474 NE 94 St (3)•
•
f77.
tar 1.7_› \/•. 4 L-Anr BLOCK
'SUBDIVISION '
.. ACCORD= TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK \ •• AT PAGE OF IIFTE
PUBLIC RECORDS or •c::› tt COMM, TIM.
1 "c\mm
AA A ae1/4
3.14
•
'LEGAL. DFSCRIPTION
• 'Certified to: Richard C. Pollock P.A.,
- Meridian title. Insurance company,
• Kyle Tann and Joseph Perz,
Sears Mortgage corporation its successors
as their interest may appear
„ •
LOCRIMON 01mEn 1 , . - •
1°,-=
T.A. FLOOD ItiSORAICE RATE MP. re t.ed 41 Published by the tIfftl'ED
STATES . 11COS/NG & DRBAN DEVELOPMENT delineates the herein, described lancl.t.o be
situated within ZONE ' ."
•• " " • •
•• . .
NE HEREBY - CERTIFY:. That the:attached BOUNDART SDRVEr above
'ciorreet to the beet of our b1edq and belief as rSCently,;'," aurve
• • '.also, that therejare --- irisiblncroa chaerits :unless ShOlirr'sZ
:Technical' Standarde` EOARD or LAND
-, .472.027 (F.S.) and Chapter,21 414 6 of the Pi, 9rida Adininc
oR:
' ' •
aRDEit No. el=zk oc
)
•
•
•
and/or assigns
ALS
Asecribed is -
er -our - direction,
•
*.lilidekis Minima
7 • • ,
or FLOE413:1A...
. •
WORK. DATE': "
sai#Irviips, j
-" •
•
.17oo-
• Midini, ElOriaa" ' 33155
,No.: 262-1925
• -
• .•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/�
Date � "/..( Job Address (7`i A 4 ( sr Tax Folio
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant 1611.i 7 - Ak[11 Master Permit #
Owner's Address 11) 4 AJ( W
M haN ( s, -eOJ F 16 Phone - 2 ,c60 — )/ ( 2
Contracting Co. h r .S f% !/UF"/ 4 l'7 Address
Qualifier SS# - Phone 1 i ^ /LS-1
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor /2 h/Q L 1(, a/$-4/ /e R/r? .C9 6,5 Address
Permit Type (circle one) BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION P»iill r- //( & /ea ' e
Square Ft. U v
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
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
of owner
Si�natytr an d/or Condo President Y ate
Notary as to Owner and/or Condo President Date
My Commission Expires:
1'EES: PERMIT 7 RADON
Estimated Cost (value) 2 000 - D J
i a a of Contractor or Owner- Builder Da e
Not
My
•
O S O , IAL NOTARY SEAL
SANDRA M MONTIEL
DrISS
* COMMISSION NUMBER
&• Q CC401261
' Q.• MY COMMISSION EXP.
OF F\,0 AUG. 17 1998
C.C.F. ( NOTARY -
No
Date
TOTAL DUE �
APPROVED:
{
Zoning Building )1/‘ Electrical
Mechanical Plumbing Engineering