299 NE 99 St (2)Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/�f Tax Folio / J J �rg Job Addresr� % � / fft' �� ,�a�d6 / `'/ j�`�1 °
Legal Description UM 229. 2 BIAUC 2 3 VIO l v w Sff zffi SEC 1 Avv D 1 I O/ - O
Owner / Lessee / Tenant 1/0 W LT E2 a.) F J I,)l & 4. Master Permit #
Owner's Address 299 N e cig rt, Sr vv) 1 If'11No Sf hSYjej Z '13,{' Phone ) 1T0
Contracting Co. OWNER /EUIL E Z 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 FENCE SIGN
WORK DESCRIPTION LYlSlam Fv.i2nC1, oloovi Iv' blot VDOYVv 04 Sure ✓DOVV
re 06 ce iv wIvi d oL,a c x 2 w t�. - piC4 e I�Ji d o�)S �
Square Ft. Estimated Cost(value) p2 50O
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 state •.
9Mw
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Signaty7 of Owner- Builder
Date: 7 Iff
�Ot,NY P"":;:.. JOSEPHINE CHURCH
o f / i' :Notary Puhlir Stata of Flond,
otap r as to Can >�r BOO n E�illpol4!>rt996
My Commission sp'�''���' No. CC197545
**
** * * **� * * * * *
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FEES: PERMIT '14 / ay, ✓ RADON C.C.F. 1 NOTARY .Ctle TOTAL DUE
APPROVED: Fire _ Other
Zoning Buildin?,�i1L Electrical
Mechanical Plumbing Engineering
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COMMUNITY NO.
1250 q €
PANEL NO.
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SUFFIX
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DATE OF FIRM
1)1 04 87
FIRM ZONE
BASE FLOOD ELEV.
(In AO Zone. usa dcpth)
N�/5,
FD IP
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PAVED ALLEY 151wI�E
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TI.IEQE AILS NO VISIBLE Ei4Cito 01 T1115
FLOOD I NS LI ANC E DATA
FD Ip
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COMMUNITY NO.
125o q $
PANEL NO.
DO 0,3
SUFFIX
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DATE OF FIRM
1) 104/87 I
FIRM ZONE
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fbAVED ALLEY
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FLOOD I N S L 1z- A INI C E DA T
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LEGAL DESCRIPTION
LOTS 2 /AND Z3
BLOCK
OF AN AMENDED PLAT of SHORES No t SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1 O AT PAGE 70
OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. ( Subject to all restrictions,
reservation! ,
ABBREVIATIONS:
R/W - RIGHT OF WAY
,FD - FOUND
RES. - RESIDENCE
N - NORTH
E - EAST
S - SOUTH
- WEST
IP - IRON PIPE
CDR. - CORNER
STY - STORY
PRM - PERMANENT
REFERENCE
MONUMENT
C..- CENTER LINE
I� - PROPERTY LINE
C.L F. - CHAIN
LINK
FENCE
N.F. - WOOD FENCE
N&D - NAIL & DISK
U.E. - UTITLITY
EASEMENT
(F) - FIELD
(R) - RECORD
ESMT - EASEMENT
D.H. - DRILL HOLE
0.11. -OVERHEAD
ELECTRIC
MARK M. KRAJNIK
REGISTERED LAND SURVEYOR s33 71
STATE OF FLORIDA
SCALE: 01.1..2 O I _
666-3547
663 -6390 FAX
464 -3876 DIGRAt BEEPER
easements and right -of -way of record. )
CERTIFIED TO: CITIBANK FEDERAL SAVINGS BANK, ITS SUCCESSORS
AND /OR ASSIGNS, ATTORNEYS TITLE INSURANCE FUND, FRIED & FISHMAN,
P.A., WALTER SMITH & JEANNIE SMITH.
S CERTIFICAT�o r� • 1 HEREBY CERTIFY THAT THE ATTACHED
SKETC O F SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY
SURVEYED AND PLOTTED UNDER MY RESPONSIBLE DIRECTION AND THAT THERE ARE NO ABOVE GROUND ENCROACHMENTS UNLESS SHOWN
THEREON. .
I FURTHER CERTIFY: THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL. STANDARDS FOR SURVEYS PURSUANT TO SECTION 472.027. FLORIDA
STATUTES. AND ADOPTED IN CHAPTER 21HH -6. FLORIDA ADMINISTRATIVE CODE. EFFECTIVE SEPTEMBER 1. 1981. AS AMENDED. NOVEMBER 17.
7986. 5 -
DATED: THIS I DAY OF A P 1? 1 L _ - 19 _ 3
• DRAWN BY•
'
LOCATION SKETCH
. SCALE : I Zoo'
ADDRESS: 299 N.E. 99TH STREET
MIAMI SHORES, FL 33138
UPDATED:
CHECKED BY: M M
N E 4 9 r:., ST -
NOTE: EXCEPT IFI
WHERE SPECIFIED HEREON OR WHERE SHOWN ON _ THE
RECORDED PLAT.IDENTED THE LEGAL DESCRIPTION OF THE. PROP -
ERTYFOR THIS_SURYEY; NO:SEARCH FOR
NOR RIGHT -OF -WAY OF RECORD HAS BEEN MADE.' NO EXPRESSED OR
IMPLIED' OETERMINATION OF TITLE. TO THE LAND DESCRIBED. IS MADE.
F.B: PG.
MARK M. KRAJNIK P.E., P.LS.
CONSULTING ENGINEER
AND •
LAND SURVEYOR
X 13 3.
3"
4900 S.W. 74th COURT
MIAMI. FL 33155
JOB NO. D I l3.
E T