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171 NE 100 St (16)R PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1, � - / Job Address ' '71 1iE )0 ( Tax Folio /1 32a, D/3 2o go Legal Description 5 6C / }713 /o /r/1) Historically Designated: Yes No X / Tenant /� l A � G 7 Master Permit # / ell er's Address 1'71 NE 1DD .1 Phone Contracting Co. e .,c f AlF fe . Address Queer SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING - ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN a FENCE SIGN WORK DESCRIPTION W 0©� I eiste..e / �ti> ' / AT Square Ft. Estimated Cost (value) 17.5 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. O ■ 'S AFFIDAVIT: I certify that all the foregoing information is accur ' • that all work be done in compliance with all applicable law. 1 ating structic\n and zoning. Furthermore, I authorize the above- ntract.;do work stated. r4„ Signature of owner and/or Condo President 4jilAt '! Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON C.C.F. ' CO NOTARY (• BOND TOTAL DUE 'S .- '6a ignature of Contractor or Owner - Builder Date Notary as to Contractor or Owner - Builder My Commission - Expires: - -- - { v st'l P� CSJriC3! P � IOYA V "il�d SAV,n2A C.7 r., Date Z 71 APPROVED: Zoning Building * Electrical Mechanical Plumbing Engineering Palermo Ave ue THOMAS J. KELLY INC. SURVEY NO 97- 0896;: CORAL GABLES, FLA. 33134 . DADE ( 305) 444 -7692 LAND SURVEYOR 2 2 BRWL: (305) 779- 3268 SHEET OF FAX : (305) 441 - 6494 X CC. - /v ox, / _ ...., I • ' Caa L /o. re7 .. 2/. /O • etA a C 20 X u.du+r onl SKETCH OF SURVEY SCALE: 1"::/2_0 36• &/7$'k /— . 0 -•; S ?B • • 0 ,Teslddwce ;T) /c2 ' /s /U' /.:90 • f' J, c ts 29— b iase, T /c s3 7� 2/' 3 N E . I 00th 1 H /0..35' nn I \ /5 56",'' X 4a • /253' --x /e.53• ST cc , to za Qum 1 N SPECIFICATIONS: t , rte" i pr. -o AG. "r rZ° , 4 Wool" tz.411.5 5 I Tyr. PRoPE2TY L>>.lE - FLOG PLA TY P 3' �- XGv troq =•41-4 o/c JooD 25c74,= v5. im it 2 TIP, rev •■Art. XL-L. 4 51'E5 - -Top •8 c7 . Ft31 c0 CZ?1+C -- -T-g.. TARE' .& « 4 •4.56 ( / 2=o' 8EGoc.J-G12A,UE • — WOOD FENCE •TO -BE- A.:MAX� OF- -�.a0 HiG ".; —• ALL :MEMBERS. TO BE. P.t . W000 ,SOUTHERN PINE: i+1 — _W 000 POST TO: BE AT NOT MORE ". THAN - O'A A — THREE R OWS OF 2 X 4' RAILS:: BE. ^P OVIDED. - BOARDS 'TO :BE tax 6 X 6` -O'.' DOG EAN D/C :W060 — ALL NAILS TO BE . GALVANIZED : TYPE. • — NOT INCLUDED AS A STANDARD FINISH FENCS CAM : PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5123) 5 Job Address /T NE 1D© 57T Legal Description /07 2(2 h}NV i)EST / /214 7 2.1 8.4DCk IS / Lessee / Tenant CAI7J, 14061\1E5 Tax Folio // 3Z6- 0/3 - Master Permit # 37g6. Owner's Address 1 'l/ NL /Q[' .67 Phone 75-&.26 Contracting Co. NA. Address Qualifier N A SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION e' i 77 b WOOD F5Aie Square Ft. Estimated Cost(value) f3 o 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 informa ion is accurate nd that all work will be done in compliance with all applicable laws regulating truct}an\and ning. Furthermore, I authorize the above -named contractor to do the work state Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: APPROVED: Fire Zoning Buildin Mechanical Plumbing * * . * * * * * * * * * ''\\ FEES: PERMIT 3 RADON C.C.F. - NOTARY TOTAL DUE 3 Notar �j . S eintQ n9 er-Builder g��►!S •��� � $3�8 My Co. .::zi:� xpi Q I K n o w 11 over l. a * * * * * * ** �-a Other 4 Electrical Engineering dam 4 X 4 64411 C21:' P:ST PT. -0 ic. ^P•FZi ( 2. 