325 NE 97 St (8)Date
Type Insp'
Permit No.
Name
Phone #
For Inspector:
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
X.401:111!
c,gooa s
Address ,39-5 + 5
Compa(y le-epA 4-1-(2%.
5.
/
1
)4,
Time
1Name & Date
11 j 2)r I' Li c.A.ea
Gu " e p if> r i, - cJ
r
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ace
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e re /((v r a
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspecp Reqqest„
i -4--7 - 7
Date. /,--' Tie
, ., ,, ii .--- i , -& , - 1. " )
„i°
Type Insp'n - -
&-:.,- - - - ,
Permit No. -)
Name (0 ti
, .±-' C7)
Address :.• I) R i L":, / l ,•
1" ---- fi- --
Company ,,.. -''- • ij • --- X- , ;/'.," i.
,-...,
2_
, ,
----
Phone
For InspectO :
Approve
Correction
Re-Insp'n Fee
Date
•
11.80'
00
ro
Co c. Walk --�
ONE STORY
RESIDENCE
#325
12.90
CI
28.40°
42.90'
24' Parkway
Wood
Shed
gi 13.40'
I 9.90'
n.
8
F
0.20'
0.20'
100.04' r
F.I.P112'
/ F.I.P112'
•
5' Conc. Waa
p
125.01
CC
1/4
1 501F(C) 125.08'(M)
1P,
0
11.80'
Asphal
�LC
s ' ) ) -\ ql (g
if) ,1C (.2 3
,C2 I ttiLC�`�C -�
(7,1 5 et (
f.. Walk
42.90'
ONE STORY
RESIDENCE
#325
24' Parkway
18.5' Asphalt
N.E. 97 STREET
Wood
Shed
\"
r 13.40'
F.I.PI /2'
9.90'
O
0.20'
F.I.P112'
. r4 .F.-., 3 1,01 • .. :;l 1 uI:T 1..y.�
',/4 ••! ;I• ' '
I t IWE:i.:'!•: ;':'•I ?.(;I e;:!, I.1;':n 1 .- ,... r: , ,1
a _ ; l r111 „r«
a I ,. a , .1 -1 0' 1 • . . 1 u -3 E
Legal Description:
T i 3.4' 1 , i3.9
,
:3TFU:1:1'
31111-1-. 71'
N. r..
(117: .IT:F,,�1 P~' "� . ;•lefi i lr.i F...i::41 ?I'! I'I'
L v ' �
: � 1- 1 ° 1 1 1 � .,. j t1, 1 1.`...H' :.' E r . i.i..I..� UJ .
• g N. F. * 97 1 5•r HEP t
'1 —
L ' ' il I r' ! ' :' 11 —F'i" ▪ ;, I, l al .;: .1: 1-r
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16 1 1 0 a F: A N D 1.3 0 U 1. L V A IL D •
c m" 1 ,ca.:r 1 -I n.lb. A•,•aiq*1.1.. o...,a,.c✓J .
0.20' LOCATION MAP NOT TO SCALE
Property Address:
325 N.E. 97 Street
Miami Shores, Florida 33138
Panel: 0093
Flood zone: X
Date of fieldwork: 11/4/99
Completion date: 11/4/99
Survey number: G -21806
BOUNDARY SURVEY
Lot 15, 16 and the West 1 /2 of Lot 17, Block 42, Plat
of AN AMENDED PLAT OF MIAMI SHORES
SECTION NO. 1, according to the Plat thereof, as
recorded in Plat Book 10, Page 70, of the Public
Records of Miami -Dade County, Florida.
Certified to:
Paul A. Stravinskas; Ernesto R. Osuna; Catlin,
Saxon, Tuttle and Evans, P.A.; Commonwealth Land
Title Insurance Company; PHH Mortgage Services
Corporation, its successors and/or assigns.
LEGEND
11
R
M
C
a
(.NCR
C.M.
F.I.R.
F.LP.
R
NtrD
D.E.
U.E.
PD.
p 'icn'ic
0.H.L.
P.P.
TX
CA TV
W.M.
TEL.
B.R.
CH
RAD
N.R.
A/C
B.M.
C.B.
C.
