1180 NE 97 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date // Job Address ,t //1 O i1c/ f "~ 72 Tax Folio
Legal Description 1 o% 3 AO /fit / geer 8
Owner/Lessee / Tenant Mt &i C /
Owner's Address 4 / / & 2 / ? ! 57,
_
Contracting Co. 0 . S
Qualifier Po ia
State # e C OS O ikg,C Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Square Ft. / to d'C i/>
tii
Permit Type (circle one ` BUILDI G - ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /N 9 %/ L /)Tae-Go 7e0/c/'- i t) .&.)c Ti ea) - l
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 Condo President
^r r Zi A1.�1
FEES: PERMIT RADON
:C7
Notary as Own • or C inde ?Fps Date
My Co m Aiiiiitg tPiret:
C.C.F.
Historically Designated: Yes
33/38' , p
Address 9y I//9e
/ it) S' 7 !"G ' )
SS# Phone PS 9400
Competency # /220 Ins. Co.
Address
Address
Address
APPROVED:
Zoning
Mechanical Plumbing
Master Permit #
Phone 752 3 77 D
Estimated Cost (value) 9 6/.06
Signature of Contra
Notary as t
My Comm
�OF
owner,Bti l'dei?u
Electrical
or Owner- Builder
No
3 7O
Date
Date
TOTAL DUE ' "Od
Engineering
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Elevations shown hereon are with reference to the National
Geodetic Vertical Datum (NGVD) unless otherwise noted.
- .
NOTES
This property described as: Lot 3, Block 181, SECTION NO. 8 OF MIPMI
SHORES, according to the Plat thereof, as recorded in Plat Book 14,
Page 33, AND The East 25.00 feet of Lot 2, Block 181, REVISED PLAT OF
.TRACT 180B, S 'k OF TRACT 180 C, TRACT 181 A, AND TRACT 181 B OF Ti
REVISED PLAT OF MIAMI SHORES, SEC. 8, according to the Plat thereof as
recorded in Plat Book 43, Page 51, of the Public Records of Dade County,
Florida.
CERTIFIED TO: Antonio and Karen Valencia
NationsBanc Mortgage Corporation, its successors and /or assigns.
Attorneys' 'Title Insurance Fund, Inc.
Windsor Title Services, Inc.
M, S . SEcTIOIJ 3(10-37)
• 1s' 4NI - R/tJ -
F.I.P. = Found Iron Pipe CL = Clear P.C. = Point of Curvature CLF = Chain Link Fence CONC. = Concrete D.E. = Drainage Easement w
S.I.P. = Set Iron Pipe & Cap ENCR. = Encroaching P.T. = Point of Tangency WF = Wood Fence U.E. = Utility Easement RES = Residence n
F.N.& 0 = Found Nail & Disc t = Center Line P.C.P. = Permanent Control Point CBS = Concrete Block Stucco D.M.E. = Mime & Maine anoe easement RAN = Right-Of-Wei
A= Angle of Deflection A = Arc Length T = Tangent F.N. = Found Nail R = Radius F.R. Found Rebar C = Chord P.R.M. = Permanent Reference Monument
BASE FLOOD ELEV.
Underground features. if any, not identified nor located except as
maybe indicated hereon.
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This survey shows platted easements and rights -of -way. There
may exist additional restrictions and/or encumbrances which
affect this property.
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PROPERTY ADDRESS: I I N' E . ( 1 " c , M 1,6-M I , Ri-_.oa I DA.
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" , N O S VALID • .,
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CERTIFICATE BOUNDARY SURVEY
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SUPERIOR B U A V E Y 1 N O, INC.
PROFESSIONAL LANG SURVEYORS
9485 SUNSET Dance
F
M�AMIAMI. � FLORIDA
(305] 274 -5339
I hereby certify that this sketch of survey of the hereon
described property Is a true and correct representation of
a survey made under my direction and that said surrey Is
accurate and correct to the best of my knowledge and
belief, and unless otherwise s hown, th a visible
m en od hereon meets t Min imu m reT ere re no echn al Standards
� . : �
as set forth by the Florida Board of Professional Land
In Chapter 81017- tLFlorjda Administrative
Code, pursuant to ,Section= 472.0 7 'MO da tatues.
Date: 4 -11 -15 ��
SCALE: '_ 2O
JOB NO. .
q 5 - 04- 023
FL. Reg. No: 2243 P,OMAKJ M M. I-A►.rwEb
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11,S. Bra ,Inca `.
941 W State Rd. 7 .
„ Ttantation, 5L 33317
i Instrument Prepared by:
U.S. BrickInc .
941 N State Ri. 7
. L wlantation, 51 33317 ,
perty Apprai tefs•- Parcel. Idontliloatlon (Fol) Number(s)i`
NC
(eta fuIiom it mug concern;:
The undersigned hereby informs all concerned that improvements will be made to certain real property.
and in accordance with section 713.13 of the Florida Statutes. the following information is stated in this
NOTICE OF COMMENCEMENT.
Legal Description of property (Include Street Address, if available)
General description of improvements
/wi BSI& es& d- Y x i ag- pt) . st ✓ i w i-- besdec
Owner r ! 4-419A w _
' .. / /,�P� 97 .. h'21.. i?')/ C.
Owner's interest in site of the improvement 0& S /..,.bU°/VC.at / /1,0//
Fee Simple Title holder (if other than owner)
Name (��
Address /,
Contractor �{, . 1�. / -
�. 7 / 7 7(C^-, , 333
Address
/or .3 13IcX /// SeceT /h,,3 / //dLES
/ /40a Jr r 97 .9 f i / 710 / 3 3/3 Fr
Surety (if any)
Name
g/r)--
P/0--
Name
Si" /6
1
1
J
Address Amount of bond S
Any person making a loan for the construction of the improvements:
Name
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Address
In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (h). Florida Statutes. (Fill in at Owner's option).
Address
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HIE Or f'LORIUA, WIMP! OF DADS
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�✓ PRESS m
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SPACE ABOVE TNIS LINE FOR RECORDING DATA
,notice of (commencement
(PREPARE IN DUPLICATE)
9I'
nd and W'tct Soat.
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9L5R484262 1995 NOV 28 11:08
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