75 NE 98 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date og' /3--eeJob Address 75 - / 9 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Z/7— Zj 'Master Permit # iD (7 1)
Owner's Address
Contracting Co.
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /'
Square Ft.
My Commission Expires:
Municipal WZ.
X S� )
( Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date Notary as to Contra
FEES: PERMIT , RADON
Phone 7 $-9/22
Address F/ S>"
SS#
Competency # G /3- ens. Co.
Address
Address
Estimated Cost (value)
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 . 'th
construction and zoning. Furthermore, I authorize the above -named contractor to do the wor
fires: GLADYS) V1LLAR
NOTARY PUBLIC S7A1'E Or FUN IDA
COMMISSION NO. CC 1 4103 12
MY COMMISSION F-XP. MAP_
of Contractor or
My Commission E
e laws regulating
- /3 ° 2 0
Date
C.C.F., NOTARY $� / BOND b O
TOTAL DUE
APPROVED:
Zoning Building WO* ' Electrical
Mechanical Plumbing Structural Engineer
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Order # 7675
F.B.416L -3
.a 3
SKETCH OF SURVEY
J eipe_Lo t 21 and West one -half of Lot 22,
Block 8, FIAMI SHORES Section 1
Amended, according to the Plat there
of, recorded i-1 Plat rook 10, at
Page 70 of the Public Record of
Dade County, Florida..
I HERE?Y CERTIFY: That the attached
"SKETCH OF SURVEY” of the above des-
cribed property is true and correct
to the best of my knowledge and be-
lief, as recently surveyed and plat-
ted under my direction.
H C. Schwebke .
Registered.Land Surveyor #609
P • State of Florida
Order No. 43758. I HEREBY CERTFY.
the attached SKETCH OF .SUR'D- . Jis .revised
this 24th day of Novembe
HARRY C -.,, SCHW ,'BK de.ASSOCI
•
Robert C. Schwebke
Registered Land Surveyor. #1067
State of Florida
So•
2
Oct. 29, 1952
Scales shown.
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