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PAVINGOwner's Address Contracting Co. `! S jar �� 1c to trL Qualifier J , State # j d 13 5' Square Ft. FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /R7 ( f Job Address o 13 N E S r Tax Folio ao Legal Description (..c5 i' 14 , Le 51 w I lz b- cal \ 1 o 2 ) Historically Designated: Yes '� No T3 \tG 3Z, wV . Skon- i ` n Owner/Lessee / Tenant • S V✓1 s +c r Master Permit # 4 / 3 / i30,d Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROO 1' PAVING FE ►'CE SIGN WORK DESCRIPTION l'1.5 hi \t VtA *tf �O LKi%1� t ), , Jl W cy a. "peci \l €mot - L WARNING TO OWNER: Y •hU 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.) titc kcd q8 Sr- Phone 4 q 1 5 b tt gd2 Address /PI i ^ 0.. i. - 3 1 SS# Phone 7 I Z 0 O 1 Municipal # Competency # 9 o I Zt Ins. Co. VA 1, p6tl< Arc 9 i?o ✓C T F— x s�.. Estimated Cost (value) S' 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 own ner and/or Condo President Date Signature of Contractor or Owner - Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Commission Expires: RADON C.C.F. NOTARY BOND TOTAL DUE APPROVED: t • Zoning _ Buildin i/ h 'J Electrical i Mechanical Plumbing Engineering Date Signat Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 41 /71 Job Address 7 3 A1,E, 9$ 5r. Legal Description Coy` IF £es. essee / Tenant Owner's Address D .aJAr. p'Ni a. Shore,, A. 3 3, 3 e Phone Contracting Co. c1.5, SYSTrMS / /t. Address 9yl A, STATE 7 :rita' t. Qualifier NjP''r'1 -J 60 SS4t Phone 95 - I_ 740.-007t State #_0 0 S Municipal li Competency # o ld/ - Ins.Co.>4it(4✓LI SL112 Architect /Engineer era Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PENCE SIGN WORK DESCRIPTION /il7SI A /A) I- OcKlii6 61C4! 10 7t) Ex's Square Ft. Diet Et 11 �'9 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 cons ;uctios and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Airildedia Not =ry as to Owner and /o My Commission Expires: G fn rt', owner and /or Condo President ff. � ' - ." -RU ATLANTIC BONDING CO.. INC. u.9 1 (Z O O il (.a ao<.', AK 3z /Yl / 3 hc7'e a 4/6 kce Master Permit # PI& Steve Orme leCommiseion # CC 733008 gre4e ��d A2cA Tax Polio Estimated Cost(value) 1 57606 Signa Dat of Contr ary as to Co -,• r otto ctor or Owner- Builder Steve Orme Commission # CC 733008 lder My Commission Expires : CdONDINGCO.,INC. ** * * * * * * * * * * * * FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Zoning Building Electrical Mechanical Plumbing Engineering Maas Nil lbtt Fm. Ne. Permit So. � NOT1ct OF COIMNcIUINT STATE v� s..� � JO VY4 > Aol OF FLORI THE UNDERSIGNED hereby dvss no&oe Mal latproverasnt WI be made le Min reed property, and N accordance with Chapter 713, Models S$ w. E9a lorot+r114l inter taan N Pry/4W IN no Nodes of Commencement 1. Oesai$onpt propeq (teal deecd tdon of O.up4tt and Met a0ttioo V awwble) 1.01- l fIR- 4 8fodt Subdttlwon Mtam' S hoos Street address: , a73 E. y 1 sr. P4 Moil S t*? 2E 5 / Ftr. 3 3 /3. c n.rtidescriptionorImprovoment Installation of interlocking brick pavers 3. Property Owner Name: a. Mailing Address: b. Interest in property: c. Narne and address of fee simple titleholder Of other than owner): 4. Contractor: to r: a. Name and address: U• S . Brick . Inc . 941 N. St . Rd. 7. Plantation al. 33317 b. Phone number: 954 Fax number (*pior9af. If service by fax is acceptab1e): 95 792 -3332 5. II Surely Bond: a. Narne and address: A b. Amount of bond $ c. Phone number. 