501 NE 94 St (10)41
•
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Date `O�,2 % /oi3 Job Address (10/ ./v4 g4/M :sr Tax Folio // J 6 /5 Ac- opt
Legal Description ack IV / ki
-caner / Lessee / Tenant /%1/.4)4-,A./ C7- 005 ��'/E,Q,G9 Master Permit #
� Address 30/ /1/ 2'4 G", 5r, di,,, Nn 5 7 ''ieS one �ry�7 � 8`n9/
c_-Contracting Co. ei/rvA/,e� Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
(AORK DESCRIPTION
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
H/ 2( /SA 9/l/4- 0 '// o4- ^r
Square Ft. Estimated Cost(value)
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 ccurate and that all work will
be done in compliance with all applicable laws regulating cons on and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President N. ary =s to C
My Commission Expires:
FEES: PERMIT .7e ( 0 b
Zoning
c° /2v1/ 5 i A7 r74&, Cs /71/0('),4 /OV
* * *
RADON
APPROVED: Fire
* *
C.C.F. .6 e
uildin
Mechanical Plumbing_
actor or Owner- Builder
Sig at
Date:
My Commission
ti
**
NOTARY j7 TOTAL DUE .3 - 0
Other
Electrical
Engineering
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LOCATION MAP
N.T.S.
N.E. 95th. STREET
17
8 7 6 5 4
19
N.E. 94th. STREET
Revision Descri
20
21
3
22
2
23
PARCEL
.x
1
24
• Fd. drill hole
0.04' In swk.
30.00'
15.08'
ASPHALT PAVEMENT
' M%asiked k 0
12.6
Fin. Fl. El. +10.92'
• -V 4 14.9' - /
/ //
4 Steps
2 STORY C.B.S. 0 5
RESIDENCE
15.4"
N'.89'.42 40 .W •. Meaegrnd
10.20'
Lot 13 and the West 25.00 of Lot 14,
MIAMI SHORES SECTION 2, according to
thereof as recorded in Plat Book 10, F
the Public Records of Dade County, Fl(
Fd: nail and.
disk LS. # _.
2853
.:1 /
2o
89'42'40"
25.00'
24.87'
39.14'
0 10
ASPHALT PAVEMENT
, `94'l ' 1 I STR E.E`,
GRAPHIC SCALE
20 40
(IN FEET )
1 inch 20 ft.
x c ' *
0
N
o
Fd. 1 /2" pipe
and cap
L.B. #3653
1.31' Fence cicdr
0.28' Clear
0.70' Wing Wall
Fd. 1/2" pipe
and cap
L.B. #3653
80