Loading...
2001 - DRIVEWAYk A S (i1,5-3- IP ERMIT APPLICATION FOR MIAMI SI -ORES VILLAGE Dateh Job Address /VC 4/1. . Tax Folio Desciption Lion 0 �� ©f S /O' Hist'dcall D al s 41 / `S'' Legal p � o Desi Yes l<do Own te / Tenant -CA' g. i , 0 C�A Master Permit # / 1 Owner's Address L G� Phone Contracting Co. 69/de ,o 4/oC� 7,_)/ Address .g � f/ c . 5 10 _6 SS# Phone 7' 9C - V — +� '2 —®e, Ins. Co. State # Architect/Engineer Bonding Company Mortgagor WORK DESCRIPTION Wit / l04 0 Square Ft. 6th o e of owner and/or Condo President Date Signa Notary as to My Commis FEES: PERMIT H 2G' �( rs13 G ►���Y 6l;INA i 2 r Dote 0. NO. cc 3641- 01 PazzleY ti l=n I 1 oc'7 10. RADON SMunicipal # Competency Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING SIGN Estimated Cost (value) NOTARY / 2 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOU:E 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 co fiance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -name contractor to do the work stated. i INAUGH My Corm Exp. 8/1/2003 4o. CC 860084 I I Pcnz -t ',y Known I I Y .. ' �� BOND C.C.F. TOTAL DUE0., 5 / ) // Building Electrical APPROVED: Zoning •�(.e Mechanical Plumbing Structural Engineer U4.' 03:Z6PM FROM- PERMIT NUMBER: S TA TE OF FLORIDA COUNTY OF DwDE • Ti E wirDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, we following information in provided in wis Notice of Commencement. / ( Legal description of property and street address: L b fir G Ei2/1 7111 SC-71 o. S— V••r • pVW/ of H p I VVvcmc Owner(s) name and address: TSt in ,I prap2rty7 Name and address of fee simple titleholder /1 Contractor's ' 'G• C i iff . � / cam c Surely (Payment bondired by owner from contractor, if any) rv'ee7le and address: Amount of bond: Leaders name and aU kets- '. Persons within the state of Florida design • Owner upon whom n provided by Section 713.i3(j)(a)7,, Florida Statutes, Name and addr : Section 713.13(1)(6), Florida Statutes, STsA7i= ®fi FLORIDA, Cauivr (�s Name and address: J�J:J:avcrr�Fyrn��rns s a ©ADE naJh -r > c ire cn ei,*r- Cray :::�jlrioirvr: aria: Gi ii]IS fYdtjj6 Qf t;orntrl @rdLax" a different date is p ec ir re ) ����H t/F Print Owner's Name: – 77 / Swop to and subsc{ibed before me on this v 2 - day of i'l / Personally Known, or Produced ID l REV 1197 v as Aga a n, SIGNATURE OF OWNER Oath t rake vain not T -399 P.001 /001 F -002 1R27 136 s 2001 IIAY ?5 13:19 TAX Fouo NUMBER: ® 0i,D /L //W ces or other documents may be served as In addition to himself, Owner designates the following person(s) to receive.a copy of a Lienor's Notice as provided in D.C. fir 111: GUiNAUGH My Cxna� E�;p. 811/2003 0 N. fvo. Cx 860084 iear*orrt the data of rJ rding unless • Prepared by: - 8+ T\ ij Nu o Address: Notary Public \ !(.t -6 Paint Notary's Name: / a - 64th pi OIT7MiS. _ Ei i abon �! /- G� 3 • - PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' D ATE SECTION BY ZONING • t ELECTRICAL MECHANICAL PLUMBING FIRE I. PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subjad to compliance with ell Federal. State. County, Village rules and regulations. Wage assumes no responsibility for accuracy oflor results front these plans. 