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574 NE 94 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address " / n 4 )j -P , ���,L Tad do -Ri2 Legal Description 144;4 G� Historically Designated: Yes No Owner /Lessee / Tenn Id/ D his Owner's Address ,5 79 Al e 9 / S2 Phone s Contracting Cy( e1/t 1 Signature of owner and/or Condo President Date Address Address Spare Ft. Estimated Cost (value, Master Permit # Phone Ins. Co. Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Permit Type (circle one) i ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /06) ' ,.'E L ig- / / C ^ . J (/-Q r WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOU ] 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. 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 e work stated. Notary as to Owner and/or Condo President Date No : as to Contractor_p _ _ - My Commission Expires: My Commission Expirei ^R'9TT' ai : ✓fi b = COtJ YES,S' N V`.3..,-.Ci :' (' ----- FEES: PERMIT J RADON C.C.F. ^ 6 0 NOTARY J BOND / () APPROVED: TOTAL DUE S 6 C Zoning Building r t h � I t I � Electrical Mechanical Plumbing Structural Engineer tDate X Job Address J' 9I C 9V Tax Legal Description &4/4i, /-43/0- X er Lessee / Tenant l,()// L /,904 /47, rt.)6 LZ S 65 ) Co. ad llge )(Qualifier State # Municipal # Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE SS# - - Phone Architect /Engineer Address Bonding Company Address Mortgagor Addr ss 2 Type(circle o WORK DESCRIPTION 1 ; ,' y ;� 1 t � ; 6/ / s 4,:e WI, / ��aF 7K3fill .° / Y/ /( te__J k e 5 (94 .g 6 ,Eaw )Square Pt. >(Estimated Cost(value) / 6, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (: TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R" NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indic, on the attached addendum (if applicable). I certify that all work will be perfor standards of all laws regulating construction in this jurisdiction. I understanc permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAZ OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and the be done in compliance with all applicable laws regulating construction and zoning. au orize the above O, ed contractor to do the work stated. atitiAti... Signature of owner and o; Condo President D •te: / , _ /- /, Notary as to • Vi /or Condo President My Commission. ,Bxpi , ** * FEES: PERMIT 6 RADON APPROVED: Zoning Mechanical Competency # Ins.Co. * * * C.C.F. )NOTARY TOTAL DUE Fire x Phone 9,5'7 2 153 'Address Signature of Contractor or 0 Date: Plumbing Folio //'3206 .o t, o /ozc i(op 3 “5- �o �' / ,�/S' ,C6 Master Permit f „UPI OOFING PAVING PENCE SIGN Notary as to Contractor or Owner - Builder My Commission Expires: * * ** Other Buildin.` 4 % Electrical Engineering Registered Afcmcect a:c Name and address of licensed contractor 0 UJA e Location and aa1escription of lot to be built 4 Lot -J / Block State work to be done and purpose of building (by floors), state exterior colors (submit samples) English Ivory 17 MT A MT cunamT�cr VILLAGE DEPARTMENT TIDING PERMIT I specifications herewith submitted for the building or other structure herein nance of Miami Shores Village, Florida, and all provisions of the Laws of the to Building Division of Miami Shores Village shall be complied with. whether .)ding during progress of the work. -�• (S�/ No. - Street tiU E 95/ C7 Subdivision 05 It Lei aZ // Street and Number where work is to be done and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation / Roof Covering estimated Total cost of improvements S e/od A mount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. �`� �� �X Remarks (Signed) 7f:9- v. Date /6A 19 O o STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. 