80 NE 92 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 2/ l (� f Job Address () M. F , 9 U Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant I Q{' 1.� L, U 1 \ CA fl Master Permit # 963 0
Owner's Address , l Q'rN c\ 'iQ Q Phone 3O ) - ]5 `t -S� LI 1
Contracting Co. y )f\ Q.Y l )t ln�
Qualifier SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor
Permit Type (circle one)_ ILDIN ' ) ELECTRICAL PLUMBING MECHANICAL ROOFING PAVINC7 FENCE SIGN
Address
WORK DESCRIPTION � • a, ' t C, • I •
1
Square Ft.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning
RADON
7V �/
Building
Mechanical Plumbing
Address
Estimated Cost (value))(
C.C.F. U NOTARY S D 0 BOND
Electrical
cue
r or Owner-
Phone
WARNING TO OWNER: YOU MUST RECORD A NOTICE • 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.
OWNERS 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.
A w SEAL
My Commission Expi S S: Pnv P i a AW� - BrtKER
1�. !fi a isgisstos HOWER
4 L,C7$6«7
O DAY COMMISSION ON SOARES
`�OF F4� NoV.....1 : ;,2 302
TOTAL DUE
Structural Engineer
6 9s
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Pavement
Overhead Power
25.70'
15.25'
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Zoning
Approved
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N.E.
92nd S T R E E T
21' Pavement
5' Sidewalk Record & Measured: 62.00'
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1.30'
Record & Measured 62.00 — x
BOUNDARY SURVEY
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N.E.
N.E.
1) FLOOD ZONE: X PANEL: 0093 J
COMMUNITY NO: 120552 DATE OF MAP: 03 -02 -94
2) THERE MAY BE ADDITIUTAL RESTRICTIONS THAT ARE NOT MOWN ON
THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS
COUNTY
3) EXAMINATION OF ABSTRACT OF TITLE WILL HAVE TO BE MADE TO
DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING PROPERTY
4) LOCATION AND IDENTIFICATION OF UTNJTIUES, IF ANY ARE SHOWN
IN ACCORDANCE WITH RECORDED PLAT
5) OWNERSHIP IS SUBJECT TO OPINION OF TITLE
6) TYPE OF SURVEY: BOUNDARY SURVEY
7) LEGAL DESCRIPTION: FURNISHED BY CLIENT
8) THIS SURVEY 15 NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA UCENSED SURVEYOR AND MAPPER
9) THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE
OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND
TO ANY UNNAMED PARTIES
10) UNDERGROUND UTIUTIES AID NOT DEPICTED HEREON, CONTACT THE
APPROPRL4TE AUTHORITY PRIOR TO ANY DESIC-N WORK OR
CONSTRUCTION ON THE PROPERTY HEREIN DESCRIBED. SURVEYOR
SHALL BE NOTIFIED AS 10 ANY DEVIATION FROM UTILITIES SHOWN
HEREON.
FIELD SURVEY DATE 07 -30-01 SCALE: 1'= 20' DRAM BY: PAP
DRAWING DATE: 07 -31 -01 FB: 203 PG: 45 DRAWING NO: 01 -652X
92nd S T R E E T
91 st STREET
LOCATION SKETCH
N.T.S.
LEGAL DESCRIPTION: Lot 3 and the West 12 feet of Lot 2, Block 1, AMENDED
PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded
in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida.
SURVEY FOR:
1 HEREBY CERTIFY: That the SKETCH OF SURVEY of the above captioned
property was completed under my supervision and /or direction, to the best of my
knowledge and belief. This survey meets or exceeds the Minimum Technical Standords
set forth by the Florida Board of Land Surveyors in Chapter 61G -17 -6 Florida
Administrative Code. Pursuant to Section 472.027, Florida Statutes.
DELTA SURVEYORS, INC.
13205 SW 137TH AVENUE
SUITE 225
MIAMI, FLORIDA 33186
305- 253 -0909
FAX: 305-253-0933
MARY HOUIJHAN
80 NE 92N1) STREET
MiAAt,6 SHORES, FLORIDA
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DELTA SURVEYORS, INC.
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MiLAGROS ANGEL —BELLO
REGISTERED LAND SURVEYOR
NO. 6166
CERTIFICATE OF AUTHORIZATION
L.B. N0. 3386
STATE OF FLORIDA
10' Pavement 15' Alley
1