773 NE 95 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ( ( Gen7Job Address 2 ) Y `" 15
Legal Description r p� P O wner / Lessee / Tenant TVL \ / `� 6 I ( / 4 ° Master Permit 4i 3 71 3
Owner's Address
Contracting Co. (� I
Qualifier
/ Phone 1 I - 2 0 t
State # Municipal # Competency #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
OeCuA C6ol-A.1Th
Square Ft.
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 abavernamed contractor to do the work stated.
Date: NOVEMBER 28, 1994
Zoning
3 Phone - 5 I- Z
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Notary as to Owner and/
My Commission Expires:
NATLAIE A. SLATTERY
S 'yRi i
NATALIE A. SLATTERY
MY COMMISSION f CC 314450
EXPIRES: September 9, 1997
••• Bonded Tbru Note/ Pubic
*
RADON C.C.F. ,
Mechanical
Fire
Building
Plumbing
Tax Folio
Address
Date:
Ins.Co.
Estimated Cost(value)
new ccoo Nt
(� 00---
Sig re of wner and /or Condo President Signature of Contractor or Owner- Builder
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * **
NOTARY TOTAL DUE
Other
1 Electrical
Engineering
!.
LEGAL DESCRIPTION:
Lot 17, and the East 1/2 of Lot 16,
Block 68, "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. •
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Scale 1" = 30'
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SKETCH OF SURVEY
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CC?. P-EL:
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Gary B. Castel, Surveying
9561 S.W. 66 Street
Miami, Florida 33173
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Survey for PUMO, Jerry C. and Sally
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I HEREBY CERTIFY: That the attached SKETCH OF SURVEY of
the above described property is true and correct as retently
surveyed under my direction,and that there are no encroachments
unless shown.
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APPRAISAL DEPT. INSPjAPPROVAL
(homes completed over six months)
Appkatbn No •
Survey conforms to appraisal:
Legal description '
• Bldg. - 84 Lot dimensions
Conditions before closing •
..• Obtain title insurance •
• • •
Approved by
•
NOTE: Not valid unless seal
• embossed • • •
Address: 773 N N.E 95 Street, Miami$hores, F I . 33138 kertified to Washington Savings and Loan Association
Job. No. 181 • fate 2/27/81
pore-r
P JOHNSTON.
ReglSterecl Surveyor No. 2173 .. .
• . Mate of Florida ••'..
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Bars secered with ys' x Iii. Drive Pins In Concrete wall
Owner' Name and Address Jack A. Ehrmantraut
Registered Architect and/or Engineer._
MIAMI SHORES VILLAGE
Lewi, Id. Hitt
BUILDIN INSPECTION DEPARTMEN
APPLICATION FOR BUILDING PERMIT
Date
July 16
Building Inspector My Com:nission Expires_
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved
Application is hereby made for the approval of the detiled statemen of the plans and specifications herewith submitted for the build-
ing or o 1i - :ructure her i described. This rilicatic is made in compliance and con•o in.ty w.th the Building Ordinance of Mia
Shores Villave, or da, and all pro isions of the Laws if the State c.f Ikrid. all o d nances jf Mi mi Shores Village and all rules and
regu'a ion: of the Building Div of • .iam Sho iilage 1 1 ,e o ipl.ed with, whether herein specified or not. A copy of approved
plans and specificati mv must be kei- at buitding durin progress of tl.e wcrk.
,19 57
No 773 street. N, F4. 95th
Name .nd address of licensed contractor. ithOX (k.INZT4UUTIQN CO... 16250___Bisovne_Blyd. i4B .....
Location and legal description of lot to be built on:
Lot- 17---&-E--25I---0f.-16Block 68 Subdivision Sc. 3Jilimi Shores
Street and Number where work is to be done 773 N.E. 95th Street
State work to be done and purpose of building (by floors)
.. batja addition
and for no other purpose.
New Building. Rernodeling__ _ Addition__ _X___ ..... _ Repairs_ . No. of Stories
To be constructed of. CBS- _ _ Kind of foundation _0011. Roof Cov ring BU
Estimated ". - Aal cost of improvements $- Amount Permit $._
Zone ^ubage required_ __. - 4,100 .
Cubage
Distance to next nearest building__ . _ __Size of Building Lot
Maximum live load to be borne by each floor_ _ . _____
hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
KNOX CONSTAUCTION CO. 16250 Biscayne Blvd., NilaB
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The unde signed appli ant for th's building permit does hereby certify t:iat he understands and accepts his Aligations as an employer
of 1 bor under he Florida Workmen's Compensation Act bung S—tion 5966 Coi p led Gen al Laws of Florida P r anen nent,
and h s compl ed w:th ihe prov thereof, and will require s•milar comp lance from all contractors or sub-contractors emplo -ed by him
in the wok to be pp rf--med under this perna. and -ill post or cause to be posted for inspection on the site of the work su 1h public noti e
or .otices as are requir d by the Act. The u. chr ign -d agrees to employ only such abcontr. ctors, on work to be perform d . der this
permit as are licensed by M ami Shores N ge.
STATE OF FLORIDA, (Signed) _ __Ki NSTRUCTION au.
Remarks_
COUNTY OF DADE. ss.
C o-Partner
Before me, the undersigned authority, a notary public, duly authorized to adm:nister oaths ,.nd take acknowledgments, personally op-
peared
.to me well known,
and who, being by me first d. ly sworn, upon oath depwes and says that he is the
of tli abov. de .c.ibed .-istruction t h has careially read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are tr ie.
Permit No. Date_ Read, Sworn to and Subscribed before me.
Disapproved Date__
Notary Public State of Florida
( Signed)
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application !fter approval h is been obtained from
the Planr ng Board
A re--inspection fee of $1.00 will be charged when such re-inspection is nde necessary by improper notice for inspet.t.on or fa Ity
materials and/or workmanship.
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