4 (/ / 7 Dar 4 R Read, Sworn to and Subscribed before me. Disapproved Date (Signed) �C / Building Inspector My Commission Expires PLANNING BOARD DATE Notary Public, State of Florida Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. *SCALE: z 0 . DRAM BY: meowounimp sz‘ 9 4-25 bilt.4 a 425o (P) • • 0 7.• SKETCH OF SURVEY , - . ell _ hQR 5„ 1. _, 11..Arrtr.Z 4 LF o / Y' oP _ ) Li ( 11 /Q 4 - • , 2 t/ ,,..,. s. c".• w -, \Oil:Lc o r7G4 to T N-Nck... its.) CokK.• -. • 1 mcncey CERTIFY TO: ..... THAT rHE ATTACHED ., ... : OF SURVEY OF THE ABOVE DESCRIBED PR pERTY IS TRUE Atm cORREcT to DIE BEST or MY KNOMEDGE AND BELIEF AS nEcErriLY ... .:' • .SUTIVEYED AND PLOTTED UNDER MY RESRODsInLE DIRECTIok AND THAT THERE ARE NO ABOVE GIICOND ENCROACHMEtITS uNLEsS SHOWN .. •• THEREON. . 1 FURTHE CERTIFY: T THIS SURVEY MEETS THE MINIMUM. TECIIIICL STANDARDS 1 SURVEYS PunsUANI 10 SECTION 417_1327. FLQR10. . plan • STATUTES. AND ADOPTED IN CHAPTER z9-01.6, FLORIDA ADmiNts i RA I IVE CODE, EFFECTIVE SEPTEKA0Er1 1, 10111. AS AmENDED. DECEMBER ' ATED ATD.AvIE;T1S 4- DAY Of ,.......p.wiz,_ 1 70 . RnOwARD COtnny. Fionion. NOTE:: EXcERT WHERE SPECIFIED HEREON OR WHERE SHOWN DR•THE . .1. RECORDED PLAY IDENTIFIED 114 1HE LEGAL DESCRIPTION OF THE PROp. EnTY.Fon mis SURVEY. NO SF_Ancit FOR EASEMENTS, EncuMBRANDEs* NOR RICHT-Of-WAY OE necono HAS SEEN WIDE. NO EXPRESSED OR 'I I IMPLIED DETERMINATION or TITLE. TO TUE LAND DESCRIBED, IS MADE. • : . • :If. .. . • 11Z JOEI NO • v- • _CHECKED . :17 SAN D RA PROJECT • - • - _7. 1-‹ • • • • • • : %sr: $, 1,11; - P0 tttlig .;• t. 1 Date /23/:'y° Job Address 7q A✓e 2 v S i Legal Description Ceij' 3 c> Cc p Owner / Lessee / Tenant /Z 7;q ( - V - Owner's Address 5? c,' /VLF env 5 r Phone Contracting Co. L..,713 Co,,Z Address 6) ,r' s i - Qualifier NI, 4 57. Tax Folio - Master Permit # Phone e 0 5 1' 2 , State # Municipal # 2 2 Oo 0 Competency # - 2 45 o O Ins.Co. .2 2 c c) Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN /9S Estimated Cost(value) / , c_> a 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. nature of Contractor or Owner- Builder Date: S'(2)/ Notary as to Owner and /or Condo President Notary as to Contractor or Owner - Builder My Commission i Ex res: My Commissio . ''-" . - P y + L'e • '∎ P IQM!. NOTARY SEAL - C )TT W DAVIS 1 ssOP M1USION NUMBER ** * * * * * * * * * * * - 0425523 F * NV 'Z,Ot MISSION EXP. FEES: PERMIT 3 l v *" RADON C.C.F. P NOTARY - TOTAL DUES 9 ' Other Electrical Engineering BUILDING 11] MIAMI SHORES VILLAGE, FLORIDA d ELECTRICAL ❑ Date - PLUMBING ❑ PERMIT .N? 9930 ROOFING ❑ Owner of Building / L Architect Contractor or Builder Legal Lot 11 Description 11 BI Address of / c r v Building CONTRACTOR or BUILDER Work to be performed under this Permit Contractor's License No. Subdi- vision Sq. Ft. Value of t Amount of Project $ ' ` Permit $_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with am plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may he revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes reset n sibility for work done by his agents, servants or employees. o- Signet 4 (INSPECTOR) BY_ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation- pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING El MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL 1111 Date 19 PLUMBING ❑ PERMIT N? 9942 Contractor's ROOFING' ❑ License No. 1N Owner of Building Architect Contractor or Builder Legal Lot Description j BI Address of - Building CONTRACTOR or BUILDER Work to be performed under this Permit Subdi- vision Sq. Ft. Value of Project • _..._ - 