746 NE 94 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address X 746 N. E. 94 Street Tax Folio \\ — 3X0 WOC)
Legal Description LOT 8 AND THE E . 1/2 OF LOT 9 Historically Designated: Yes No X
BLOCK 65 OF MIAMI SHORES SECTION NO. 3, RECORDED IN PLAT BOOK 10 AT PAGE 37,MIAMI —DADE
Owner/Lessee / Tenant X William A. Arnold Master Permit #
Owner's Address 746 N. E. 94 Street —Miami Shores, F1 33138
Contracting Co. CARMAU CORPORATION Address 10801 S. W. 7ST #3— SWEETWATER, FL
33114
Qualifier J, 9 f3flEL t� y hone3os- cif]O - l31 y
State # Municipal # Competency # Ins. Co.
Architect/Engineer N/A Address
Bonding Company N/A Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVIN . FENCE SIGN
WORK DESCRIPTION' CONSTRUCTION OF PATIO MADE OF PAVERS ON BACK OF HOUSE I
Square Ft APPROX 450.00 S . Estimated Cost (value)k 1, 0 0 0
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.
4 C OI
e.. ce-0,4 et/0(
'' 04 _.Jz
e of o er and/or Condo President D e Si a of C r Owner- Builder ate
!," I- 5 9-� 1 11_o -1,3 3! °01
tart' as t./ • er : ��OS p . p ; giar;'' OTARY SEAL
P^ B <, ANGELA 0.9 BECKER
OOMMSSlON NUMBER
'.', IIP• Q CC786697
ci LW CO^" ISSION EXPIRES
OF FLO NOV. 1":1002
My Commission E
FEES: PERMIT (' V RADON
APPROVED:
Zoning al
Mechanical Plumbing
ate
No .. as to •,. +: - e,
Commissio I
Phone
(305)758 -6902
pp Ai.S` +Y t:AL j
CS� ANGELA M tiE: KEta il
\l " �j 0 COCOMMISSION `r.uLC
�iI a CC7a669i
a
Y� ' • '' O ci Q MY COMMISSION EXPIRES
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, i4. G4 tfa-,!1(V , does hereby attest that the
(property owner)
attached survey, performed by ( '31 ctc v (,�U iv� ( ` A 5' tvt, C
(name of surveyor's company)
performed on l `Yi 0 /0 , is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this day of
Affiant is personally known to me, produced as identification.
AFFIDAVIT
r
AffiantlProperty owner
Notary
STATE OF FLORIDA
STATE OF FLORIDA
(ACKNOWLEDGEMENT-INDIVIDUAL)
) SS.
COUNTY OF MIAMI DADE )
The foregoing instrument was acknowledged before me on by
, who is personally known to me or who has produced
as identification and who did (did not) take an oath.
Signature of Acknowledger:
Name of Acknowledger:
) SS.
COUNTY OF MIAMI DADE )
Title or Rank:
Serial No.(if any):
(ACKNOWLEDGEMENT - CORPORATION)
(Typed, Printed, or Stamped)
The foregoing instrument was acknowledged before me on by
, of
a corporation, on behalf of the corporation. He/She is
is personally known to me or has produced as
identification and did (did not) take an oath.
Signature of Acknowledger:
Name of Acknowledger:
(Typed, Printed, or Stamped)
Title or Rank
Serial No.(if any):
_•iT1N+.•
v
1 HEREBY CERTIFY That the survey represented
hereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments. overlaps. easements
appearing on the plat or visible easements other
Than as shown hereon
ADIS N. NUNEZ
Registered Surveyor No. 5924
S :ate of Florida
FLOOD ZONE:
NEI .
SINCE 1987
BLANCO, DANIAL & ASSOC. INC.
Engineers • Land.Survevors o Planners LB /1 4789
555 NORTH SHORE DRIVE
MIAMI BEACH FL. 33141
(305) 865 -1200 Fax (305)865 -7810
DATE:
/D - /O -00
SCALE:
1 "= 20'
DWN. BY:
F. '8(A 14 CO
JOB No.
