FENCEPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 60 M r C 9 q Tax Folio
Legal Description L O 5 t C 65 r [ V � L T 6 1'LI 8 Historically Designated: Yes No
Owner /Lessee / Tenant A b i- Fcs L Me Z W ec r S7 Master Permit #
b
Owner's Address el 0 . • 110 T!k PL.A ttt FL . 33'W( Phone 4 o‘ f?
Contracting Co. 7 C a- 12-p [ N (- I r - " - Address a 6 / W 111 - of- i A 2 /
3 3 /FB
Qualifier b e4 4 A- • LCr t1 A 5 SS# Phone • 7- F4
3
State # Municipal # Co pety # / -24 ?O
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION •
Square Ft.
[�v
of
My
resident Date
Condo President Date
o1Ipvigs 4Ealp>xi@SAL PoOTARIV SEAL
O ei SANDRA M MONTIEL
�
2 COMMISSION WUMDECFl
f\ a CC4®1201
F MY COMMISSION •EXP.
OF FA L9G. 19 1008
FEES PERMIT q a. RADON
APPROVED:
Zoning
Mechanical Plumbing
Buil
Estimated Cost (value) e/I 2-6 6352
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 constructio . and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Not
My
e of Contractor Owner- Builder
0)j
as to Contractor or Owner - Builder
onn isti9npIIDj!FSSIAL WOTAFIV SEAL
�- SANDRA C7 L'9Or:fTIIEL
p!► j 7 77 cormiSSIOw NUI!7DE40
+� Q CC4O12 1
� yX �4 j UV COMMISSION •ENP.
OF F\ AuG. 17 1998
NOTARY TOTAL DUE
( / - '75
Electrical
Ins. Co. -AM iEZ, S r y F/
eASUQc7 y c.
(_
Date
Date
Engineering
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CERTIFICATION: IHereby,Certify that
the Survey of the property described
hereon Is true and correct, to the
best of my knowledge and belief, as
reF ntly surveyed upcley my direction
ark. tat there ore/no cle me
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According to the Plot Book / Pogo 73-9 of
the Public Records of Dade County, Flo.
PREPARED BY
DONALD W. McINTOSH ASSOCIATES, INC.
581 N.E. 91 ST. ST
MIAMI SNORES, FLA. 33130
k.) %. /
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CERTIFICATION: IHereby,Certify that
the Survey of the property described
hereon Is true and correct, to the
best of my knowledge and belief, as
reF ntly surveyed upcley my direction
ark. tat there ore/no cle me
i%
unl 9 9rknoted.
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5
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1 LOCATION
• :
(43'6:34 •
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22.231
22
111,1111/1
111 7 MIN
1/11110
.11113141,
73
ftsmommoosse....=..,.
ZoT e .C/157 GOT
/11/1/t-// .S.
SE / A-1/J.
/ r) 7 ( ,c /Z. er5 /C Q /04
According to the Plot Book / Pogo 73-9 of
the Public Records of Dade County, Flo.
PREPARED BY
DONALD W. McINTOSH ASSOCIATES, INC.
581 N.E. 91 ST. ST
MIAMI SNORES, FLA. 33130
k.) %. /
D yre 1 1 ' , , . • • IP! , t Dritr.! ,•* • • • • • • ' , Ffl ' ' • ON • • CS 7 e.
................••••••••••••■••■11011§NialIW
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