W
W.'RE OOD F(NC E
NAIL
PROPER CORNER
RECORD
PIELO MEASURED
CALCULATED
a(AR
ENCROACHMENT
CENTERLINE
CONCRETE
PROPERTY LINE
CONCRETE MONUMENT
FOUND IRON ROD
FOUND IRON PIPE
R;.HT OF WAY
NAIL & DISC
DRAINAGE EASEMENT
UTILITY EASEMENT
FOUND
PL
ASPH ALT
POWER
O' R(HREAO POLE UTILIT /ES
TRANSFORMER
CABLE RISER
WA TER METER
TELEPHONE FACILITIES
COVERED AREA
BEAR,NC REFERENCE
CNORO
Rf,DIAL
NON .RADIAL
AIR CONDITIONER
BENCH 1F/ARK
CF TCH BASIN
CALCULATED
GENERAL NOTES:
1) LEGAL DESCRIPTION PROVIDED BY OTHERS
2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS
OR OTHER RECORDED £NCUMBERANCES NOT SHOWN ON THE PLAT.
3) UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED.
4) WALL TiF.S ARE TO THE FACE OF THE WALL.
5) NOT VALID UNLESS SEALED WITH THE EMBOSSED SURVEYORS SEAL.
6) ONLY VISIBLE ENCROACHMENTS LOCATED.
7) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
8) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE
SHOWN.
9) FENCE OWNERSHIP NOT DETERMINED.
1 0) ELEVATIONS IF SHOWN ARE BASED UPON N.C. V.D. UNLESS OTHERWISE NOTED.
r1) BEARING'S REFERENCED 70 LINE NOTED AS B.R.
1 HEREBY C£RTIfY THAT THIS BOUNDARY SURVEY 15 A TRUE AND CORRECT
REPR£SENTATICW OF A SURVEY PREPARED UNDER MY O/R£CT1ON.
SIGNED STATE OF FLORIDA
RALPH SW£RDLOFF REGISTERED LAND SURVEYOR NO. .3411
SIGNED
SIGNED
CARL 1 an • /4171 ISTCR£O LAND SURVEYOR NO. 3762
SIGNED l
OE ACVILAR REGISTERED LAND SURVEYOR NO. 5571
arm O. MCNEAL
D.B.
D.
D.H.
0
ESM7
E.L.
F.F.
F.C.M.
F.P.K.
L.A.E.
M.N.
N. I.S.
O.R.
0. R.B.
P. C.P.
P.R.M.
PG.
PVMT.
P.B.
P.O.B.
P.O. C.
P.O.L.
P.C.
P.R. C.
P.7.
R.
R.O.E.
SLR
S/W
T.B. M.
7.0.B.
TYP.
W. C.
10.50
First
Financial
Surveyors,
Inc.
CENTRAL ANGLE/DEL TA
0££D BOOK
DESCRIPTION OR DEED
DRILL HOLE
DRIVEWAY
EASEMENT
ELEVATION
FINISHED FLOOR
FOUND CONCRETE MONUMENT
FOUND PARKER —KALON NAIL
LENGTH
UM /T£0 ACCESS EASEMENT
MANHOLE
NOT TO SCALE
OFFICIAL RECORDS
OFf IC/AL RECORDS BOOK
PERMANENT CONTROL POINT
PERMANENT REFERENCE MONUMENT
PACE
PAVEMENT
PLAT BOOK
POINT OF BEGINNING
POINT 01 COMMENCEMENT
POINT ON LINE
POINT OF CURVATURE
POINT OF REVERSE CURVE
POINT OF TANGENCY
RADIUS (RADIAL)
ROOF OVERHANG EASEMENT
SE ' • R ON POD & CAP
SIDEWALK
TEMPORARY BENCH MARK
TOP OF BANK
TYPICAL
Wi 71 /ESS CORNER
EXISTING ELEVATION
REGISTERED LAND SURVEYOR N0 2883
STATE OF FLORIDA
STA 01 FLORIDA
STA 7£ OF FLORIDA
SIGNED STATE or TENNESSEE
JAMES E. MCAL££R REGISTERED LAND SURVEYOR NO 7133
TH /5 SURVEY /5 /N7ENDED FOR MORTGAGE OR REFINANCE PURPOSES ONLY. EXCLUS/V£LY
FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT 70 BE USED FOR
CONSTRUCRON. PERMITTING. DESIGN OR ANY OTHER USE WITHOUT THE WRITTEN CONSENT
OF FIRST f,NANCAL SURVEYORS. INC.