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LEGEND : RIP= Found Iron Pipe
S.PCP= SET PERMANENT CONTROL S.P.0 = SET 1 /2 " PIN & CAP LEW769
M.H.= MANHOLE. WM= WATER METER. F `;D =rocna .`. -:1 5 Disc
F.. `1e: -_ ices Lase en
q= CENTERLINE. P /L= PROPERTY LIN_. PP= POWER POLE 0 /L= ON LINE L _
F.C.= FENCE CORNER, R= RECORD, M= MEASURED v - �-- E 1 e v . C_ :; r; G V D :tu-
CHAIN UNK OR WIRE FENCE= c.-- -,
W000 FENCE= ` 1 Locator Index L
MASONRY WALL=
CONCRETE= - . •, : •r •
NA.INTENANCE & DRFSIAGE E ASENES;? - -�A h . 1 . j
NOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES APPLY. :
1) Record and measured calls are in substantial agreement. 2) Bearings. if shown are based on Plat data. 3) The lands
shown hereon were not abstracted for Easements or other recorded encumbrances not shown on the plat and :he same, if
any may not be shown on this sketch. 4) Underground portions of Footings. Foundations or other improvener.Its were not
located. 5) Elevations are based on National Ge Datum. 6) Fence Ties are to the Centerline of the fens: e. 7) Wall
Ties to the face of the Wall. 8 g.kR r ivl ARE Datum.
TO AN ASSUOD VA;. -LE SAID FB F ?GE
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L O C A T I O N S K E T C H
S C A L E : N T S
CERTIFIED TO: WILLIAM A. ARNOLD AND VIVIANE GUTTER, 746 N.E. 94TH ST., MIAMI SHORES,
FLORIDA 33138., CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC.,
NORTHSTAR MORTGAGE COMPANY, ITS SUCCESSORS AND /OR ASSIGNS, ATIMA.
LEGAL DESCRIPTION: LOT 8 AND THE E. 1/2 OF LOT 9 BLOCK 65
OF MIAMI SHORES SECTION NO. 3 SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 37
MIAMI -DADS
OF THE PUBLIC RECORDS OF !COUNTY, FLORIDA.
PERMT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
AA'' (OWNER TO RETAIN COPY)
/Y
Job Address 744 c 5i-e.
Legal Descriptionid,91 -0 .- /modAr ,# •5'� Master Permit #
Lessee / Tenant 7i%4' 4 • e/
7S7- f-3
phone. ZZ -d 1
Owner's Address 791 /V� 945;
Contracting Co
Qualifier ,,,h Cep k
State # C4360_38964
' ‘).4 / - 1 I/1012,444 -
Signature of Owner and /or Condo President
Date:
Zoning
Mechanical
Competency# Z CZ /•0
Building
Plumbing
e Address 79' Ate
Tax Folio // %7&6 /4
phone 7S'8- 44
Ins. Co. j
y
Architect /Engineer N //t- Address
Bonding Company N/ /M Address
Mortgagor /VA Address
Permit Type (circle one BUILDI ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION ? r 40 a e•=2 C 7.56 h 5 il a Q
6o k e nc��e / /o ar /a G ke sled. mesh
Square Ft. 466 4 Estimated Cost .7 2 /pp.
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. 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 t - work sta ed.
Si ature of Contra
ate:
:'
.i/u_r_t !1 ..„„,./ ,i//L .' V /.t 1_, 1 . . '4' Ili.; 1 Ill /Ail—.
Notary as to • er and /or Condo Pre A . ent No ary as to Con ract rr Qy1pr Build
Ar
My Commission Expires PIIIIBILIIC, STA r OF Fa ®EtaDA. � My Commission Expires i COM✓�MHSCjONEXPMES:')c c. 1.9,1M
* 7A: 71: O ®IYJMS �O�1 %Pjk�S: fee. *1t 99. . * * * *LADED THR *NOTARY P'L dC UNDERT *: - - � 9 %
OR"9.� Tr R NOTARY Puurc UN ER'�✓Rb i i '94 II.
PERMIT FEE: APPROVED: Fire Other
9 7• 7 Electrical
Engineering
-- Builder
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