1 Amount of 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliant.: with an plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or employees. Signed (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation- pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agynt, servant or employee. BY AUTHORITY Legend of Survey Abbreviations A Are Distance A/C (C) Ialculated CB CL CNx C/L ENC Encroachment ETP fIP Found Iron Pipe FIR Notes OH Overhung ORB PB Plat Book PC P/L Property line P0B UP Utility Pole WM T Tangent LME FLOOD ZONE; x Bearings, if any shown based on NOT VALID WTTHOUT TILE SIGNATURE AND NIE ORIGINAL RAISED SEAL OP FLORIDA LICENSED SURVEYOR AND MAPPER Alr Conditioning Pad Catch eosin Gnler line Electric Transformer Pad Found Iran Rod Official Records Books Pohl! of Curvature Point of Beginning Water Meter . Lake Maint. Easement '.FLOOD INFORMATION; Community Number: 120652 Panel Number: 93 Suffix: F.I.R.M. Index Date: 7-17-95 Base Elevation: Not Available Furey, John J. and Elaine PROPERTY OF: el OCR CBS CONC r0 (M) 0UL PCC P0C A AE , 574 N.E. 94th A BOUNDARY SURVEY I hereby certify that the survey represented hereon meets the rntnlmum technical standards set forth by the Board of Land Surveyors In chapter 110174 Florida Administrative Code pursuant to Section 072.027 Fla. Statutes. There are no ylcroach meets, overlaps, easements appearing on the Plat, other than as shown hereto Q l rruc. S1 s 3 PL. PROF. SURVEYOR AND MAPPER NO. •�� • l 11 -13 -00 • Cert i f i crl Tn ;inr1 Namnc Orowerd County Records Concrete Block Structure Concrete round Measured Overhead Utility Lines Point of Compound Curve Point of Commencmont Central Angie Anchor Easement CERTIFIED TO: Absolute Title Company, Fidelity National Title Insurance Company, Furey, John J. and Elaine and Wells Fargo Mortgage Group, Inc., its successors'and /or assigns. FIELD DATE 10 -17 —ov rnAri r.,A s BLDG Building CN Chord Dlstsnce DE Drainage Easement Fit Fire Hydrant National Geodetic Vertical Datum Plat NGVD PC PRC Page Point of Reverie Curvature PT Point of Tangency 0/S Offset LANNES AND GARCIA, INC. L.B. #2098 Surveyors - Mappers -Land Planners Page 2 of 2 R RAD R/W SEC SCR WM ) All Clearances and /or encroachments shwon hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. • b) The issue of this survey is only for the exclusive and specific use of those persons, parties or institutions shown in the certification. Any other Intended use will require written approval from the certifying surveyor or firm. c) Code restrictions and title search are not reflected on this survey. d) Underground utilities and encroachments, if any, not located. ©) The flood Information shown hereon does not Imply that the referenced property will or will not be free from flooding or damage and does not create liability on the part of the firm, any officer or employee thereof, for any damage that results from reliance on said Information. f) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of title are made or Implied. (reference) ° Street.. Miami ShnrpG . P1 nr i rla 33138 Ernesto E. Espinosa #2946 • Address: 359 Alcazar Ave, Coral Gables, FL 33134 (305) 666-7909 (954) 5234663 SCALE I DRAWN BY DRAWING NO 124165 Radius Radie Right of Way Section Screened SIP Set Iron Pipe SWK UE Sidewalk Utility Easement Water Miler ' 23 ee,o4' :P /Pell This property described as: Lot 3,. and the East z of Lot 4, Block 56, MIAMI SHORES SECTION NO. 2, according to the Plat thereof, as recorded in Plat Book 10, Page 37 of the Public Records of Dade County, Florida. 