8500 S.W. 92 Street Suite 204
Miami, Florida 33156
(305) 271 -3655 Fax (305) 271 -8499
2000 North Mango Road, Suite 202
West Palm Beach, Florida 5.,409
(561) 640 -4800 Fax (561) 640 -0576
365 Aulin Avenue, Suite 3
Oviedo, Florida 32765
(407) 977-7010 Fax 407) 977-7020
1187 Vultee Boulevard
AND AFFILIATED COMPANIES Nasbvill Tennessee ,ti7
L.B. 6387 (FLORIDA) (615) 366 -8432 Fax 1G :5) 366 -8477
Nationwide: 1 -800- 787 -8266 Fax: 1- 800. 787.8260
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, PPPL, vioW , does hereby attest that the
(property owner)
attached survey, performed by c?ia,* aocQhb vemg "g Qo
(name of surveyor's company)
performed on , 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
Further, Affiant sayeth naught.
AFFIDAVIT
Affiant is personally ow to tue,
eo.r po;„ mar ea ;, _
� ' e = Commission # CC 925828
j1„,
`, o= Expires April 6, 2004
n ded T n
Atlanti Bonding Co., Inc.
existence of any such structures may affect final inspections as applica•le
0110
- AS!
t/Property owner
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this iS day of ''•
is or other ermits..
as identification.
THE UNDERSIGN6D
Chapter 713, Florid
1. Legal description
_
hereby gives notice that improvements will be made to certain teal property, and in accorcance
Statutes, the following information is provided in this Notice of Commencement.
of property and street address: 32..(/1/E 9.7,ri k 7ia ' ' " .91e
with
-4r,- / 2 _. / . .•: 4 / , / ,(L� A�.O/7 �_ / ° .
r ,,i,„,,,,fizzi.,
■
4, ,,
2. Description of improvement:
�i ' f f
i f1 ‘2' 4 �/- tzei a ii/G, 4 1 7 4. V . '(/
6
•
,'
/ /
/ . l li,. � 0 a ' Xi fp✓/ST , ..Pr ji 4 i
3.Owrler(s) name
id i
and address . / ✓(7 ( i ce ' t • .
' ,Z ' _'
ry i , ..� gip
;'1ri*ast in property:
Name and address
/Ili4
�I', •
/� (/'. *P.
l "
of fee simpl i titleholder: /_ C, / 3- iJ�'V"
G ? . ,
.:: r:. . /t ; 0>/ 3,
4 Contractor's nari
ie—
and address: . f r / (., ,r G � C-Lt .(26
(3 7.
t 5 °• , urety :(Payment
E E 5 Lda.. ,
bond required by owner from contractor, if any)
s:
7. ' •T sons within t
by Section : 13
Name and addres
e State of Florida design - • • by Owner upon whom n• ' es or other do'curtlents may be sere
1)(a)7., Florida Statutes,
: ` -
s provided %t,
NI
8 a ition to himself,
'Ction 713.
Nerne'and address:
•
Ov{nei designate he following person(s) to recely • copy 61 the Lienor's Notice : ' pr
5), Florida Statutes.
:
vided in
9. Expiration date of
differ( n at'Sp3•
I
! 's
t ied)
F ANT � DA E. , ; n c0(,
O
Notice of Commencement: (the expiration dati r i� 6i1 c a o P a �e •
t HERE Y CE 1 v Ir.a t, rs u a true way cux . •
•
�_ an r hr o`rre day of ,, G _ )..
A D 20 1� u J. .
�:�9
/_-
_ ,
V. ' E •
' 4tr` = S m hand and 0!'cra; Seal.
RVEY ; J CLER of Circuit . nd County Cou i ,
taian&tur..
0t Own,
,
$ • J 1..i .. L I -m O. • . �r S'.
