y
5' CONC. WALK 75.001D&M)
24' PARKWAY
152'
22' ASPHALT ROAD
c7,
N. E. 93 STREET
F.I.P. 112"
F.I.F
400.20' (M) -
Legal Descr
Lot 20 and :
PLAT OF ik
plat thereof,
Records of lk
Certified to.
Deanna Bell
Insurance Cc
Accepted By
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date "IAA" Job Address 3 Z S /� s% * - 3 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant VZ /7. 7...37-Z. Master Permit #
Owner's Address 3 Z S A/� 3 Phone
Contracting Co. )2‘ 770■ Address / i 5- �'i /'% ' //!.
3 3 /oi
Qualifier ,A SS# ' Phone , ��13 7 — h'4'13
State #6d. Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft Estimated Cost (value)
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 owner and/or Condo President Date ,,,leeee- '
o er and/or Condo President Date Ex � pu
Notary as to ate
My Commi P Y
e,1. isABEL BEEVERs
My Commission CC480995
. .,4 W Expires May. 08. 1999
Bonded by NFNU
1.4 op ft 800-224-8388
FEES: PERMIT RADON
APPROVED:
1� Zoning Building 1 A! Electrical
Mechanical Plumbing Engineering
C.C.F.
Signatures- ' ontractor or Owner - Builder Date
Not as to Con ctor or Owner - Builder Date
My Commission Expires:
+ol3Ree1, ISABEL E3EEVERS
L_ My Commission =80995 7� Expires May. 08.1999
Bonded by NFNU
' top Ftio 800.224 -8388
NOTARY BOND
TOTAL DUE