718 NE 95 St (5)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date B 3 92 ob Address 7l s N,- 95
S /
107- 9 /
Legal Description G�� °9 T O�
Owner / Lessee / Tenant ,/WAe Z s'u
Owner's Address 7/4' Al C 9g 9 r
Contracting Co. 0.3 . le t C� .
Qualifier - 4/4-, 1 1.-S -QN b
40 7 2 8J / O
Tax Folio// foiof /y /fro
Phone 408
3000
Address
State ' OS't?f Municipal # Competency #4
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /105M -(4.-- /'') 't /ociii0 64/ Cie- /( 2)•e/ veu/olzy %e9i-
4 a ADD Gem-c,C ueS'
Square Ft. 4:00 Estimated Cost(value) 2 #
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.
Signature of owner and /or C do President
Date:
Notary ca to Owner and /or •ndo President
My Commission Expires:
APPROVED:
Zoning
Fire
ie
Si ture of Contractor or Owner- Builder
Date:
ifisrAr
Notary as to Contractor • Owner-Buii.der
My Commission Expires:
** * * . * * * * * * * * * * * * * *
FEES: PERMIT 3 r, RADON C.C.F. NOTARY TOTAL DUE C.- e
Other
Building,V4b � / Electrical
Mechanical Plumbing Engineering
PLANNING BOARD AGENDA OF A/4,/ / /f 2. ITEM NO.
Name of Owner /Applicant , . /v / /9,e7/,e/E2 Phone No. 75 (PM7
Address of Property, and /or Legal Description
Nature of Request mezaiAG '/ s' "1141 Vint /t/ 4C/DE S eT'M6e
Present Zoning
Area of Present Building
Area with Proposed Addition
Parking Spaces Provided
Parking Spaces Required with Addition
Setbacks as per Code
Setbacks Provided
VariancesAMMIWOOMIWZoning Change
Council Action Required
- /ff
Date of Applicant Notification
Planning Board Action
Council Action
iami cihores91llage
F L OR ID w
/ 2
toUlAtv
Director of Building and Zoning
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FIRE DEPA.RT1,:::
PU31.IC WOR:(S
POLICE UEP RT ;c "'i l
BUILDING DIRECTOR
PLANTING & ZO;'`.Ii9G tO :.
VILLAGE COUNCIL
HESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
WITH NO VARIANCES 0 WITH ‘fARIAPICE(S) LISTED IN "REMARKS"
0 OTHER DEVIAT!O :'S FROM PIE x;71 ^,a1! Su17ES BUILDING AND ZONING
RDINANCES WILL BE P!:'''1t'i rra E.;. SPECIFICALLY LISTED BELOW.
LL OTHER APP' 'CAB: E ''i 'TE . ^: +') +:OU'iY LAMS MUST BE COMPLIED
ITH BY Al! PARTIES.
?n'ture Date
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS ARE CN ^•a ^Fr` .;+IT; -' K';01dlERGE OF Alt. BIRD.
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.