2 '' 93✓'c? 5.T Vi N SC,4LE; /. "' = 120'..._.:: 106 *Meets min. tech. standards set forth by the Board of Land' Surveyors pursuant to Sec. 472.027 & Chapter 61G17 -6 Florida Statutes. PROPERTY OF: NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF FLORIDA LICENSED SURVEYOR AND MAPPER. Furey, John J. and Elaine 574 NE 94th Street, Miami Shores, Florida.' 33138 A BOUNDARY SURVEY I HEREBY CERTIFY that the survey represented hereon meets the mini- mum requirements adopted by the F.S.P.L.S., the F.L.T.A., and the F.B.L.S. (Technical Standards S. 472.07). There are no encroach- ments, overlaps, easements appear- ing on the plat or visible easements other hen a own e FL. Reg. Surveyor No. 2243 DATE 6 -25 -8a 10 -17 -00 "Recertified ", Name revised; Certified _ e ! 7 c 1. 1 T' 1 ... 7 T ., f ,-.. - 4 .. _ ._ 1 r-, •• _. -. . , SCALE /// = ZO' To, Flood DRAWN BY G.L. Zone and Page 7 of 2 DRWG. NO. 184 -5052 02' c'. Pip Ho/ LANNES and GARCIA, INC. L.B #2098 - ERNESTO E. EXPINOSA #2946 ENGINEERS - LAND SURVEYORS - LAND PLANNERS 359 Alcazar Avenue, Coral Gables, Fla. P.O. Box 561131 Miami, Florida 33156 (305) 666 -7909 • Lagend of S lrvey Abbreviations A Arc Distance A/C (C) ,C CB CL CNr C/L ENC Encro..l...Int ETP FIP Found bon Pipe FIR 031 Overhang ORB PB Plat Book PC P/l Property Ike POB UP Utility Pole WM T Tangent LME FLOOD ZONE; X Bearings, if any shown based on NOT VALID WITHOUT THE SIONATURE AHD 111E ORIGINAL RAISED SEAL OF FLORIDA LICENSED SURVEYOR AND MAPPER Alt Conditioning Pad Catch Beeln Center Line Elecbk Transformer Pad round Iron Rod Official Records Books Point of Curvature Point of Beginning Water Meter , Lake Main!. Easement *FLOOD INFORMATION; Community Number: 120652 • Panel Number: 93 Suffix: J F.I.R.M. Index Date: 7 Base Elevation: Not Available CERTIFIED TO; Absolute Title Company, Fidelity National Furey, John J. and Elaine and Wells Fargo successors and /or assigns. Furey, John J. and Elaine PROPERTY OF: OCR Broward County Records COS Concrete Block Structure CONC Concrete FO Found (M) Measured OUL Overhead Utility Lines PCC Point of Compound Curve POC Point of Commencmont A Central Angle AE Anchor Easement , 574 N.E. 94th Street, A BOUNDARX SURVEY I hereby certify That the survey represented hereon meats the minimum technical standards eel forth by the Board of Land Surveyors In chapter 110174 Florida Administrative Code pursuant to Section 472.027 Fla. Statutes. There are no encroach manta overlaps easements appearing on the Plat, other than as shown hereto Pet i' &rrl.G- aft 3 FIELD DATE FL. PROF. SURVEYOR AND MAPPER NO. 10 — 17-- 0 0 mmilla 11- 13 -00 Cart• i f i r Tn ;In(' Nmmnc DWG CII DE Ffl NGVO P PG PRC PT Point of Tangency 0/S 00,. Notes a ) All Clearances and /or encroachments shwon hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. • b) The Issue of this survey Is only for the exclusive and specific use of those persons, parties or institutions shown in the certification. Any other Intended use will require written approval from the certifying surveyor or firm. c) Code restrictions and title search are not reflected on this survey. d) Underground utilities and encroachments, if any, not located. o) The flood Information shown hereon does not Imply that the referenced property will or will not be free from flooding or damage and does not create liability on the part of the firm, any officer or employee thereof, for any damage that results from reliance on said Information. f) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of title are made or Implied. Ouilding Chad Distance Drainage Easement Fire Hydrant National Oeodelle Vortical Datum Piet Pegs Point of R Curvature • (reference) Title Insurance Company, Mortgage