308 NE 96 St (8)i - PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date &e
' Job Address .,-s 8 !/7 9// ,4
Legal Description e ,::
Owner/Lessee / Tenant Ali
Owner's Address () 6 • efi 6
Contracting Co. A A- ,4
Q►mlifier i l 4' / 4/d M - <' *-`
Tax Folio
Historically Designated: Yes No
State # Municipal # Competency # 1 7,.2
Architect/Engineer
Bonding Company
Mortgagor,,:,,,.' —�.. - --
SS# Phone r Zf %, C %r 7i f
Address
Address
Address ` -
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING t " "E' SIGN
WORK DESCRIPTION /A/ c Z'
&*) /L,_'_ /e/ {e.C4 (A-L' .14otl/t%4 / /
Square Ft �,/.� L Ca - q
Estimated Cost (value) / V 7 s
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 regulatinconct and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
1
Signature of owner and/or Condo President Date
/ / r
Notary as to Owner and/or Co resid `
My Commission Expires:// 4- 1/
;a f> ‘ Z
/,-' - 3 / ' 4 02 .
FEES: PERMIT'D ✓ RADON
ate
x
APPROVED:
Z o n i n g Building -�% H' ? 1
Mechanical Plumbing
Master Permit #
Phone
Address / 4 4'.- 7- (rd
ature o Contra t' or Owner - Builder Date
• //'/ 9%3
Notary as to Contractor or Own - Builder Date
My Commission Expires: /// Z'/
' c'.c•v 2,3e s
C.C.F. /. oZ D NOTARY -- C BOND
Electrical
6 / 3? ), b
Ins. Co.
• / / 2�
TOTAL DUE `y/
Engineering
40, GO
yp�Ac� 2/w es
.•t J�
� D 4
11 • J
2 •, 89
Q '
•
'
o
,
.1"/A.7
/-,d /c
;VG "4404.,. •
4 a .• o /3/00''
c!! - ,.28'
T- 2,, /p'
,¢ • 2 5 /od'
Q
.5 90
7 4
/4' (a
G¢ /5
/4f2, - 1.9
( ,,, x .
9
m
N, /G • • j NG • .1-/ c- -7 •
a /42, 7/ . -60 /4 - .
�� - , i
. ,4 // ,, :e .
.o 4,cb
8 j /9,e A o'h p4 ✓E M
.mac 1
A
(J L d
L- _
f)
(-
4 41
b Di
•
FIELD DATE
IPt. POP. JILVI LTOa.ND...Nra NO.
' 9
6.0C.- 7
•
SCALE
This property described as:
Lots 8-and 9, Block 44
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
Dade County, Florida.
PROPERTY OF: Pincus, Mark W. and Ann D., 308 N.E. 96th Street, Miami Shores,
Florida 33138
LANNES AND (:ARCIA. INC. -
L13. #21)98 •
SIIItVE:YORS- MAY1'E:R.ti -LAND I'LANNEILS
ERNESTO E. ESPINOSA #2946
4/T \'AIJD WITHOUT nu:.5/QuiURE A BOUNDARY SURVEY
AND THE ORIGLNa LAD �,� certify Mar the iurrcye.repre-
iunttH.A IJ('L•'f�f:D JIIR \'El'OR
..710 AIAPPU tented hereon meat the minimum
technical uandardi it forth by the board
of land Sumeyon in dupes 41C7 4
Florida ndnw+ierrative Cooe pursuant to
Section 472427. Ra. Sumacs. There se no
encroachments. overlaps. comments
appearing on Me Flat. other than as
teto.n l�aefo. Clfucr ;dt:: a:; 359 .�1.7Lar .■:cr.ue, Coral Gables. Florida 3.3!.3.1 / t� 1� •- � / IJUS) 0436-7909 1954) 32.3-b66J
DRAWN BY
Page 1 or2
DRWG. NO
85926