DRIVEWAYDate /c2 / Job Address 57f j ���$7- Tax Folio
Legal Description L (y, ,JJC '7 3 Historically Designated: Yes
Owner/Lessee / Tenant JA rn P .. 1 P n n t e J'7 & 2p i _ / Master Permit # 34ef33
Owner's Address X '7'i N E. q '7 cs }- " 09- S%p rP_ S Phone 7 7 - ( / 3 ..-) (�
Contracting Co. /i�/Z n l 5 1/C ( 7:7 ``J // 7 •7
j � ;Address /
Qualifier P/e r4 2 f7 A 2 6 i2 C� SS# Phone�OS y � t (.- :39.3
State # r Municip # ,3 O _a 9 Li y3' Competenc # �' / 4'O Ins. Co. • r /V3
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION A7F &c.) CspMill- l ".l (' ('. a / 4. i b r2 I UP /On ci
Square Ft.
IWO
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
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.
Si _' a of o e and/or Condo President 1 Date
JAMES 9.. PE
f Wotan/ Public grata of Flnr?r951
Notary as to dvdiiir dY t r Condo Piaysfa4e 9 • Date
My Commissi cpiressa• CC2b3703 .
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
C.C.F. /00 NOTARY TOTAL DUE 9r'®
Estimated Cost (value) 4 /3 - 6 ()
1__... �JGvtfri -.)
Signature of Contractor Ni ,, er- Builder
t I Jr' ry Public fzIr n at cinr■rtS
Notary as to Cc 1Eracssitruro€ vmer'4Bntlder'9T
My Commission ExpirJ°. CC23 `'
Electrical
No
Date
Date
Plumbing Engineering
l irales'c■ 4e %irm v
8.`15 `1T13r
I'Yl t tarin i ShD•t e5 1 '33 i 33
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10 -9 -95
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42 J.
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PROPERTY OF: Merry,
Not valid unless embussed
with Surveyor's -Seah,
il4
76 •c1C .9• ,�'• ,
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James
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co
Srtck-
rt l E rba co
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s� , 20
A BOUNDARY SURVEY
1 hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Board.of Land Surveyors pursuant to
Session 472,027, Fla. 5t Mites. There are
ndencroacftments,o rlaps,easements
aPped 'Kg on the : at, other than as
sh.. hereto. •
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9110
0.60
B. and Jennifer Riley,
3
-7,o�pe Ld C.4 7:/a/ 4/AR .
Z -.
G. This property
described as:
Lot 22 and the West 'I of
Lot 23, Block 73,
MIAMI . SHORES SECTION NO.
according to the Plat
thereof, as recorded i[
Plat Book 10, Page 37
of the Public Records of
Dade County, Florida.
Note: underground
encroachments and utilities,
if any, not located. Fence
ownership by visual means '
only, legal ownership not
determined.
FLOOD ZONE: X .
FLOOD INFORMATION:
Community No.: 120652
Panel No.: 93'Suffix: J
Date of F.I.'R.M.: 3 -2 -94
Base Elevation: Not available
Certified To: Rapid Title
Services Company, Attorneys'
Title Insurance Fund, Inc.,
Merry, James B. and Jennifer
Riley and Merill Lynch Credit
Corporation, its successors
and /or assig s .
� /Ye4t5 - c/cCe/
c ) - C %/0fed
CeM`er. . Lime .
//te = .._...Rih, of (Oz
• . 879 N.E. 97th Street,
1•
3►
' .Lainj. � ores, oria u 3 1313 .
LANNES and GARCIA IN�.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS'
Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134
Mailing address: P.O. Box 561131, Miami, Florida 33156'.
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F . R Lan. Surveyor No. 4327 DATE SCALE DRAWN ,BY DRWG. NO
16ve sv Jc3 ¢,;3.., / : . 20' C . , . . 2 - 0 0 . 1 9 1 - 2 7 1 9
"Recertified" Flood Information added, R/V "
Certified To and Name revised.
35971 •