445 NE 93 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7-1 I t-S Job Address yy- 13 s/, Tax Folio
Legal Description ^^ q /hs)4 Historically Designated: Yes No
&41 N �/k- & Master Permit # 3 6 / 4' 7
Owner's Address r+/..s m e 7 3 s Phone 51-5
Contracting Co.
Qualifier—SA 4. itAi 1 . ANMSSE
State # C( 1 O t / T Z- Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN FENC SIGN
WORK DESCRIPTION 5 al C A L & 20 F ' .
.wrest, 233
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
la regulating con ruction an oning. Furthermore, I authorize the above-name! ontractor to do the work stated.
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Signatur- of owner an rk ondo President Date
'toning
FEES: PERMI
APPROVED:
Mechanical
RADON
Building
Address fl /Ale , //
7 *P
Notary as to Owner an. Condo President ' Date
My Corissio�I BRIE ARZILLO
~� ® C COMMISSION # CC 435527
EXPIRES JAN 26,1999
BO NDED TH
''pF FLS ATLANTIC BONDIN CO., INC.
Plumbing
C.C.F.
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Estimated Cost (valu
Et pi or Owner -Bui
iK^ ESHEI
er Date
Notary as to
My Co , sion Expires: f
Owner - Builder
NOTARY TOTAL DUE
Electrical
Date
Engineering
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FLOOD ZONE: X
FLOOD INFORMATION:
Community No.: 120652
Panel No.: 93
Date of F.I.R.M.:
3-2-94
Bane Elevflti_on: Not
AvaiTable
Not valid unIce,s embossed
wlftl Surve‘or's Seal.
This urooerty described as:
r.ots 16 and 17, Block 51,
.CIAMI SPORES SECTION NO. 2,
according to the Plat
therc-of, as recorded 1
Plat Book 10, Page 37
oT the Public Records oE
Cflon!
Coffin, Douglas Arnold and
PROPERTY OF: Taylor, Wayne E., 445 N.E. 93rd Street, Miami Shores, Florida.
A BOUNDARY
1 heteth. erttl, that the 11 1 , We'y , ep , e
sentell her ,-,,n tnet•t. tht; In:11,7111111
hnocal standards sett tor th by the Board
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Note: Underground encroachments
if any, not located.
ownership by visual means only,
owner'hi.p not determined.
Certified To: Rapid Ti!Lle Services
Company, Attorneys' Title InPurance Fund,
Inc.. Coffin, Doug.. Arnold and Taylor,
Wayne E. and Nationsbanc Mortgage Corpor-
ation j_ts succssT)-rs and/or assigns.
DATE
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LANNES and GARCIA, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
Offiie address 359 AI( azar -enue. Coral Gables. Florida 33134
Mailing address: P.O. Box 561131. v%pJml, Florida 33156
(305) 666 (305)523
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