8. Under: a. Narne and address: b. Phone number. 7. Persona within the State Florida Statutes: a. Narne and address: b. Phone number: . F ax r u m o . ��. L L. an oath, INa _L2_ day of Signature of Notary Primed Name of Notary SEAL N/A Fax number Copland. d service by fax Is acceptable): of Florida designated by Owner upon whom notices oroltter documents may bo served as provided by Section 79 3.13(9)( N/A Fax number (cgonal. if service by fax is acceptable): 8. In addition to himself. Owner designated the following person(s) to naive a copy of the Winces Notice as provided in Section 713.13(1)(b). F.S. a. Name 11 / e b. Address• c. Phone number: d F be r ( U on a1 if service by fax is acceptable): 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a dtferent date Is sptecifed) Signature of Owner Owner's Name X Owner's Address Signature of Owner Owner's Name Owner's Address Swom to and subscribed before ma by . who Is personally known b me or produced � S't��l � niZdti € as Ideal :don, and who did tat o rP Steve Orme ,Commission # CC 733008 ai�.f Cpttes April 12, 2002 '�•• BO NDEDTHRU p� • molt BONDING CO., INC. Fax number (optional. it seMce by fax is acceptable): • : OF FLORiI5 COUNTY �.. 71EBb CERTIFY that this is a true copy tj rt6inolfilod in this offico on P { ®y A 0 '9 V ✓.YNESS my hen and Official Sool. f'" :111i:Y RUVIU1,CLER6(, of Circuit mnd Count! Cri.' J • • , 777-- . • .. , • /L= • :; 7 6 .•1 ■•■••■■•■•" •-••••• - �'© @ 'Epoe4 S7 - 2 • 00/ , ••• N ° 4 "t . •, .. • . - - • d-,?" *•- T /442 I /Rev _ f t/ 9 (t ie • 125 it■ .9.80 - "" c) ": • • °(,,' • , • • \ •te, 1.1 . • „ - , • : tb. 4 1. • n:. . • . e •••••••.••• - • ;•••••••••.... r • ./9 072d c"/ : . - • — : ; • 1 4 11 4\ ME NI D PLZ\ ... 1 - : o• o.• • • : • 10 70 •f I •• OF . M. 175 01-2-ef 'c t■--1 1 . 0 ir kfiC3 TY; I CENTIFICAMN I II •bfy VIM • the Siam uf tne prupscy deices's:I hereon Is bus and correct lo Ma • oest of Iny knowfoop and but .1 a. sunned sallow dir..- Ass ten! Me no ,1% 1015 Mitt . 0 nrwts / • 7 $r /Z #:g469 92L 909 MIAMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CE .T ` % ICATE OF ' PROPRIATENESS NAME OF PROPERTY (Ifepplic.bts) : A, ADDRESS OF PROPERTY: £ `� E Sis IYAME(S) OF APPLICANT(S): 2102. , s (NOTE:1PTHE APPUCANT IS A PERSON CHHER THAN THE OWNER(S). MOMS YR > OF THAT PERSON'S AIRHOR1TY AS AGENT MUST BE ATTACHED '1 TOT= APPLICATION.) TELEPHONE OF APPLICANT(S): (305) ; ( ff5 - 760 1 ADDRESS OF APPLICANT(S): (if dlllINat ems oddest ttmrepen) ?REMIT USE OF PROPERTY: R�Se CLASSI1CATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the woes ono to aba appropriate clams A. kiROMINAOSILMali. The au at prises of applyin noremeass to main ado Wed%Ns imply .ei estuarial of s Wading re att>uare end the miming ihren or spans ewer af s as {4 any include i+idel unitilloodes sert. otters olotassry, so mod a envi.daneh.e.memil optic Samples ofmol tal ewe besnbmitsed whit duo Agpaettien RESTORATION: Too prase of suastesigy amorodhs d a t i p end Main of a peoportp sad do seeing ■ to seamed m perda.leri peiod of time by mum of ate MEW of haw mot Of by ISo gualansoll of nine* oil's on& AO samilostiono ®r naandieo dnfl Made ewe plop (f c poked by die Pernii • Msreess If lb insitheiss the sok mod arc ededtiond Sass or imfas uion to Amman