171 NE 100 St (14)fi t .
`PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date X1/10 dl Job Address / 7/ it/ j /0 0 ST Tax Folio
4f;4 f(o F/ 93/3s
Legal Description Ls t � a s ` .' Z r 6 4 ( /S Historically Designated: Yes No
, 755-
Owner/Lessee / Tenant ! O o ( q
P� ' / �1 P ! �� 9 sy - g Master Permit #
Owner's Address 171 if/ s /0 o S r 44 7 h10 ,mac)' PhonVo S) 751 -- /0 10 «)
�
+ `�sv B °f -- 6755Cc
Contracting Co. 4 e7(51 G ` oxv C ►2 cT-(_. ` Address 8 r 2 ,O ,e/4./ y3 A o 57"
Qualifier /4v / SS# Phone 3o . 188- Ysoe
State # / Municipal # it(a. Q/e y Competency # A /. 7 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION 5� ,,v fJ CAA, c
till 30 o o P, 5r C _3 9049
Square Ft.
gnature of owner and/or gnature of owner and/or Condo Presiden / Date
Notary as
My Co ssion .K0.1,, JOSE N. ALFONSO
*. r:, ..: MY COMMISSION # CC 935277
t ` ° • ` EXPIRES: July 12, 2004
" tdr, y `' Bonded Thru Notary Public Underwriters
Mechanical
IZCZ 4t/t. (1/ /
Owner and/or Condo Presi ' „ t Date
20 2
I
4 7 - 2y-0i
O5 -r
RADON C.C.F.
, 2 Tq
FEES: PERMIT
APPROVED: .4\ �)
Zoning
IS I'
g Burldutg G Electrical
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
prL,' dt 14/7 1( /4 /.t 1,v,e 7 .�pfe e_
,Nc
Ale v /
Estimated Cost (value) W/ 5
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 AFPIL)AVIT: 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.
Signa
Notary
My Co
Contractor or
ssion Expires:
JOSE N. ALFONSO
:.: MY COMMISSION # CC 935277
a EXPIRES: July 12, 2004
j:'r Bonded Thru Notary Public Underwriters
NOTARY —10 — BOND 3)1/
TOTAL 313.
Plumbing Structural Engineer
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION B
BY D
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subfect to comptlance with ell Federal, State.
County, Vittage rotes end to- aviation. Village assumes
no responsibility for accuracy otlor results (rasa
these pans.
2. Thls copy. of plans must be i,Yallabte oc
(wading site or no Inspection will be conducted-
CRITIQUE SHEET
JOB ADDRESS /7/. % L I oQ S
APPLICANT
PHONE f#
APPUCATLON #
SHEET OF •
MISCELLANEOUS
DATE /
t/ 10 COMMENTS IN
/ z O /t// b , INITIALS
S/ 3/0/ . Ay, //calk Se f k' kve k eer 0% ‘v n .
/h . / I 0. r. , / r (f
d
,Cove.
S - 2 oU - egt/r/1 C42-.1-61-5
following described property:
Legal description /folio #:
Tax Folio #:
requests permission to install:
Asphalt, oncret- brick pavers
[ ] Landscaping
[ ] Other
m arni Sliore�
SIGNED. E , SEALED AND DELIVERED in the presence of:
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 - 2382
Telephone: (305) 795 - 2207...
Fax: (305)_756 -8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, Xi / /�p '0 I.� t /Q_ , hereinafter referred to as the Owner of the
r (owner)
- Lot 20 ,n.,.6 1/2 2/ Block /S Subdivision
within the public road right of way of'( / 42-62—r- 7 7- /7/ ,{/E_ /p e , 57— A4 :4 y,
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right
of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from
any and all liability, which may rise by virtue of permitting the installation of these items within the public
right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the
item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all
costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and
shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such
time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida
by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 1 day of
(owner)
i� tifl 'fit": JOSE N. ALFONSO
•: .1 MY COMMISSION # CC 935277
„"it,". Bonded Thai Notary Public Underwriters
PRtuEu V
A 16.1° 66C6.
LEGAL DESCRIPTION
LOT . /9 7 -41 e .
WcS iZ: LET 2,�
BLOCK /5
SUBDIVISION '/- '" • !47/ Sib F . SEc >io v , /
ACCORDING TO THE PLAT - THEREOF AS RECORDED IN PLAT BOOK AT PAG 7e
OF THE PUBLIC RECORDS OF . / -0 0g COUNTY, FLORIDA.
/7/ /-"e" moo v"/' $ 7rj s �ii�s�/ S�oitEsi fc .33�, �
CERTIFIED TO:
ATTORNEYS 'TITLE INSURANCE
FUND, INC. ,'
RICHARD A. MUNOZ,ESQ.,
PHILLIP D.: LOVE. ,
CHASE MANHATTAN MORTGAGE
CORPORATION.,
ITS SUCCESSORS AND /OR
ASSIGNS AS THEIR INTEREST
MAY APPEAR.
ORDER NO.
NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL
RAISED SEAL OF A FLORIDA LICENSED SURVEYOR
AND MAPPER. ..
