920 NE 99 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date *-'? 97Job Address , :20 / //e � Tax Folio
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
Qualifie
State #
No as to Own
My Commission
APPROVED:
Zoning
Mechanical
D . s ires: cLADYS J VILLAP.
NW ANY PUBLIC STATE t FLORIDA
COMMISSION Na. CC714103
MY COMMISSION EXP. M'AR
FEES: PERMIT T 0 RADON
Building
Date
•05/
i6
0
SS# ne'as 75 77f
Municipal #d 6 ,7 #( / ?,.SgIns. Co. j52- J i"s
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING \PAVING ) FENCE SIGN
WORK DESCRIPTION
/Q' G )J�l O )
Square Ft. sO)
Estimated Cost (value
C.C.F. [ • go NOTARY
Master Permit #
Phone ; 7
Electrical
91-/sit9
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Lteh Ire
Signature of . wner and/or Condo President
P ;2 -JV ,- S3 -0ts =0
•
io
IAL NOT RYSEAL
GLADYS J VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 2012
Contractor r Owner - Builder Date
/0 71 5 / 025 eA66, zao
J / . 4
' otary as to ontractor or Owner- Builder
My Comm
BOND pa--
TOTAL D go
all applicable laws regulating
Date
Plumbing Structural Engineer
k
BEARING BASIS
BENCH MARK B
• .•-•* • •••••• • • • 9 ! 0
• • •
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10.8'
•
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NATIONAL FLOOD INSURANCE PROGRAM DATA
COMMUNITY PANEL NUMBER 12509e• ooq F
FEDERAL FLOOD ZONE X
BASE FLOOD ELEVATION N. ' •
ELEVATIONS BASE ON N.V. G.Ds.
SURVEY. OF: •
*CERTIFIED , T
LOT 11)41 THE WEST fa OF LOT 9
BLOCK 80`' . : •
MIAMI SHORES, SECTION'Ala
as recorded In Plat Book 'm Ait Page .37
among the Public Records of Dcide•County,..Flo.
lying and being in Sea. S 1 sRge 48:
:Dade CountY •
d mcGon,
tiiindary.ond
job No 86-227 .0c9t1011
Field Book No. Foundation
File No ..
187:5 SW4Oth.S T. : •
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75.00'
15' ALLEY
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N. E. 98th
73
FIRST AMERICAN BANK
/gv 5-/S-7
-Survey, Date. JAN ' 1987
,Date: 'swat. 1987--Ja
Survey, Dote. z9 1908
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EDGE OF PA YEMEN 77 :•;'‘
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LOCATION SKETCH
Scale: 20 6v
• I HEREBY CERTIFY THAT THIS SURVEY MEETS THE. MINIMUM •-
• TECHNICAL STANDARDS SET FORTH BY FLORIDA STATUTES,
SECTION 472.027, AND REPRESENTS A SURVEY MADE UNDER
MY .DIRECTION, AND IS TRUE AND CO RECT'To THE BEST OF .;
MY KNOWLEDGE AND BELIEF! •
41;
L E1Y4
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Rbgistered Land 'Surifeyor
No. 2330 State:.of
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