Print Owners Name
Sworn to and subscribed
•
Notary Public
Prepared by: '' ,1 - e?
before me this 1
•_
day of MarcA , 19 9009-
/ , Address: /0 y o kw /
��,G / Maro1aFr attco/Sa ns p„ /» r ay
C v
Print Notary's Narre
My Commission Expires:
�` � 3: .=com>atutuu I CC 9251328
�'"l t�2ol�• 54/n5 � .4 Expires April 6, 2004 '5 3 4' 1' •
. , • 4 1 (s•
1 Of , .^ .. Y ' AtlanticBoadingCo.,tnc.
• 123.01.62 1003
r.
111111011 11 vor e.vrntinci rmCIVICINI
A RECOR u ED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. •
STATE OF FLOR DA:
COUNTY OF DA a E:
TAX FOLIO NO.
02R 154396 2002 MAR 13 12:55
0
F.I.P1/2' ! F.I.P1/2'
15' ALLEY 125.00
'(C&M)
100.04'
! cn
b
0
5' Conc. Walk
L
125.00'(C) 125.08'(M)
Asphalt
N.E. 97 STREET
et
ONE STORY
RESIDENCE
#325
28.40'
WP
9'Asphag
42.90'
24' Parlay
18.5' Asphalt
Wood
Shed
N 10.40'
9.90'
Y
a
0
F.I.P112'
0.20'
i N. F:. In •• :il"NE1 1"
'15' � �•• > J.9• 17
L i-..r.m e:.i ..F F s :L
7 C
W w.4• rj,•r .y. I
N.
Legal Description:
loo S' rut:e:1• .
• dr.. : . •• °i.L. •
:iTR1'1: r
LL 911i1;k: 1"
I' ;1• 1.'.i•'.'.°Y r :.i..
t . � L �:rt r : t :1171:14.d.
0.20' LOCATION MAP NOT TO SCALE
? I
F.I.PI /2' I .. y . 3 L I L r..�. J , 1.,
1 1, �� s� - �l:.I, • . I 1jq .
,
Property Address:
325 N.E. 97 Street
Miami Shores, Florida 33138
Panel: 0093
Flood zone: X
Date of fieldwork: 11/4/99
Completion date: 11/4/99
Survey number: G -21806
BOUNDARY SURVEY
'" - �f":► ! -I'i i��_ .
•:� _ X ; F;:�: � . • � ��I:I:I;�.r s .
FS O U ..r 1. E. V ., A It D , ,•
I f:di•:- ., -.:,: T.�.: •.,, sa.a 7't' T .' . n. F °_•4ieir1:1. ..... _. o...5L1 ..: ✓ /�... •,f
Lot 15, 16 and the West 1 /2 of Lot 17, Block 42, Plat
of AN AMENDED PLAT OF MIAMI SHORES
SECTION NO. 1, according to the Plat thereof, as
recorded in Plat Book 10, Pale 70, of the Public
Records of Miami -Dade County, Florida.
Certified to:
Paul A. Stravinskas; Ernesto R. Osuna; Catlin,
Saxon, Tuttle and Evans, P.A.; Commonwealth Land
Title Insurance Company; PHH Mortgage Services
Corporation, its successors and/or assigns.
LEGEND
F.N.
1!
R
M
C
CL
F.NCR
C.M.
F.LR.
FLP.
R/W
N&D
D.E.
U.E.
r0.
P
Mn/ /X
O.H.L.
P.P.
Tx
CATV
W.M.
TEL.
LMEi=1
B. R.
CH
RAD
N.R.
A/C
B.M.
C.B.
C.
WOOD FENCE
WIRE FENCE
NAIL
PROPERTY CORNER
RECORD
Fe° MEASURED
CALCULATED
CLEAR
ENCROACHMENT
CENTERLINE
CONCRETE
PROPERTY LINE
CONCRETE MONUMENT
FOUND IRON ROD
FOUND IRON PIPE
RICHT OF WAY
N.41L & DISC
DRAINAGE EASEMENT
UTILITY EASEMENT
FOUND
PI A7
ASPHAL T
OvERHEAD UTILITIES
POWL.R POLE
TRANSFORMER
CABLE RISER
W.4TER METER
TELEPHONE FACILITIES
COVERED AREA
BEARING REFERENCE
CHORD
RADIAL
NON .RADIAL
AIR CONDITIONER
BENCH 1NARK
CATCH BASIN
CALCULATED
GENERAL NOTES:
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
SIGNED
CARL
SIGNED
S1Q tD
A
D.B.