0 , 4- 1 4 0 ¢ & z 5 SPECIFICATIONS: T YP. X Co tao tet E.N c/c ba.100P 25o.►= • PRoPE21 c • PE 2 T F, 1c &/A; . ac. V - -To S cs - • FruRs crf (v 4 =E - . TARED. a1-4-- 4 • g 2- = 0 " B Lo i2& 717-1. 1 CAI - WOOD FENCE :M TO -BE- A. AX. OF ).a.0 .. HGH I.-; •;•" . -''' :.:F- - :MEMBERS. TO BE. P. WOOD _S PINE_ - _W 000 POST TO : ._BE ' . NOT MORE - .. THAN_ � - t_ - THREE ROWS OF 2 X 4' RAILS : - SHaUli:i BE . .. PROVIDED.. 7 BOARDS TO i'.*X 6' X 6` =0' DOG S EAN pr IC ; .W000. - ALL NAILS :TO BE . GALVANIZED - TYPE. - NOT INCLUDED AS A STANDARD FINISH , FENCE CAS _: gE.... • (54 a,5• h/¢ \ Sr)• /3 ,v /Z AV 4 /ai 1 r j / 4,..,4; N °S , , • 6 � \ :0, Y /5 /G /7 /B /9I h b *` 22 23 h t > '' , , fi l l . / 5 d' 50' /1 �/ H dry 2 , 50 (54 a,5• h/¢ \ Sr)• /3 ,v /Z ii // C; 4 /ai 1 v ',, 2 , , • 6 � \ 333 Palermo Avenue. CORAL GABLES, FLA. 33134 DADE: (305) 444 -7692 BRWD: (305) 779- 3288 FAX: (305) 441- 6494 SURVEY OF LOT G / L /2 D O / BLOCK 5_ &JD SUBDIVISION A/l./ A /LAM1)1^I►ArrcsigAM,M1I /11•t - �G� llmvs7WHILIWIf ACCORDING TO THE PLAT THEREOF, A R RDED IN PLAT BOOK No.. /0 AT PAGE No 1_ PUBLIC RECORDS OF JUG ((�J COUNTY, FLORIDA. �`J'�/ DATE: �' FOR. CA L A.e 46..:2L.JC.Na0 cJ dl LOCATION SKETCH SCALE: 1 ° =00 1 (Ai) 4 .74' THOMAS J'. KELLY, INC. LAND SURVEYOR / (7 / �!� 3T. SURVEY NO 94-2784 SHEET_L__ OF 2 /7/ t/6.. / A ES , f4, ST ig ") /.4 'I ,FLOOD ZONE • X THIS IS A FLOOD HAZARD ZONE � J THIS IS NOT A FLOOD HAZARD ZONE COMMUNITY PAN�L N.93 120 l 5 PANEL No r-/S , SUFFIX ' J DATE OF FIRM' •' ~ 2 ^ '91 BASE FLOOD ELEV. • A LOWEST FLOOR ELEV.: — HIGHEST ADJ. GRADE • AiA NOTE : UNDERGROUND ENCROACHMENTS, IF ANY, NOT LOCATED. ENCROACHMENTS NOTED: i.. /O,t.JL. I hereby certify that this sketch of survey of the above described 'property is true and correct to the best of my knowledge and belief as surveyed and platted under my direction. 1 further certify that this survey meet the mieim m r$quirements adopted by th Society 0 - r. eSsional Land Surveyors and the Florida Land Title Association and alsoUi F.A. code. There chmn except ar�no encr ofessl , 7' Yl / /.� /� l /l fJJA Notes: I. IT shown, bearings are To an assumed meridian i by plot ' \ • - t/ ��C ✓ Fam" /�I (Date of Field Work) 2. If shown,elevations are referred N.G.V. Datum 1929 J • - A. PEREA � __ 3. This is a land survey. onol Land Surveyor 4858 State of Florida . Closure obove I : 7500 i (Not Valid Unless Imprinted With An Embossed Surveyors Seal) SCALE I ": 100 CERTIFIED TO,: 333 Palermo Avenu CORAL GABLES, FLA. 331 DADE c (305) 444-7692 BAWD: (305) 779— 3288 FAX : (305) 441 — 6494 •ti C� C 6 ■ M THOMAS J. ;KELLY, INC. LAND SURVEYOR ' • • M 1 ' /z&,i/I /aaO'ti1 SKETCH OF SURVEY SCALE:1I" =12 2 s 5/7/i7/ I /253' ° J /0.35 —� • 911 a/s CC . 11, ST SURVEY NOT '278 SHEET 2 OF 2 Date 12q/q4 Job Address P7) /) NL 1170S r Legal Description/47'29 d ih. / Lessee / Tenant .4&. I . 