Group, Inc., its Miami Shnrps. Pl nri r1a 33138 LANNES AND GARCIA, INC. L.B. #2098 Surveyors- Mappers -Land Planners Pago 2 of 2 Ernesto E. Espinosa #2946 • Address: 359 Alcazar Ave, Coral Gables, FL 33134 (305) 666-7909 (954) 523-8663 SCALE DRAWN DT DRAWING NO 124165 R Radlua RAD Radial R/W Right a Way SEC Section SCR Screened SIP SWIt UE WM Set Iron Pipe Sidewalk Utility Easement Water Meter • This property described as: Lot 3,. and the East z of Lot 4, Block 56, MIAMI SHORES SECTION NO. 2, according to the Plat thereof, as recorded in Plat Book 10, Page 37 of the Public Records of Dade County, Florida. ' /04,6 ' 23 E _._ 9¢ 70 ...... _ ST - €` • / t ■ N N CC. LOCH T/Ort/ 4 /-},o SCALE', /. "! _ / ZO'.....� d *Meets min. tech. standards set forth by the Board of Land' mo Surveyors pursuant to Sec. 472.027 & Chapter 61G17 -6 Florida Statutes. PROPERTY OF: NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF FLORIDA LICENSED SURVEYOR AND MAPPER. I. 10-17-00 N� 10 -17 -00 "Recertified ", Name revised; P1 -, n .7 T ., f ., ,-... ,_ ., .., . .� r. • Z2 ".. asfiha /f . �✓wi� _. . . :._ Furey, John J. and Elaine 574 NE 94th Street, Miami Shores, Florida' 33138 A BOUNDARY SURVEY I HEREBY CERTIFY that the survey represented hereon meets the mini- mum requirements adopted by the F.S.P.L.S., the F.L.T.A., and the F.B.L.S. (Technical Standards S. 477.07). There are no encroach- ments, overlaps, easements appear- ing on the plat or visible easements other han a ahown tieaon. , FL. Rep. Surveyor No. 2243 LANNES and GARCIA, INC. L.B #2098 - ERNESTO E. EXPINOSA #2946 ENGINEERS • LAND SURVEYORS - LAND PLANNERS 359 Alcazar Avenue, Coral Gables, Fla. P. O. Box 561131 Miami, Florida 33156 (305) 666 -7909 DATE d- W -B Z SCALE //' = 20' DRAWN BY G. L. Certified To, Flood Zone and Pa•- DRWG. NO. 184 -5052 PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE ' PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Sublad to compliance t h att Feder f State. County. Wage (Vas tut cegt6atton3. Mtge mums no rasponsINIty for eCCaracy aloe carets frost these plans Z rag copy of phut: must ba r(altabta oa building ette or to tn:pectton M ba conr:dad. JOB ADDRESS 57 g . E . 99 $ r & ( APPLICANT 't3'11\1(\ 4t E k€- Futrell, PHONE It APPLICATION #� SHEET . OF MISCELLANEOUS DATE Z D/VW v COMMENTS Jee/cL L/O 57. ��- 111 r ea r cz104 ./ l r' 1 A a_ rem l . CRITIQUE SHEET INITIALS PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ;-�, - \.`0 Job Address)( 5 7 9 7" Date �� 5? . Tax Folio //jMi S/% / e'1f A2 33/3f Legal Description Historically Designated: Yes No X Owne / Tenant( Z//A1 J hit./.; k /l1 ,A4 / Z/.et Master Permit # ‘\ 4 /e9S Owner's Address 74 A/ 7/e' d / 5 /J�eZ : ` / ' G • / 3 Phone ,96; .5 ' c' Contracting Co. 7J,ft 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 PAVIN WORK DESC ON}( fi /i,W Li, F�= �d C 'b r rr l'/' i/Al - h /er t& r/ tb// , esAfw`4L/ >' ec) 1//6 // j't G leeki/i e-1.45./7)6- (Pt eA.4`i ,4/56 Y/5, /Lig h/ ,tie,- 6) fl S/Dzf5 cap RecPeA y a)/i-6,9 3 /A„ /,Tit T vA;G :fi sc;,(.' ° 4 Ci (oW '% Square Ft. Estimated Cost (value) 76C To IL / G C <' I 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. 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT RADON Date otary as "o Contract ' or My Commission Expires: C.C.F. S NOTARY S. © BOND APPROVED: aJ: ") TOTAL DUE (4° Zoning � Building ' 4 7 Electrical , PUe</ AKG : A 1:4"; Y ECKER 2 .�� n uwidaszo i ?du aaER 4 �i wgPe�is Q CC788697 71, ELY COMk suuuoN EXPIRES (� OF FI NU ti. :5;2022 SIGN , Mechanical Plumbing - _ Structural Engineer I ®e' ® F' at/s6' WILL , ' i e L G eY/1 La ) BUT Re mqj a1 CAIity Li ni k As IT tX/ sT5