D.
D.H.
DAV
ESM7
E.L.
F.F.
F.C.M.
F.P.K.
L.A.E.
M.H.
N. T. S.
O.R.
O.R.B.
P.C.P.
P.R.M.
PC.
PVMT.
P.B.
P.O.B.
P.O.C.
P.O.C.
P.C.
P.R. C.
R7.
R.
R.O.E.
SLR.
S/W
T.B.M.
T.0.8.
TYP.
W. C.
10.50
First
Financial
Surveyors,
Inc.
CENTRAL ANGLE/DELTA
DEED BOOK
DESCRIPTION OR DEED
DRILL HOLE
DRIVEWAY
EASEMENT
ELEVATION
FINISHED FLOOR
FOUND CONCRETE MONUMENT
FOUND PARKER —KALON NAIL
LENGTH
LIMITED ACCESS EASEMENT
MANNOL E
NOT 70 SCALE
OFFICIAL RECORDS
OFFICIAL RECORDS BOOK
PERMANENT CONTROL POINT
PERMANENT REFERENCE MONUMENT
PACE
PAVEMENT
PLAT BOOK
POINT OF BEGINNING
POINT OF COMMENCEMENT
POINT ON LINE
POINT OF CURVATURE
POINT OF REVERSE CURVE
POINT Or TANGENCY
RADIUS (RADIAL)
ROOF OVERHANG EASEMENT
SET IRON ROD Ar CAP
SIDEWALK
TEMPORARY BENCH MARK
TOP OF BANK
TYPICAL
WITNESS CORNER
EXISTING ELEVATION
LEGAL DESCRIPTION PROVIDED BY OTHERS
THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS
OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT.
UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED.
WALL TIES ARE TO THE FACE OF THE WALL.
NOT VALID UNLESS SEALED WITH THE EMBOSSED SURVEYORS SEAL.
ONLY VISIBLE ENCROACHMENTS LOCATED.
NO IDENTIFICATION FOUND 0/4 PROPERTY CORNERS UNLESS NOTED.
DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE
SHOWN.
FENCE OWNERSHIP NOT DETERMINED.
ELEVATIONS IF SHOWN ARE BASED UPON N.G. V.D. UNLESS OTHERWISE NOTED.
BEARINGS REFERENCED TO LINE NOTED AS B.R.
I HEREBY CERTIFY THAT TH15 BOUNDARY SURVEY 15 A TRUE AND CORRECT
REPRESENTAT/CW OF A SURVEY PREPARED UNDER MY DIRECTION.
SIGNED STATE OF FLORIDA
RALPH SWERDLOFF REGISTERED LAND SURVEYOR N0. 3411
A£L - MITH (STEREO LAND SURVEYOR N0. 3762
OE ACVILAR REGISTERED LAND SURVEYOR NO, 5571
CL YD£ 0. McN(AL REGISTERED LAND SURVEYOR NA 2883
STATE OF FLORIDA
STATE OF FLORIDA
STATE or FLORIDA
SIGNED STATE OF TENNESSEE
JAMES E. MCALEER REGISTERED LAND SURVEYOR Na 1133
THIS SURVEY /5 /41TEND£D FOR MORTGAGE OR REFINANCE PURPOSES ONLY. EXCLUSIVELY
FOR THIS USE BY THOSE TO WHOM /7 IS CERTIFIED. THIS SURVEY IS NOT 70 BE USED FOR
CONSTRUCTON. PERMITTING. DESIGN OR ANY OTHER US( /417M0(1T THE WRIT7EN CONSENT
OF FIRST FINANCIAL SURVEYORS, INC.
