FENCEPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date FE13 5; fro Job Address 90 N E c r7 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Sib r - PE l SE Milt Master Permit # L 7 2 9 ■1
Owner's Address 1 6 0 NE 97 St. Phone 757 -4 3 '3
Contracting Co. 6 Uc %c l� Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRIPTION • &L LD
poops AGE /1 SouT14 SibE o
Lor. Co 8 -7D -t -ET Lotoe • 5 / MAY. H EsC N - j`"
S Ft E stimated Cost (value) ' ' 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 regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
43 gnature of Cctor or Owner- Builder
SIGN
oz
Date
Notary as to Owner and/or Condo President Date otary as to Contractor or Owner - Builder Date
My Commission Expires: My Commission Expires: Z. ,_C
- ..
OFFICIAL NOTARY SEAL
S ri SANDRA M MONTIEL
COMMISSION NUMBER
CC401261
1 0 COMMISSION .EXP.
AUG. 171 100
�/
FEES: PERMIT ' ` 0 • RADON C.C.F. r �a NOTARY 6 BOND
TOTAL DUE 4(5
APPROVED:
Zoning Building ' Electrical
Mechanical Plumbing Engineering
0
N
YX4 P.T. Sb' CL) !AILS
TIPYCAL Of 3
1XE T.T. WOOD PICKETS
(DOG EARED)
4X4 P.T. W000 POST
05'4)* QC. MAX.
SLOPE TO GRADE
Fence Detail 3/4"
S•0 •
co
FD. 1.P.
3� C.BS.
WALL
FD. I.P.
SKETCH OF SURVEY
SCALE : 1" =
2
a
97 th
E/P -A LLEY
P
GRASS AREA
12.14
11.76
OVERHANG
20.0
COVERED PATIO.
I00.00�
19.64'
0/H WIRES.
S T.
FD. I.P.
0.1 CL.
0
U
O.I'CL•'
•
FD. I.P.