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1122 NE 98 St (8)J J 0 . la —� 1J m ` �I all i 7 ..id' /WA � 11 ,7 ,, I to I2.. P ip lr• Pn T' \, . \ N • • GtImA MEM —__ MILIIIIM ILIIIIMIL 1111EMIN /I - 7 l "9G7bve,e /F4s�/CO/edr eO ,44i/f 6X6 Xio w.4-46FO w/£ //./ "W.ae WKa 6 e ] G 7-0.7 (.2 tG F'A t - X , H 4- 10 >v n 0 U t. �l sv3 c-, . -_ c-0.(-, c" t i; t.) °: ___74 T f . ?>- Sri Cr- 1JJ::9,..l..:(.. ;_'i) i I !I ' 91 J-- ;r11 : G'h;) 52' /6 ' // a z A!e 07 33/3? 75/ eeaPct<s . / • • A • ; MIRACLE M11 E SUITE 204 C(RAL C,t F , FLA 33134 THOMAS J. KEL LY , INC. DADF ( 70,1444 - 1692 Prtwn (3os) 179- 328e LAND SURVEYOR FAx (i01) 401 - c094 • J 1 z. ct- Cc 4 P. 4 SKETCH OF SURVEY SCALE: I": :41 4 :4 9.9c. %s (I(F) 010?4.7 ;F- D991 ( 1) • 7 • • -AO ■Lv -1 • SURVEY N a 'Le 22.(a SHEET OF .LP. tIL PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date pjAgi Job Address /e/.3L. y*Ar Sf Tax Folio / J 5 ) g "Ol Legal Description � f/,' ,(�j� � l 9 12/Av s/ Master Permit # Owner / Lessee / Tenant flNV) %.14 ) Owner's Address Phone 7c_17 1/ere4 Contracting Co. �74/0" ��FTE ii tt- Address 7< .4.!4:44 -r7' A Qualifier AL;f4O0 /A. SS# - - Phone 2Sy --0aZ9 State# CCC' pj'2z Competency# Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION i Square Ft. /69Z Es timated Cost %� 2 S/,,re 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. al Sig.dtura of 0- er and or Condo President Date: a y as to Owner and /or C ndo President y Commission Expires: 1 * . * . * * It * PERMIT FEE: APPROVED: Fire Other Signatur of Con ra Owner Date: Not ? LJ , y as to Contractor or caner Builder My mmission Expires: ryi /i /r1 * * * * * * * * Zoning uild ing` L J I i Electrical u'Mec anical Plumbing Engineering App li ntiott is hereby made for the approval of the detailed statement or the plans and specifications herewith submitted for the build inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village arld all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not, 4 vr,py of approved plans and specifications must be kept at building during progress of the work. Date /0 — /0 ^ , 19.. ° v Owner's Name and Address �RTie /C /A �ULt iZ62 AL E. ?F ST No. /L f Street..,. Q.,? Registered Architect and /or Engineer , Name and address of licensed contractor W11!S.�F -- �?�iL ..�,�9 Location and legal description of lot to be built on: Lot Block Subdivision S and Number where work is to be done ii o :. - 9 ��.. _� r State work to be done and purpose of building (by floors) �1 ....t��� — _�c?�a. �,tY� c fill cc 4 770 — ,OFF co, —4., aso/t7 and for no other purpose. New Building Remodeling " Addition ✓ Repairs No. of Stories To be constructed of Kind of foundation Roof Covering $ a� Estimated Total cost of improvements S...40 Amount of Permit Zone cubage required .Plan Cubage Distance to next nearest building.. Size of Building Lot Maaiunum live load to be borne by each floor I hereby submit all the plans nnd for said building. All notices be sent to 7"i. /e /C /R a� • / Iri r ...........l..IAA .....N...• Ti:e un 1, r.. icr,ed applic:mt for this building permit does hereby certify that h of Libor under the Florida Workmen's Compensation Act, being Section 5966, C and h.,s complied with the provisions thereof, and will require similar compliance :n tl.c work to be performed under this permit; and will pest or cause to be poste or notices as arc required by the Act. The undersigned agrees to employ only suc 1, :r,nit, as are licensed by Miami Shores Village. Remarks (Signed). STATE OF FLOGIDA, COUNTY OF DADE. sc. Before mc, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- pcarcd to me well known, and w ,o, being by me first duly sworn, upon oath deposes and says that he is the. cf tl.c above described construction, that he has carefully read the foregoing application, and that he did sign the thucin by him stated are true. 1,!4'0 tS&w ... Permit No...,.. Disapproved (Signed) APPLICATIO' FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Ob Date ....]. /) © Date Building Inspector My Commission Expires PLANNING BOARD '1 reference to the building and its construction may s,57 . IYJrQmc :,S�o re i X2..4. 33/33 dcrstands and accepts his obligations as an employer fled Gen ral Laws of Flor .a, Permanent Snp n all co. tractors or sub.. tr t rs employe by him r inspect on on the site o a we k such ul,lic notice bcontra ,ors, on work • p rformc• ,p cr this Read, Sworn to and Subscribed before me. Notary Public, State of Florida DATE saute, snd that all facts Ciiair;nan Member \Icn.`,cr Member Merril)er T .—. Mcmbcr _ Council Approved Date Dis.ppreve<i Date NUT E: A charge of $1.00 will be made for making corrections or changes to this application niter approval has been obtained from the 1'Luu,it.:' Board. A re fee of $I.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.