910 NE 99 St (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 42 Job Address 910 NE 99 5 / . Tax Folio/LW/ , i94L10
Legal Description /4/03 94
Lessee / Tenant I.)QV (C + 1 V (IVI O
Sinn' 441
Master Permit #, ,3/
Owner's Address c l i c) G . 6 11 5 7 . v Phone 75 'Nog
Contracting Co. Address
Qualifier SS# - - Phone
State 1fr Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING M ROOFING PAVING ENCE SIGN
l.'1" l t.- f
WORK DESCRIPTION Tl. FS 44)0 71 'T�(�1( e at nil 5-hhee,}
cm3
Square Ft. Estimated Cost(value) in 00 • 0- 0
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 stated.
. � 160
Signatur o caner and /or Condo President Signature of Contractor or Owner- Builder
Date: hW/S77 f Date:
** *
N.f'ary as to Owne
Mll Commission Exp
FEES: PERMIT 3
APPROVED:
Zoning
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * * **
RADON C.C.F. 1 v NOTARY 5 TOTAL DUE '5 15
Other
Electrical
Mechanical Plumbing Engineering
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FOUND
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RAD. = 25'
A= 90 °14'CO"
A = 39.47'
T = 25.1'
C = 35.34'
30'
FOUND
NAIL
FOUND
DRILL
HOLE
30'
ot
O
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Certified
David Smi
Citibank,
Accurate
Commonwea
FOJND
IRON ` J e :_
PIPE : 9 64 3 ,„
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a
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th & Nancy Smith
A Federal Savings Bank
Title Services
lth Land Title Insurance Company
FOUND
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6140 N.W. 11th Street • Sunrise. Florid(' 33313
19.5' Asphalt
p .
5' Walk
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/2.46' -
10 13.15'
74.90 =R8M
ONE STORY
RESIDENCE
# 91 0
15' ALLEY R/IN
30. 44
425'
(t)
23. 95'
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FOUNT
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170'
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6
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3.91'
FCU1ID
IRON
PIPE
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the
State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address WI, LL 1 i l M A L B E 2 l
Registered Architect and /or Engineer [[77
Name and address of licensed contractor �QOI nI q L fPMCP Co 1 t4 W 111 TN Si M PI I J FLa 33/4
Subdivision ,/) .-GC/ J // A I6 / v #/#
Location and legal description of lot to be built on:
Lot // Y /cZ
Block r3
Street and Number where work is to be done
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
/" sTA44. 144 LIn► FT. 4' taLv, Cf4p1N Likik fENC£
w 774 W c4rz -f
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S �p‘,.....4%0 0 Amount of Permit $ '` " / t w
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida 11'orkmen's
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed under this .ermit; and will post or cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned a -. s .. employ only s h subcontractoy n work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
to me well known.
Permit No.
Disapproved
(Signed)
}SS.
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true.
Building Inspector
9io N6 .?9. 7,4/ sr•
Date
Date
Read, Sworn to and Subscribed before me.
Date i2— 1)— ll9
No. 91 O Street NE 9 -L T14 S T ,
Notary Public, State of Florida
and for no other purpose.
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
: `Miami's Largest Selection ��
of Quality i f�l
Fencing & Materials"
DATE /41/ / A
NAME
CUSTOMER'S WILLIAM NA L$ EST
NAME
ADDRESS 9 J O 99 To Sr.
ZIP STATE miiim RCS CODE PHONE
"g
NO. OF FEET
GAUGE
COLOR
1.,V
LINE POSTS
W GATES
(62
CONCRETE
Yes
PLOT PLAN
TAKE
OWN
CO OR
A5P BRK 5.
PERMIT
Yes
EVEN ON TOP
STEP OWN
MIDO RAI
COMPL TE PRICE
C.O.D.
CALL CUSTOM
GIVE DATE OF
INSTALLATION
CHECK TO SEE
M AT ER1AL 1SD
CALL CUSTOM
IF OLD FENCE
CALL CUSTOM
IF BUSHES AR
TRIMMED.
OTHER
Fen
JOB SITE
ADDRESS
CITY &
STATE
Purchaser
Co
WORK ORDER
HEIGHT
MESH
2
TERMINALS
I
2
TOP RAIL
l* ''
DRIVE GATES
N o
TR 1-SET
CALL WSTONER
TRINS'BUSHES
HAUL A AY
U ND EFlGROUND
ROLL
BOTTOM RAIL
CORE OR HAMMER
ER TO
AND
THAT
ELIVERED.
ER TO SEE
IS DOWN.
ER TO SEE
E TRIMMED.
X
AMOU AND DESCRIPTIONS
DOWN PAYMENT
BALANCE
ALL E Y —
DIRECTION
M E 9 c - r ST
CASH PLEASE PAY FOREMAN° BANK PI.AIJ
ZIP
CODE
10731 NW 7th Ave.
Miami, Florida 33168
Dade 757.4181
Broward 523 -0116
PHONE
A service charge of 1. 12% per
month (18% per y�ar) will be
assessed on balances past due in
accordance with the erms of sale.
We, the undersigned, being respectively the purchaser, do hereby certify that Cardinal Fence Co. has performed
fencing installation per contract and/or as per changes on the back of this work order.