369 NE 97 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 9 6 % / vg P70 0 " Tax Folio
Legal Description / " A= 6 7 1 / on wally Des Yes No
Owner/Lessee / Tenant / / ` � AyL G / •P Master Permit # Tica6
Owner's Address 3 6 ? N • 6 - Phone &g-
Contracting Co. PIA y Address
Qualifier SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /A ved /, ``��t '✓ C/` /�'
Square Ft.
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 a e, . don the a . ched addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jun > ction. I j . d 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 th
construction and zoning. Furthermore, I authorize the above -named contractor to do the
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT L
APPROVED: 1 ,G 1 1
Zoning t7
Mechanical
1
B lil
Address
Phone
Estimated Cost (value) / 343 W
or
My Commission Expires:
11 be done in compliance with all applicable laws regulating
ted.
S 1:_ _l e o ��"•; tractor or Owner- Builder
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-' ' • - • FICIAL MOTA.i+V 3 L
.P U9 �, ANGE?.A M i3ECKER
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F C i4 . " . ^ , } A►ii %IONEXPIRES
OFFLO r • 2002
C.C.F. s. 1, 0 NOTARY S, 00 BONDS 0 ( .•
TOTAL DUE —/ 1)
3 E1 — ectril
Plumbing Structural Engineer
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N.E. 97" STREET
Note: /p 'ASPNA..r AsvFwlgair
• Underground structures, if any, not located.
• Bearings, if shown, are based on assumed meridian or Plat of Record.
• Lands shown hereon were not abstracted for easements and /or right -of -ways
of record.
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11
SURVEYOR'S SEAL
Unless it bears the signature and
the original raised sea( of a Florida
licensed surveyor and mapper, this
map/report is for informational
purposes only and is not valid.
REVISED:
7 -28 -,S r - vaTE
LEGEND:
CBS =
_
CLF =
Clr. =
Conc. =
Concrete Block Structure
Center Line
Chain Link Fence
Clear
Concrete
BOUNDARY SURVEY
1 Hereby certify: TMt the attached Survey was made
under my responsible charge and substantially enema
Dm minimum technical standards as sat toll by the
FLORIDA BOARD OF LAND SURVEYORS In Chapter
010174, Florida Administrative Cod., pursuant to
Section 472.027, Florid. Statue's. Than an no
encroachments. overlaps, easements appearing en the
plat or vhlble ea., .na other than es shown hereon.
ELSON MO.NCRENA
Registered Surveyor & Mapper No. 5504
State of Florida
s o .
n
4
M
ALLEY -
N;E: 77 T" 5T
LOGAT l ON MAP
scALS f a /OO
FLOOD ZONE X
DATE:
/ ?- i/ -96,
Encr. = Encroachment
Fnd. = Found
N/A = Not Applicable
Sdwk. = Sidewalk
SCALE:
/ "=20 '
DWN. BY
.M.
So
LEGAL DESCRIPTION:
Lot 21, Block 42, 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.
CERTIFIED TO: Iris H. Sanguinetti; Geoffrey M. Wayne, P.A.; Attorneys' Title Insurance Fund,
Inc.; Prime Mortgage Investors, Inc., its successors and /or assigns.
PROPERTY OF: Iris H. SANGUINETTI, 369 N.E. 97 Street, Miami Shores, FL
33138
MOJARENA & ASSOCIATES, INC.
Land Surveyors & Mappers
Certificate of Authorization No. 6698
10025 S.W. 83 Street
Miami, Florida 33173 (305) 2704967
BASE: /J
n
uJ
w
JOB No.
9G -8/2
PERMIT NO,
ADDRESS: •
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with eft Federal, State.
Coc nty, Viitage riles and regulations. Village assumes
no responsibility for accuracy offor results frost
these plans.
2. This copy of plans must be available on
building site or no Inspection will be conducted.
JOB ADDRESS
CRITIQUE SHEET
369 e 97 Sy�
APPLICANT
PHONE # /I
APPUCATION
SHEET OF
MISCELLANEOUS
DATE COMMENTS
INITIALS
M iami SIiorei
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (3051756 -8972
COVENA.r OF CONSTRUC ON WITHIN RIGHT OF WAY
�J
WHEREAS, /a /^ ' , hereinafter referred to as the Owner of the
(ow
following described property:
Legal description /folio #: 3 0 6 0 13 577
Lot
Tax Folio #:
requests permission to install:
)Asphalt,oucrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of
SIGNED. SEALED AND DELIVERED in the presence of:
Block Li ), Subdivision S S E C
36 9 /D-e 77
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this
A-MT)
pR[uECui-y
fPPRotf
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the V .ge causing the
item(s) to be removed and a lien being placed on the property and/or ••sense• ►: _ain the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be d eme• , cov- a running with the land and
shall remain in full force and effect and be binding on the un• rsi • ed, eir irs and assigns, until such
time as this obligation has been canceled by an affidavit filed nth P. •lic ecords of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully epresentative).
