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FENCEDate / Job Fess °I° " fL � . � fJ E ° f � 1 S 4-, Legal Description Cagy /�a d S I i S (3 C( 3 6 V Owner / Lessee / Tenant A �-� f D N 19 S c7,16.011 tf E' �¢ / Owner's Address ( Li3C0 A=E, 9 C S'f'• Contracting Co. O W A4 S Qualifier SS# State # Municipal # Architect /Engineer Bonding Company Mortgagor Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE APPROVED: Fire Zoning Building Tax Folio /1-,32 "S° 0/6-0 Master Permit #3 Phone 7S 7 - SS 0 3 Address 3a me o4 S a i6 J Phone Competency # Ins.Co. Address Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION S i CQ2 6 GLVe. a ion, -Pin C. <1. W e o AAtaa. >� G-eK ov\ Se K s Square Ft. Estimated Cost(value) 13/00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR TS 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, LS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing nation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I stated. authorize the above-named contractor to do the work V itt& D S Signs / e p or Owner- Builder Date' tar as to y Commission * ** FEES: PERMIT RADON C . C . F . % NOTARY ( 411 ✓ TOTAL DUE 15( Other Electrical Mechanical Plumbing Engineering 8 M A AL 1 T iCv - .t • 5 Ftt e 6- Li f-Lf -A . I r i% ) " — - A 1 • / 1 ) 2 :,„ - (-• t 4 • el': ,,, 1 '1 ‘f" — • sS / 77 - -‘ • S e " X 7 _ jj • )- 1 N V ) I 1 I lit r Cc LLI• 1 : S . 1/4 2 cl.oep cc ,•1 c_tv■ a_ J.4 t rfl ) 3 ) ) 11 \I I A LA43,12 11.1PJAi Square Ft. Date Qualifier APPROVED: Zoning Mechanical Owner's Address Architect/Engineer Bonding Company Mortgagor PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Azgh , s1 Legal Description Owner/Lessee / Tenant , l 4 `9- ,1y, �J 1 ) 6 //4 & V Master Permit # 5 7 7 S Phone r 7 - rre) ow •/OO /// 11'a )(3 ,P) SS# - ,� Phone `/07 433- _5"( State # Municipal # (/ C9- 4 / 4 7 Competency # Ins. Co. Address Address Contracting Co. e, R, L T y /V M e tin Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN i f WORK DESCRIPTION �; / . re",C_ t ,2)74'4. -t. 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 compliar}ce with all icable laws regulating cons u ction and zoning. Furthermore, I authorize the above -named contractor to do the w et Notary as to r' er and/or C Ala :e g. °i + : to My Commission Expires: Q ; �N,tSSION . O J , �. � d).,BER �•� *• u4 0 v� �.� o :* #CC 568175 • a � FEES: PERMIT & o�' 0 0. s O ? ��� C.C.F. � ii MOO T , \\ Building Tax Folio Historically Designated: Yes No Address Address ' Estimated Cost (value) /6 7 d0 Signature of Contractor or Owner- Builder No :,'' as to Contractor or i er- Builder t No Expires: NOTARY Electrical BOND '7 ate 8/95 Date Rotary Public, State of Florida JULIE ANN LUTERMAN Commission # CC 721680 Comm. Expires Mar. 4, 2082 TOTAL DUE ... Plumbing Structural Engineer A Thi's property described as: The West 50 feet. of Lot 2 and, the East 50 feet of Lot 3, Block 2, • I:11RJ.,ETON SHORES, . according to the Plat . thereof, as recorded in. Plat Book 43, Page 80'. of the Public Records of Dade. County, Florida. Note: Underground encroachments and utilities, if any, not located. Vence,owncr.ship by. visual. moans only,-legal Owltersh.i.�) not det:erminecl. . FLOOD. ZUNI;: X � S7" 1, 's /9. with Surveyor's Seal. • .1 F/ PROPERTY OF: Sherman /) -/e7- 93 ,51tee /0/2. ai ' p(i le Ire ?i 35 N ►•j ./• •! / \ . `'1 5::) • Not valid unless embossed 1 A BOUNDARY 40w S /epl ;.v 1 SURvtY I hereby certify that the survey repre- sented hereon meets the minl'mum technical standards set forth by the Board of Land Surveyors pursuant to Sect' • n 472.027. Fla. Statutes. There are croachments,overlaps ease nts aring on the.patj bthg1 th as hereto. ' ' 11. 6)/7 7,5 01 1 Atl,`'1 J q� F \-_ 5' eit /f . J ._. Dana R. and . Sheman, Alan DATE / 4 v SCALE , ) Fla. Reg. tan Surveyor No '00 4,34 v,»I. ,s (2 v) • ity 96/A 5 7 SC,4c:c: //" =/50 DRAWN BY N Certified To: Town and Country Title Guaranty of m Hollywood, First American Title Insurance Company and /or Commonwealth [,and 'Title Insurance Company, Sherman, Dana R. and Sheman, Man D. and Circle Mortgage Corporation,, its successors and /or assigns. 1 / Z.O • A • - 1)., 1 N.E. 99th Street l Sha es, I �1 r.c'l LAN r N as ►.. ... K CY A, NC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134 Mailing address: P.O. Box 561131, Miami, Florida' 33156 DRWG. NO .40 ' 1.92-1..1.634