1170 NE 100 St (6)Legal Description S e C g R -e / ! 4?- b 7 Historically Designated: Yes No
Owner/Lessee / Tenant7Si4 )tmiq 4 /) Master Permit # ({ C(
Owner's Address / / 7 C,7 , /.a l/ Phone y3 05 /
Contractin Co. tfl4 Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN r FENC SIGN
WORK DESCRIPTION
Square Ft.
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 perfonned 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 : do the work stated.
Signature of owner and/or Condo President Date i :.44 a" e of Con . ctor or Owner- Builder Da f
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Notary as to Owner and/or Condo President Date otary as ,f Contrac .r or I er-Bui der atel 6 c
My Commission Expires: My Commission Expires: ._ _ _ _ _
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CF F FEES: PERMIT 6 0... RADON C.C.F. 0 NOTARY S-,. BOND
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Zoning 1 /Gf Building
Mechanical Plumbing
PERMIT APPLICATION F SHORES VILLAGE
A. Tax Folio t[ 305 019 0 '100
Address
Electrical
s �
Estimated Cost (value) (r v O t
Structural Engineer
ianzi SoreJ Vdtaqe
STATE OF FLORIDA)
COUNTY OF DADE) � 1
The undersigned Affiant, P O O R�1 \s p ( , (V ` hereby attest that the
II (property owner)
ed b `� 4\3 •• ° t C S S O
attached survey, perfo
performed o , is an accurate representation of the existing conditions and
Further, Affiant sayeth naught.
'(name of surveyor's company)
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Affiant/Property owner
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this day o ' . D- 0 /
0
Affiant is personally 'mown to me, Lroducedl -L DL. /- Lvi 31 dentification.
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' FRONT AND SIDE YARD
3.5' HEIGHT LIMIT
All walls and fences
in the front yard require
• \. gyp` 25 \ approval by the Planning
and Zoning Board.
3.5.'
TRIANGLE OF VISIBILITY: •
All driveway /roadway entrances and exits shall
be constructed so that vehicles may enter and
exit without posing danger. to occupants, pedestrians
or other vehicles. Structures and landscaping shall
not obscure vision above 2.5' within the triangle
commencing at the point of intersection.of the driveway
and sidewalk/right -of -way for a distance of 10' along
the driveway and 10' along the right -of way.
May 2000
RESIDENTIAL FENCE/ WALL
TANDARDS- INTERIOR LOT
0
REAR AND SIDE YARD :
5' HEIGHT LIMIT
0
Swale
S idew alk
Street
PROPERTY LINES