IAs propmsd wade WA21P.UTAYION: the pacm5 sf enatoise a wintry to a sum shaft direagts wee at Sends dhistl slew p lab err statism conteme ttry use urge somrstai char portions or WNW ar the papaw Sidi ns sipiliam d is hicimicaL tomblisemeol apd shore] sable. A® split:Was for talrbilintion shat] brcbtde t3s plan ((f remrind by WON' Fatal* and say altar aapptstsry isionnstion. swab m &sing& that SU sops dti propose] project. D. p, QLOWN: '9gGe pmema of drairoyin m Mani doom s Whin or atoomono or s pn4 meant sr chi peas of remosind or a enthoologial shoe art men cheroot T)rr eepliane drll Skull s aeon - tarts eA7 osofrood ¢amt Said ass: W chi• maim is to draft kr mews of Armin ial henYlip, ell antismog Ranras1 dote should be irrlrtded pettiatift to So wen of patrwtioeb demolition sod now moarodiow My ads .trash patios to w apphomisa is Us cusersed asadpptema a? i 3° C MSTR Q: T hm prams menstastosioa s balding ar s tit has nest echoed n Oro tenths glad] include : e aim pina. drabs. Sour On dour Isudampm m� FORM : AOSIIPa.COA (adoptal `fig) ld3a Mtn[ : 11:21 : 66 -9I -E :AS .LrJ3S t /s; #:ZL66 9CL 90E DESCRIIPTION OF THE PROPOSED PROJECT (Explain what changes will be made and flow they will be accomplished - use continuation sheet if necessary - all applications shall be accompanied by at least one 3" x 5" photograph of the property): o �Q. 0 °�' R eplac� A��Q.d a r� d�t de u41, w� k old 9 h t? @Edo:lined- bR fa) n � 61 ee � � �B� d� �� • ��,on oF ("34" side, ft5 ��di �,S i �i e side. or fA e s�2a9 wbeffze, - tMettsh eitns a Re. 4efk • ( 6ee 'ha.3/ eI Jut ve 0 CERTIFICATION i(vie) TOTIC BEST olg MY (OUR) griowA.BooE AND BEM THAT ALL INFORMATION IN DATE: ° DATE: DATE: THIS AFFIXATION AND rrs ATTA►cHMEN TS B RUE AND CORRECT: SIGNATURE OF APPLICANT(S): t..;. SIGNATURE OF OWNERS): FOR BOARD US ONLY APPLICATION TION DA`l E (ate applistioa noon by Secretary of Booritx DECISION OF THE BOARD (circle the appropriate ): PROVED 2. APPROVED WITH CONDITIONS (set forth conditions below): 3. DENIED SIGNATURE OF CHAIIRIAAN: ■• 'JAM An II:CI : 66 -9I —E : Afl .LM - .21111111111.= I will EEL !Li; I AN simur ""111F1 Ya 47.1r " 111111111 'Call ,( 4 lig -= ffir AM g ma; Vii'° 1 1A la ELL dsf Mr 'A 'fr' ? I ' �` 1 :144 9 I MO kill; r �: , ,. r. - :mac s r1-s) a■ gam i F ._ fit 'lll '11Ar. •"'', igloo" ;mu : , I 'al 1 tiff ■ > ,r7rdr ar L .% 6 11S 1 • mo•m 0 P8 m avail r L* 4L0n�ea�f C �' • A WON �?r I a.5 ' r ~4 . 7 A II-®e ATm ®Ad S3 s. rcJ 1; /t #:U69 92L 20C ♦• , • r• . dDsS V1 h. I , ---- 20. ekA wasw16'c ir • 4._ L I it` "kg. e ? .....- 2 MOM 273 N.2. IS STRUT MANY IISOM, "FLORIDA 3313 Poo es. LEGAL DESCRIPTION Last tit of I.ct 19 Lot 90 and xot 21, Block 32, MENDED PLAT or MI I SHORES SECTION No. 1 subdivision, according to the plat thereof, as recorded in plat book 10, at page 70, PUblic Records of Dade County, Florida; subject to dedications, reservations. easements or restrictions of record, ig any.. SURVv1OW C?.RT%TICATE le true and 8 hereby cert1fy that this sketch of survey of the above described property Correet to th0 out of my knowledge and belief as recently surveyed under my direction, and it Conforms to the Minima Technical Standards adopted by the t.orida Land Title Aesecistion, pursuant to Soct on 472.027 of the flosida statutes. There are no encroachments a ncept ae shows. d t va4OP EA . COMM Ii:Si : 66 -91-E : A9 .LN3S