1210 NE 100 St (9)Da " 0 - 1 49 •Job Address /Z ' /Vt /° .5 ? Tax Folio / / 00 t! - 00'7a\
°� •
Legal Description °' 6.04 J % 2 K / G w 44; 6#°J
Owner / Lessee / Tenant 744 • ( 1)6 A0 Master Permit :;)/
Owner's Address /2/0 Ate /1' •
�� f ��II Contracting Co. /`�� �5�re. �CvNC't��'d'd` �a4Address 7`'.?/ 4/40 e3 Pro 1.?
v
M a3 /fo6
Qualifier k# f26 -1ct 2 Z S 8 -9 5u� .
# �� Ins.Co.
g'/4.9
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION f &i7/(2 & 19/7/177 j < /6 A /`
giylp 69 'e ' 7 A
Square Ft. X260 .Cf 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 accur =te and that all work will
be done in compliance with all applicable laws regulating con- ructio d zoning. Furthermore, I
autho 'ze the abo amed co 'tractor do the work stated.
Signature of owne
Date' 7- (() -
Notary as to Owner and Condo President
My C•mmission Expires
** *
FEES: PERMIT y
APPROVED:
Zoning
IT APPLICATION FOR MIAMI SHORES VILLAGE
do President
JOSE N. ALFONSO
MY COMMISSION N CC 214036
EXPIRES: July 12, 1996
anted Thn*Notary Publi*Jndemniters
RADON C.C.F. /.SO
Mechanical Plumbing
icuv �z.60'1s
Phone
., vat
Date: Signatu
Fire
Building
- Builder
Notary as to Contractor or • er- Builder
My Commission Expires:
o aP , JOSE N. A LFONSO 4. MY COMMISSION N C 21
e * EXPIRES *July 12, 199 **
w0 Cj cgr efed Thai Notary Public Underwrite :a
NOTARY TOTAL D 7' )
Other
Electrical
Engineering
. 7 —l'' I y:16 4 : 22PM
r•
S.H. MANUCY, INC.
PROM OF'WIOELEPO1 3258915SG2
PROFESSIONAL LAND SURVEYORS
•
4E94 Petm Avenue. Suite 208. Halloan, Frod da 71017
., DADO (806) 621. 1201. (8061 e21 -1720 BROWARO: 1305)583.2o%
.wry S v
Fon John Wesenscen
0
1-N .E-• baz)
Survey of;
Lot 7 & the East 4 feet of
"EARLETON SHORES"
rr teedded4l Mel ioo■ 4 3
i . 1'•,`Lo' . ORDER No. 28328
Lot 8, Block 1, of
MP •w
80
1 HERESY CERTIFY THAT THIS PLAT OF SURVEY WAS PREPARED
UNDER M Y OIsEC TION, THAT IT MEETS THEMIWMUM TECHNICAL
STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA
ICNAPTER: HHE FLORID* AOLtINISTMTIV . CODEI FOR THE
TYPE OF 5 Y SHOWN HEREON AND 19 TRUE AND CORRECT
TO THE 8ES •• KNOWLEDGE AND BELIEF
Slateol.FIo. da
• v
t• -:..c. - - _.cam: - - •
— fl c of . I
F.8 .A175-46
REV
CU Lemt Sure 11175 •
DATE August 1, 1984
P. 2
soco•Wn0 to et• Pet t)wa0f
of env Pubic RwQf0101 owe roumY. Flond&
l-'
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
Registered Architect and/or Engineer
Name and address of licensed contractor 1 1 L 14 T 4 ftJ 1. I E
Location and legal description of lo be built on:
Lot �- (— Block
Street and Number where work is to be done
To be constructed of
STATE OF FLORIDA
COUNTY OF DADE.
APPLICATION FOR BUILDING PERMIT
}SS.
c: rO poP F t pc
New Building Remodeling
Estimated Total cost of improvements $
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
C , $78a 5tom% 1 ),4 33/76 -
01' o 0 70
S u b d i v i s i o n L /M LET ; /4) S H t 65
and for no other purpose.
Co iv C i ►
Addition Repairs
Date 5
Noi°�l / G
Kind of foundation Roof Covering
U (7 J Amount of Permit $
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 Workmen'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 permit: 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 undersign . agrees to employ onl s ,cont ':c ., . on work to be performed
under this permit, as are licensed by Miami Shores Village. l
Remarks (Signed)( Air'Jir t<
Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
to me well known.
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 .regoin: application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No 1 3 f Date
Read, Sworn to and Subscribed before me.
7
Street
No. of Stories
Disapproved _ Date
(Signed)
Building Inspector 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.
Notary Public, State of Florida
19 8
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• r J.H. MANUCY; INC.
PROFESSIONAL LAND SURVEYORS
4694 Palm Avenue. Suite 203 • Hialeah, Florida 33012
D OE: (305)821 -1281 • (305)821.1220 BROWARD: (305)563-2066
a.y-v
•
FOR: John Wesenscen
•
$CALk . 1••,417-c'i ORDER No. 28328 '
Survey of:
Lot 7 & the East 4 feet of Lot 8, Block 1,
"EARLETON SHORES" ,tease 80
se recorded In Plat Book 4 3
I HEREBY CERTIFY THAT THIS PLAT OF SURVEY WAS PREPARED
UNDER MY DIRECTION. THAT IT MEETS THE MINIMUM TECHNICAL
STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA
(CHAPTER: HH-6 FLORIDA ADMINISTRATIVE CODE) FOR THE
TYPE OF S — EY SHOWN HEREON AND IS TRUE AND CORRECT
TO THE BES KNOWLEDGE AND BELIEF.
J.H. Manuc fessio Land Surveyor s1128
Slate of -Florida
: F. BA. A17 5 -48
of
•
Gate: 'g /- . 8 "
REV
DATE: August 1, 1984
according to the Plat thereof
of the Public Records of Dade County, Florida.