DRIVEWAYPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address l q3 A18 q5S 1 Tax Folio
8 ,r/- ,7
Legal Description G 0.1.e.sr F -y h /,Historically Designated: Yes No
'
Master Permit # `7 / 1 /6 r i/
Phone 305C 7 S 7/07e.
J
Contracting Co. E77-,77 r Ai GZ 7 Address 77i1 /U eV . ;): r'7o7',�f:K(
Qualifier 41,l �J �tLiU� SS# Phone c3D5) e6d' y'$o /
State # Municipal # D' D-P Competency # l6' 9 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN e WORK DESCRIPTION % ric ��� - ,¢ 1, P_ e C� D 2 a' V Z e4/4
Owner/Lessee / Tenant V/ G e477 — V 5 k �y
Owner's Address tZ UI 3 V E- 2. 3 -3 / 3 K
Square Ft. z,
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 aws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
No as to • der and/or Condo Presider Date
My Commissi Expires:
DA v A :.S N' . ,;z? "
\. CO:V.U1iS ON n C i
-; '..:' ;\.1"'- 27. 2C31
FEES: PERMIT
APPROVED:
Zoning
Mechanical
E RADON
Building
Estimated Cost (value) ' ? //
5)j91
Signature ofontracto
No ': as to C
My Commissi
C.C.F. a.4 NOTARY
tractor or
n Expires:
Electrical
�W' t�O/n
z.„ C i ; COwv.i&.s;ol :
BOND 300 4"
s
TOTAL DUE 3 7Z C '
Plumbing Structural Engineer
�E - OF FLORIDA, COUNTY OF CERIInP� PPilot Phis / 1 ` �/A1J D ®
ort yippl p;l o iT P h k is a o Pr c of Pho
THE
v ' ‘ •
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
99R2214 1999 APR 29 10:12
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA
COUNTY OF DADE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance
with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. /�
1. Legal description of property and street address 72 P �t %QJ 7'. / '/ a l4 T'3 Sf (1 S — C7,2
�i I /' ✓ice , . /la ,,��c :r'�_.. 9
2. Description of improvement A r 4 r€ (--) • -.7", D
3. Owner(s) name and address' V 5 / 4/f %( l /
,27/ c - 4 e i ?3/ � f
Interest in property
Name and address of lee simple titleholder 1 / /Cy �7 T S GP�A�2 � 13 /1�7 _ 9Rrie
/ t/ // . "72/ �f 3 3/3<e , /
4. Contractor's name and address: I • "79 / / sC> , A_tx , /
-Pr"
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address*
Amount of bond' $
6. Lender's name and address*
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1)(a)7., Florida Statutes.
Name and address:
8. in addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as pro-
vided in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless
. a different date in specified)
Sig re of owner
Print Owner's Name �j IT 'P. J) S »D 05 AY
Sworn to and subscribed bef . me t his d
I /
Notary Public
Print Notary's Name
My Commission Expires:
Prepared by: 1 UA 4/ /'e' 54
Address: 790/ .v ' / - t.
/ EN / y p/D
Nor 1•,lt.lu w n uuu r rtlC 5lt:.va'
trio rtIE UR1t:LN.11.161(SFD SEAL (11
)I.U81uA Lill..VOA) SUNS YI'QN
+••) .sure*
This property described as:
The West 75 feet of
Lots 4 & 5 and the West 75 feet
of the South of Lot 3, Block 84
MIAMI SHORES SECTION NO. 3,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 37
of the Public Records of
Dade County, Florida.
se cIenote lowest h�
ion . 5Ievakion5 shown refer to
. Lowe9t adjacent grade ebv.= 8.00
(Dade Co.) EIeY. = 814
.v. _ .N /A .... _WT. 511
PROPERTY OF: Sadusky, Vincent' J. and Kellogg, Alice, 1293 N.E. 95th Street
A BOUNDARY
SURVEY
I nereoy certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the Board
of Land Surveyors in chapter 61017.6
Florida Adrntnrstratrve Code pursuant to F
Section 4 77_0V. F a. Statutes. There are no
encroachments. overtaps. easements
appearing on the Plat. other than as
shown hereto.
1 R nor. atrayt/oe Ants MAlrta HQ L/747
ti: 4' A J iiD
•
NE 95
-- _:___LOCATION . SKETCH . NT.S.
Miami Shores, Florida.
LA'r,ES AND GARCIA. INC.
L.K. a 209M
til NIAPPEK -LAND PLANNERS
Office address: 35'1 .lcatar :\v'euue. ('oral Gables. Florida 33134
0051 06 1954) 523 -3b63
FIELD DATE
2 -23 -98
.al(:U }:1V1v}:)
SCALE
i 20'
Page 1 of 2
a
DRAWN BY DRWG. NO
U.T. 80284
I
0.40'
U / c G' C.e.S. WALL. 21.4 '
3 I le, z
j.p
I M 1
N o a
V' 182'
t0 .. H 2
q � 10.$p' I
4 STEP I
c 11 . 42'00 °
28.30'
CL.
15.00'
75 00'
5' CoNC SWK
21' PARKWAY
21.5' PAVEMENT"
F.I P. 3/4'
0
ST.
0
NOTE
FI.P. 3A
L.F. - Eley.
i f laor - eeva
E N.G.V.7 192:
L; 5.M. # 6 -c
. Garage e'
ax i6 rfogi t
o 3a1WC
w v /ire
d
F.1 P. 3/4
` ■orE
L.F.
.Floor
m' NNN.G.V.D. 19
# 6-
..Garage c