2. This copy of plans moat be available on buftding site or no Inspection *tn bo conducted. JOB AOORESS /0.0) / Fs 5 T�E&"7 APPLICANT � - , e 9 � � �� SS' PHONE t# ��JJ APPUCATION d el cK ,' 4V&7$ 497'/CD SHEET OF MISCELLANEOUS DATE ZUNI. % COMMENTS 5/ : 51rwJ ras c aff a /v s/ ✓�, /* ck cro' � D/ s o /de/ h il74ke i o/C7 -r e r e, S Mai 0C- 09- 0 / N Ci . CRITIQUE SHEET INITIALS FROM . APPROVED PERMIT $ ERV I CAS STATE OF FLORIDA) COUNTY OF DADE) 'The undersigned Affiant, attached survey, perform. performed on 2' (:• e o survey) FAX NO. : 954 567 9024 1' Aorea ago (property owner) by __ ,f . letc 4 blame of surveyor's company) is an accurate representation of the existing conditions afld locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue L building permit fc7 the property without first providing a survey less than six (6) months old. The Affil, as proper owner, farrthcr agrees to remove or obtain permits for any structures which now may exist en the prepr�rty which are rtes permitted or which may violate zoning as building code regulations. The Affiant existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayath naught. cam. ' / es 7104o) nness(sign and print) • TRACY GUINAUGf. My Caam Exp. W1/2003 No. CC 660084 (1 kraal* Mom 110 I.D. SWORN TO AND SUBSCRIBED before me Affiant is �persooally Ioaowaa to me, p?oduced _ ._ does her attest that the Apr. 25 2001 02:53PM P1 'further unclerstart s that as identification. 4oq -7,)y PRINT TIME 04/30 '01 07:25 ID:MIAMI_SHORES_VILLAGE____ FAX:3057568972 TIMER=--:-- FILE START MODE No. TIME 874 04/30 06:53 TX ERROR PAGE= AIP-3 Message: Td J T:9T Tam LZ ' * ** TRANSMISSION REPORT LOCATION 93057568972 * ** POSSIBLE ERROR CALL REMOTE * ** APPROVED PERMIT SERVICES, INC. T c) VER SHEET DATE: 4;7 D FAX #: TO: ccc yy �- ---- -- FROM. ,ma f . us!- tocLC.� .ISSLA-.Q. Number of Pages including this cover sheet: a L OO /U c, 95 Sfi• ( x) c o Ave • \ 6 2 °' 0'0 ilt)-( C(J'eg '" -- 9` 1 - 2-44 a - e - i 5/ i l l (44 ,1,, I G. 5e;-(- k c,k CcAr L+j i) to c-ic pc. o e.r r ---1-?c o a'- L -c-1)... ' reams , l ■ ,r.& V fILL0-4-12- c.a,54_ cam- e1 �a� mac. - 1 — oe 1 6 6, t he �r- t5 : o i S 57rre , nor* 1 I a ZavaG Y /34f cl 404 NE 38 Street, Oakland Pi iC, FL 33309 Office: (954) 567 -9067 Fax: (954) 567 -9024 ykere {ore , tke .'iicle (S DN Wejf. rear 1 5 0 " ) Side s&HMck /p rear = 5 1E06 L9S PS6 : 'ON X STORE TX/RX TOTAL CODE PAGE PAGE TIME 12 0/ 0 00'00" I -46 kA so5 - 166 -8T7 U * * * * *2AN 181 L S304 (1a9S l I Wa9d MAOaddd : woad I ,o( /31.,cic a4 • • .5' ono. L AsPHt\cr -.-- ------'19-1 , ! • —— —1 - --- - - —— '•''vl 1 ' I I— — ,..., ( - " ' --' ■ i I l t 4 • , . , f--...... . , 1 • Clo IL it 34 Ft a it" 1 4 5 — - t • • 5:?) %.• C..ti• • • - ___ • •-_-_. ( = ""t (-• 1,n c:t wery-10 C ; 1--,2) A LL • ' _ 0 J J U .. .t.ic(c- 44,,eic s ‘,/,ce P iv/Si 5- • P gerieziaa.- ;30 s 1 (Ai,' el tick.r5 - e filly 5/44'c- ebo Awe 99;04-4s Set if apo), &0741fi,Kel-eA g 6.4 _ _ 0 /fr-lat a teed hvfed- xel/ /00 , IMP C .' • •'•: • 4 • C IL- it-es t o 9 fy) tim les p. 33( 3St • r f51