/Z
2 s$ • -
CONTINENTAL LAND SURVEYOR
1700.. SW :57TH AVE, SUITE 201
MIAMI, FLORIDA 33155
TELEPHONE. 305- 262 -I9
LB - 4476
•> ; ... SC ALE
ivJG .e6. :
THIS PROPERTY IS THAN 2 MILES AWAY FROM THE MIAMI -DADE COUNTY LAKE BELT AREA
ALL DISTANCES AND DIRECTIONS SHOWN ARE MEASURED UNLESS OTHERWISE NOTED, AND UNLESS INDICATED
TO THE CONTRARY THEY ARE THE SAME AS THE PLAT DISTANCES AND DIRECTIONS
LEGAL DESCRIPTION AS PROVIDED BY .CLIENT
UNDERGROUND PORTIONS OF FOOTINGS OR OTHER IMPROVEMENTS WERE NOT LOCATED
EXAMINATION OF THE. ABSTRACT OF TITLE; WILL HAVE TO BE ,MADE TO DETERMINE RECORDED INSTRUMENTS
IF :ANY AFFECTING THIS PROPERTY � - /� yS
THE NATIONAL FLOOD INSURANCE RATE MAP DATED DELINIATES THE ABOVE DESCRIBED
LAND TO BE SITUATED WITHIN ZONE
LOCATION SKETCH -
LEGEND
VW'VATER •METERFDH =FOUND - DRILL HOLE,UE=UTILITY EASEMENT,DME =DRAINAGE• AND MAINTENANCE EASEMENTR /V=RIGHT "OF. VAY,N.T.S. =NOT TO SCALE, •
F Ntn - FOUND NAIL , AND DISK,OUL- OVERHEAD. UTILITY- LINE,FIP =FOUND 3/4', IRON .PIPE UNLESS •OTHERVISE NOTED,SIP =SET.3 /4' X.19' IRON PIPE LB4476 •
P/L=PROPERTY . LIN CONC= CONCRETE ,CL=CLEAR,O,SFOFFSET,CLF =CHAIN LINK fENCE,VF=VOOD. FENCE .O /L =ON.LINE,TEL=TELEPHONE,
CBS =CONCRETE BLOCK STRUCTURE, SULK- SIDEVALKPAV =PAVEMENT,PVY =PARKVAY,R =RADIUS, A =CENTRAL :- ANGLE,T =TANGENT,► •ARC,CH =CHORD,
M/L =MONUMENT LINEPC =POINT. OF'CURVATURE,M• IDENTIFICATION RES =RESIDENCE,PLT=PLANTER.FIB =FOUND 1/2 IRON BAR,FN=FOUND
MH=MANHOLE,VME =VALL•MAINTENANCE EASEMENT,B/L -BASE LINE,WP =VO0D POLE,CB =INLET,FH =FIRE. HYDRANT,VV =VATER VALVE,BF =BLOCK FENCE
PBL =PLATTED BUILDING LINE.STL.SURVEY TIE LINE,PRCIPOINT OF REVERSE CURVATURE,PCC -POINT OF. COMPOUND - CURVATURE,BBL'BASE.BUILDING LINE,
( ENCROACHMENT, IV= IRONVORK ) =RECORDXM)=MEASURED,SNtD =SET NAIL .AN DISK LB4476 PRM =PERMANENT REFERENCE MO'AJMENT,
=CENTERLINE,DELTA=CENTRAL ,<R ANGLE.:BM= BENCH. MARK ,EL =ELEVATION,SEC =SECTION,POB =POINT OF BEGINNING,POC =POINT_OF COMMENCEMENT,E =ELECTRIC
•
BEARINGS ARE ASSUMED ON .; /�� /G 701.. ✓ •
NOTES:
I HEREBY CERTIFY, THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS CORRECT
AS RECENTLY SURVEYED UNDER MY DIRECTION, ALSO THAT THERE - ARE NO VISIBLE E ROACHMENTS UNLESS
SHOWN, AND THIS SURVEY MEETS MINIMUM TECHNICAL 'STANDARDS SET BY THE FLOR,T %A BOARD OF LAND
SURVEYORS AND MAPPERS, THIS SET FORTH IN CHAPTER 472.027 (F.S.) AND CHAPTER.' 1G17 -. OF THE FLORIDA
ADMINISTRATIVE CODE. THIS SURVEY DOES NOT ° REFLECT OR DETERMINE OVNERSH
FOR: . 1 62 ',/ / 4-44 O. I- '.
•4
. JOSE A.
IONAL LA
NO. 28
INC
4-
URVEYOR AND MAP
STATE OF FLORIDA
DATE' c-. 27 O%
PROF
FIELD W
ti PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date q!q/J0b A ddress
Legal Description
(Q Lessee / Tenant 77 /yl�i�
Owner's Address ) 7/ / liEiO' 5 T
Contracting Co. /r4
Qualifier NI /4
Z o cA-.( .A.D444 f z
SS#
State # Municipal # r Competency # Inss.Co.
Architect /Engineerjt Ali 121121-c5 G / \ / &i Address ? b3 1y) f cl$
Bonding Company •J4 • Address
Mortgagor ei2c77
Permit Type(circle one): B!ILDIN ELECTRICAL
WORK DESCRIPTION dt04k9.4g 614-
Square Ft. Estimated Cost(value) c 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 info
be done in compliance with all applicable laws regulatin
authorize the above -named contractor to do the work sta
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * * * * * * * * **
FEES: PERMIT 371156 RADON C.C.F. )46 NOTARY TOTAL DUE 0'7w'
APPROVED: Fire Other
T O / Electrical
Zoning Building
Mechanical
Plumbing
Address
Tax Fol
o 1/
Master Permit # 367M
F 774)
Phone g c/ 3 °S,3 89' 4-e,
Phone
Address
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
and that all work will
oning. Furthermore, I
Signature of Con ractor o
Date:
SHARON C. HOENES
mm Ex ' . 4 20 97
P`ZQ Barile(tBy 8eftlifltk1§tor or Owner- Builder
L i /
of(fsondiyKnown I 1 OUiv i. 0.
Engineering
+rirrrr�n.�rr
/7/NL ioo s)/