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned
'e � �
Affian ,��" /does hereby t, �� Y attest that the
(property er) /er'
attached survey, performed by 4/4/7+,�'eiJ`� 4211 /1 � �/�
performed on
Witness(sign and print)
Affiant is
(name of surveyor's company)
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 o
permitted or which may violate zoning or building code regulations. Tit Affipnt
existence of any such structures may affect final inspections as applicable t9 is or oty : p its..
Further, Affiant sayeth naught.
Affian i' o• o I er
Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this /� day of "VA
personally known to me, roduced /'Lj)Z S icti-- 5‘. (ptis identification.
OFFICIAL NOTARY SEAL
c. P�«' L M C
2 l 51-'4.1:
r n ANGE CO?.*. A so� ®E ru^.u^. an
- CC706699
=∎ G'+Y C O'.1°- 9210M EXIVIE.S
` OF F\.0 MOV. 53,1
roper which are not
er understands that the
PERMIT NO. •
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT •
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
I. Subject to compliance with aft Fedora!, State.
County,Village rotes sod regulations. Village assumes
no responsibility for accuracy *floc resutts from
these plans.
2. This copy of plans must be available on
bufding site or no Inspection wail be conducted.
JOB ADDRESS
DATE
0
APPLICANT
PHONE#
APPUCATION Pak> e_ r L� i- o f
SHEET OF •
MISCELLANEOUS
CRITIQUE SHEET
ire - VIc 5 t ( 5l �e
re_4 park its
flof Q[low
COMMENTS
INITIALS
o ,ec a45 e?tce a�
- 4e4&cc° `JI.c4 hey woo
V e Vl cr/(€. o t/1 Pro
p D i0Qr fo ci,e r
CD IA( ltAe Y-c Jtuvi 1v\ Pear i rnvt. e
O Cce --o Id lP
PERMIT NO. •
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT
•
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with nit Federal, State,
Cocmty. Vdtage tides tad mutations. Village assumes
no responsibility tor accuracy offor resutts from
plans. those
2. This copy of plans must be arallable ca
building site or no inspection win ha conducted.
JOB ADDRESS
APPLICANT
PHONE #
APPUCATION i#
SHEET OF
MISCELLANEOUS
° QG
ow
DATE
CRITIQUE SHEET
3 tP j , 7
irk. rL' .
2o1iw/
/ /q,, /S /!e c / r -
COMMENTS
INITIALS
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53.81,1
SURVEYOR'S SEAL
Unless it bears the signature and
the original raised sea! of a Florida
licensed surveyor and mapper, this
map/report is for informational
purposes only and is not valid.
REVISED: �a7E
7 -29-98
LEGEND:
CBS =
_
CLF =
CIr. =
Conc. =
Concrete Block Structure
Center Line
Chain Link Fence
Clear
Concrete
BOUNDARY SURVEY
1 Newby certify: That the attached Survey was toads
under my responsible charge and substantially meats
the minimum technical standards as sat forth by the
FLORIDA BOARD OF LAND SURVEYORS In Chapter
010174, Florida Administrative Cods. pursuant to
Section 472.027, Florida Stabilise. Thera are no
encroachments, overlaps, easements appearing en the
plat or visibly ea. ants other then as shown hereon.
ELSON MOJARENA
Registered Surveyor & Mapper No. 5504
State of Florida
So '
n
FLOOD ZONE: X
DATE:
/2 -// -96,
4
N
LLE. ? -�
NI,E. 97 T" 5�
LOCATION MAP
SCALA I" s 100
Encr. = Encroachment
Fnd. = Found
N/A = Not Applicable
Sdwk. = Sidewalk
SCALE:
/N=22)
2
50
LEGAL DESCRIPTION:
Lot 21, Block 42, 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.
CERTIFIED TO: Iris H. Sanguinetti; Geoffrey M. Wayne, P.A.; Attorneys' Title Insurance Fund,
Inc.; Prime Mortgage Investors, Inc., its successors and /or assigns.
PROPERTY OF: Iris H. SANGUINETTI, 369 N.E. 97 Street, Miami Shores, FL
33138
MOJARENA & ASSOCIATES, INC.
Land Surveyors & Mappers
Certificate of Authorization No. 6698
10025 S.W. 83 Street
Miami, Florida 33173 (305) 270 -6967
BASE: p4
DWN. BY
rJ .M.
A
JOB No.
96
w
w
f
ALLE.
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3,7o'
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io • 0
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/4.70
• ri.so
/2.
L ) N.E. 97"+ STREET
Note: /?' ASPHALT PIdvEMEor
• Underground structures, if any, not located.
• Bearings, if shown, are based on assumed meridian or Plat of Record.
• Lands shown hereon were not abstracted for easements and /or right -of -ways
of record.
x
4
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Pi PE
90 ° 3o' ,Z"
/0,75
/0.95
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