8500 S.W. 92 Street Suite 204
Miami, Florida 33156
(305) 271 -3655 Fax (305) 271 -8499
2000 North Mango Road, Suite 202
West Palm Beach, Florida .,.,409
(561) 640 -4800 Fax (561) 640 -0576
365 Aulin Avenue, Suite 3
Oviedo, Florida 32765
(407) 977-7010 Fax 407) 977-7020
1187 Vultee Bouleva'•4
Nashville, Tennessee 417
(615) 366 -8432 Fax 16 :5) 366 -8477
AND AFFILIATED COMPANIES
L.B. 6387 (FLORIDA)
Nationwide: 1-800-787-8266 Fax: 1- 800 - 787.8260
JOt3 ADDRESS
APPLICANT
PERMIT CIO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARThIENT•
SECTION
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
PHONE #
APPLICATION
SHEET OF
MISCELLANEOUS
3, Js 6JE ?7 so
DATE ZONING
, e47E vFY
CRITIQUE SHEET
COMMENTS
1. SubJect 10 compliance with 611 Federat, State.
Coc„- tty,Ydlaeo totes ted mutations. VKtago ass os
na re :ponslbltity tot eccutecy otloc tasutts (co*
t .ese clans.
2. Tills copy of piano moat b+ availabte oa
NRding site or ao inspection Yctf ba conducted.
INITIALS
11.80'
12.90' F ', 73 4
125.00'(C) 125.08'(
Sphak
42.90'
ONE STORY
RESIDENCE
#325
28.40'
24' Parkway
Wood
Shed
13.40'
9.90'
a
ate • Job Address
Square Ft. 9,D
FEES: PERMIT RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
..egal Description / fj Historically Designated: Yes No
Owner/Lessee / Tenant ACS/ $ / f'7l/1 •� Master Permit #
Owner's Address 3 2 r NL q7Z ,J'y /� /o,, $'�W>71U,7 Phone i50 f 7 Gi 2 77 0 j
te r / °6 " 7S �S/9 /
Contracting Co. 5 p > Gatey Address �2f�7 �(' j f/ C r '/`�T 3,7/9 '—
Qualifier w////0,7-1 , S
State # Municipal # / 2 4 Competency # Cc# C/1i 94)Ins. Co.
Architect/Engineer , Address
Bonding Company Address
Mortgagor
Permit Type (circleeoor e): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 5'L G�'16 J (/
AOrt e (L/GL' vs./ lsr/ �' �,�
.c Pr.!: 6 3o Pf lei %� , -k� , 4 /
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.
O A F AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
n and zoning. Furthermore, I authorize the above -named contras or to do the work stated.
e o' owner and/or Condo President
Date
Notary as to Owner and/or Condo President Date
My Commission Expires: ° "rp'' Marola Franco/Sans
Y P . �P.
° ..f , :, 'THComwiaaion # CC 925828
' <= Expires April 6, 2004
* Atlantic Bonding Co., Inc.
0 alasloa
C.C.F.
Tax Folio
SS# Phone / //6 3
Address
Estimated Cost (value)
5/a ci
Signature of Contractor Owner- Builder
Building Electrical
NOTARY BOND
es t.‘ Ube Sans
* *MY Commisslan CC843200
04 1 Explrea Juno 3, 2003
TOTAL DUE
21 slon.
Date
1_t
Not 'as to Contractor or Owner - Builder Date
My Co ssion Expires:
Plumbing Engineering
Permit Type (circle one):
Square Ft.
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204
Job Address ,� a ( Tax Folio
Legal Description Historically Designated: Yes No
Owner /Lessee/Tenet rAUU ,Y11-6 V ;r6K (
Master Permit # ,1 ! t
Owner's Address 3; 3 1 (f1 si HiPM1 -5 / • Phone
Contracting Co. t� " e to t -f %
Address
Qualifier Wi 6i2'1 Phone 3 -'?.Jt) l llr S
State # ` )-<,)- Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
WORK DESCRIPTION: a K-0 eCIL '
ELECTRICAL PLUMBING MECHANICAL ROOFING
Estimated Cost (value)
xr! c�C cc,
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 ANY 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). 1 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 all disciplines.
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.
Date Signature of Contractor or Owner Builder
My Commission Expires My Commission Expires
Date
Date Notary as to Contractor or Owner Builder Date
FEES: PERMIT RADON C.C.F
~ - Li o NOTARY D r-
BON °' (.--: APPROVED: TOTAL DUE 5 • 7 /. , t 0
Zoning l/ - ! Yi Building
Mechanical Plumbing Structural Engineer
"7
C Electrical