171 NEE 10015 Phone Contracting Co. Nhl Address Qualifier AIJ,A Owner's Address State # Municipal # Competency # Ins.Co. Architect /Engineer N/14 Bonding Company Mortgagor PERMIT APPLICATION FOR MIAMI SHORES VILLAGE NIA NIA 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: APPROVED: Fire Tax Folio //32owD/32060 Master Permit # SS# - Phone 9 9 Address Address Address Permit Type(circle one): BUILDING• ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING C c WORK DESCRIPTION 5 lcieeD �" _ EAle_E 5G1Zi oL' 1)/Ab.=, \JA Square Ft. Estimated Cost(value 444 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. ion is accurate and that all work will Owner- Builde Signature of XZWRanwIRR- Date: struc an zining. Furthermore, I Notary as to Contractor or Owner- Builder My Co 4.3 P(/ OFFICIAL NOTARY SEAL 0 (. SANDRA M MONTIEL ** * * * * * * * * * * N COMMIS NUMBER _ C 40126 ® � ' 7, ci � MY �� COMMISSION .EXP. FEES: PERMIT 30 RADON C.C.F. � F ' NO u F FV.....,.^uG. 9 Other SIGN Zoning Building ?v Electrical Mechanical Plumbing_ Engineering_ 1 cif:Am 11 -I 2 Y F. leo •NAIL ALL. IDES - _ 4. 8.07, Fvurvzo D4 - TARED 4 . S1 DE5 13 oT; 2. f5E401.4) Gkis.c> SPECIFICATIONS: : . . . • . • ' • ". • -•- • • •• (5".4,5' 51.)• ,y „ 4 y ?5 i 1) /7 �► /5 /; /7 /B /91 r 7 6 H 23 h Jr- ': �s1d• S0' // // // I � D t 25' S0• (5".4,5' 51.)• ,y „ 4 y „ 56.• 1) /7 /3 /2 // /2 7 6 H Jr- 333 Palermo Avenue. CORAL GABLES, FLA. 33134 DADE: (305)444-7692 BRWD : (305) 779 3288 FAX: (305) 441- 6494 THOMAS J. KELLY, INC. LAND SURVEYOR SURVEY NO k 4 -2784 SHEET OF 2 SURVEY OF LOT , i ST ' 2 p / BLOCK SUBDIVISION ATA WN a /Il-/UM Arr ACCORDING TO THE PLAT THEREOF IN PLAT COUNTY, N oRIDA. . /O AT PAGE No PUBLIC RECORDS OF �U [[�JLL DATE: . Z294 FOR. CT_ 4EL 'l 314 IJC.NOa • LOCATION SKETCH vi 2 2 (u C.� D 4 .FLOOD ZONE THIS IS COMMUNITY PANEL No. BASE FLOOD • SCALE: 1' :700' -s•— ('v co 255.74' f ^. A FLOOD HAZARD ZONE 120 c i. PAN L N c2) 3 SUFFIX ' �-- ELEV. • )Jii LOWEST FLOOR ELEV. ' /V4 J9SE . PEREA ofessionol Lond State of Florida (Not Valid Unless Imprinted With An Embossed Surveyor's Seal..) /7/ k 6.. /OO �r, �, Mira=// ',L/Of £s, , S T, Surveyor #4858 3. This is a land survey. Closure above I : 7500 SCALE 1 /00 THIS IS NOT A FLOOD HAZARD ZONE DATE OF FIRM: 3-2- '91 HIGHEST ADJ. GRADE • ,kJA NOTE : UNDERGROUND ENCROACHMENTS, IF ANY, NOT LOCATED. ENCROACHMENTS NOTED: k. /Oki I hereby certify that this sketch of survey of the above described property is true and correct to the best of my knowledge and belief as surveyed and platted under my direction. 1 further certify that this survey meet the minim m r ' uirements adopted by ttfp Society o r sional Land Surveyors and the Florida Land Title Association and alsoQi-61G17 F.A. code. There a no encr chme except as ho -c(1-4// '' ip Notes: I. If shown, bearings are to an assumed meridian (by plat ) ( Date of Field Work) 2. If shown, elevations are referred N.G.V. Datum 1929 333 Palermo Avenue CORAL GABLES, FLA. 33134 DADE = (305) 444 BRWD: (305) 779- 3288 FAX : (305) 44t-6494 405v tj J � c[ /- S /ory /0 . 7/ • /c2.90 0 N Pe) /N 6\ /5 Sr2 THOMAS' J. KELLY, INC. LAND SURVEYOR SKETCH OF SURVEY SCALE : I =52_0, . 75.03 (01) , CL SURVEY NO 2734' SHEET 2 OF G