574 NE 96 St (8)-,
N (0 O-r 7
Date 0 Job Address .'YW'n'1( 6 6 c= I FL- Tax Foliol/ &=;'W /7 AO e l
Legal DescriptiofiS Ad, f
Jo HA/ sic E
Owner . / Lessee / Tenant CO (.C.'DAJ T
Owner's Address 5 -� — � �' S lI E 7
Contracting Co.
Qualifier DAV j o L- (- RA I SS# Phone C3O Ca 8 g "" 05'11
EF✓1 P C. acf eiZ5 of ct) A 3 4 )
� �/ '� AR� cS �J C- C:.
State #00 0309)2 ®- &Q Municipal # 00` ompetency #00000610 // •J.ns.Co. ��� sT�rc-
A!,44
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRIPTION
Square Pt.
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 regula construction and zoning. Furthermore, I
authorize the above -named contractor do the work stated.
Signature of o
Date
Notary as t
My Commission
APPROVED:
Zonin
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
CaA� 4 , 1/11 c .
7, aLt il .
and /or Condo President
and or Condo President
Expires: NOTARY PUBLIC. STATE OF FLORIDA.
MY COMMISSION EXPIRES: JAN. 27. 1993.
BONDED TWRU NOTARY PUBLIC UNDERWRIrFR9.
** * * * * * * * * *
FEES: PERMIT .A o! RADON C.C.F. a
Address PO. &)( & 8V qg IT �g
Estimated Cost(value) R
Signature of Contractor or Owner ilder
Date:
*
l ary as to Co ract" or er- Builder
My Commission
* * * * * * **
NOTARY
Plumbing
Master Permit # ,5.J5
t3o5) %59-
Phone ( I � � ) ( 3 0 5 ) I 2.-01
it A
FENCE SIGN
1RpUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: JAN. 27. 1993.
now NOTARY PUBLIC UNDERWRITERS.
Y TOTAL DUE g " 90
Fire Other
lldin J "� Electrical
Engineering
I
( This property described as: Lot 3 and the East 11 of Lot 4,
Block 54, MIAMI SHORES SECTION TW0, according
to the Plat thereof, as .recorded in
Plat Book 10, Page 37 of the Public Records of
Dade County, Florida.
i
e 1.4.5401,7:44
Not valid unless embossed
with Surveyor's Seal.
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L '
l 'O
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4, I r: c ,3 1 c , 7 P '«f, ,►
PROPERTY OF: Steinmeyer, Jon H. ,
o�•�
4 '. <
A BOUNDA1.Y SURVEY
1 hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set 'forth by'thc
Board of Land Surveyors pursuant to
Section 472.027, Fla. Statutes. There are
no encroachments, overlaps, easements
appearing on the Plat, other. ;han as
shown hereto. z ///4/ 1
Fla. Reg. Land Surveyor No.
4•11.1A Vz ,
DATE
2
•w
v ! )
.i ii
4
Note: ! Underground
encroachments and
utilities, if any,
not located.
.Lo •oa'
/'2' FLOOD ZONE: X
GC '
Certified To: First
Financial Title Company
of Florida, Ticor Title
Insurance Company,
Steinmeyer, Jon H. and
Home Savings of America,
F.A..
1
•
574 N.E. 96th Street, Miami Shores, Florida.
LANCES and G INC.
ENGINEERS •- LAND SURVEYORS - LAND PLANNERS
Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155
Mailing address: P.O. Box 561131, Miami, Florida 33156
SCALE DRAWN BY -' DRWG. NO
r .1_4,=4.0' 1.90 -2503