Loading...
436 NE 94 St (5)r. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 4/36 k`' 74 S7 Tax Folio Legal Description Historically Designated: Yes No - Owner/Lessee / Tenant c-©» J'_' �'/ ire' /A012 % Master Permit # f 8 JD Owner's Address L i 36 A. /L' Phone /vo 40' Contracting Co. l'n/4e0. Qualifier s'7 \/ State # Municipal # 4 -.200 Zs Competency # 2 Ins. Co. 0 7e5C.0 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /A , S7/9G c 6"" //.rlE/ZC-ch ,G. -9 y / " / /OT /77/X f9�iPg77GT Square Ft. c. 9e? WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOFJR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR L1EA E}I 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. via& Si and/or Condo President to 1 3- 45- Y. sw- 0/ 1/ _ 9 Notary as to t 4'er d/or Con ., ,i I.. Date My Commission E ARY PUBLIC STATE OF FLORIDA COMMISSION NO. O '14103 OMMI,SSION EXP. MAR 1,2002 FEES: PERMIT ( (.1 RADON Buil Address L03O s w P /*/i S 6,2 o.5 . 77 7 SS# _ Phone X522 .7;&z: ' Estimated Cost (value) ,e5: Contractor or Owner - Builder Date S y —s& —oo —o - 1<otary My Con es to Co RR 1�3Pit STATE OF FLORIDA COMMSSION NO. CC714103 MY COMMISSION EXP. MAR 1,2002 LL� C.F. ( O NOTARY Electrical Date BOND -' 0 TOTAL DUE 3-/ -s APPROVED: Zoning Mechanical Plumbing Structural Engineer Leeafloe Sketch: I 11 9y 9245 S.W. 44th Street LAND SURVEYOR SURVEY NUMBER 85-1 -136 MIAMI, FLORIDA SURVEY OF LOT 8 BLOCK 51. SUBDIVISION MIAMI SHORES SECTION NO, 2 According to the Plat Thereof as Recorded In Plat Book No L 0 At Page No 37 Public Records of 1)r:c<le County. Florida Date: March LOLh 1.985 fi Mar gar 1 .La Bra nci_l :or•Le 4e H 5e) 1/ / 4 / 1 /.0 /5 11 .9 // /7 // 7 /B // // 70 4 ZI 2z .X> 2 73 z4, 55 / A . P LOCATED IN: MIAMI SHORES , DADE COUNTY, FLORI :I.)n. g / " =2©' �3 ° / - .%. / CHARLES W. CARR Scale: 1 •• /50 / /05 DV :e j.» I:1 c �'r.11:1 c,ns <lr Mo >an I) :,e.cl Upon �Gp� NOV P. 736 77C 1 •co 2Z.2o zz.7 p / JTe ..e. e4/- Po, t Qi ay /.DC w,‘? L- /C' I HEREBY CERTIFY that the attached sketch represents a recent survey made under my direction. and Is tree end cor- rect to Om best of ay kaoxrledlje ..oed belief. Tkare area oecreaa`p REGISTERED LAND SURVEYOR 100. STATE OF FLORIDA . c,. ki\- 2 .J77 C& hi ,PC S. �� s 3G N .0.04/t E'/ 7h'C - LINES W4 76,e M4,A1 / 5 ' /J 4 L & Y 7.0 • ro- - /•74 \ APO vvBR ovrR Telephone: 221 -3416 5/5 2