FENCEPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 9 IZ qq9 Job Address oil' /0 / Tax Folio
Legal Description ` Historically Designated: Yes No
Owner/Lessee / TenanX SI e f`• D ac o S On
Owner's Address IS N e , e t D L S f• Phone x s o S` S 0 - 8'6 0 0
Contracting Co. A/ 6 1 i¢ L v
Qualifier y SS# . Phone -2-7 -06./
State #)( Municipal # r (42_ Competency # y W Face_ Ins. Co. � D
Architect/Engineer Address y
Bonding Company Address
Mortgagor Address
Permit Type (circle one). BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION (-)00D E .sJ C-E /7 d (j./J4 % A) L%,Jk rev GE. 4' I-Ur •
Square Ft. gD - -t 41
of owner ' Condo President 1 to
o as to Owner • o y :.
My S s mission E
m NANCY • • RING
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. camp
COMMISSION x :. FEB.1
FEES: PERMIT
RADON
C.C.F.
Master Permit # 969'47 9
Address 3 3 a'0 SS cal -R. P4--✓ �,
Estimated Cost (value) 4 / 106
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 accurate and that all work will be done ' co •liance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
am
A it - —.�i.�
iI. %I
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1A4 M 1,
Notary as t = • a ctor or Own K - : uilder �- 1
My Co . • • ices: OFFIC OTAR SEAL
MA' E VALDEZ
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC751130
MY.COMMISSION EXP. NE 14,2002
NOTARY
BOND
APPROVED:
Q
Zoning Building . -4 I % Electrical
Mechanical Plumbing Structural Engineer
TOTAL DUE
CERTIFIED TO:
STEVEN AND JOHANNAH JACOBSON
JOSEPH R. COLLETTI, ESQ.
ATTORNEY'S TITLE INS. FUND. INC.
NATIONSBANC MORTGAGE CORP.
ITS SUCCESSORS AND /OR ASSIGNS.
ORDER No. 98_ 1 1 CoCo__
FIELD WORK
DAZE / / - ZO -98
REVISIONS
DATE:
RDD BOOR:
TNLS CERTIFIES THAT 196 SURVEY OF THE PROPERTY
DESCRIBED HEREON WAS MADE UNDER W SUPERMEN
MD THAT THE MBE MEETS THE MOWN TECHNIGL
STANDARDS SET FORM BT 1HE FLORIDA BOND OF
SURVEYORS AHD RAPPERS IN CHAPTER 01017 -8. FLORIDA
ADYN51RATIVE 000E. PURSUN/T TO SELOON 472.027.
ROMA [ ATUMFS.
STATE OF FLORIDA NOE AGUILAR
P.LS. No5571
NOT MSO. UNLESS MIA OEM MO SDIMI tA111 060156I EGL
3050 NW 7Th STREET SUITE 1301
MIAMI. FL 33128
PNONE(305) 461 -3875 FAX:(305) 461 -2192
0
6
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12.00
0./0'
1..
1.1C IOt ' T
C so' Tore'L- 7 W')
A. SIG A = 02 9 32 � 21(05.44
EpL OF l.JA7 e
EDI SCL'�Y/J�
ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL. EMERGENT MANAGEMENT AGENCY
0 ON 312 -04 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE AE T
'LORD ELEVATION 1.00 COMMUNITY 114052- NUMBER SUFFIX J
LEGAL NOTES
RHRVEY DOES NOT REFLECT OR OETERMINE OWNERSHIP.
441109 OF THE ABSTRACT OF 1111E WILL HAVE TO BE MADE TO DETERMINATE RECORDED
JCTNENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS.
TIONS. RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGA(. DESCRIPTIONS
DEO BY CLEW. THE UA&UTY OF THIS SURVEY IS WIRED TO THE COST OF THE SURVEY.
?GROUND ENCROACHMENTS. IF ANY, ARE NOT SHOWN. THIS FIRM WAS NOT ATTEMPTED TO
E FOOTING MID /OR FOUNDATIONS MID /OR UNDERGROUND IMPROVEMENIS OF
MATURE IF SHOWN. BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN.
BONS ARE REFERRED TO N.G.V.O. OF 1929. THE CLOSURE IN 7)1E BOUNDARY SURVEY IS
: 1:10000. THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN FOR CONSTRUCTION PURPOSES.
'HOSE PURPOSES A TOPOGRAPHIC SURVEY IS REQUIRED.
I EGEND AND ABBREVIATIONS
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Date /? - P g_91? Job Address a 6 ,(/E 1(2/ f k , 4,feej Tax Folio
Legal Description �-r� y �.� �,�, (-10 win P
Owner's Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
ssee / T e n a n t I Gt C& 0 C A S / g 2 D f S o^!
pyy�lEe 1
Contracting Co. n /Se �i% rQ-.Li°T 44 u) --
Qualifier SS# - -
Competency #
Architect/Engineer 2 IA VYt r iq h( 1 / Address (/Y l- n
State #
Square Ft.
APPROVED:
Zoning
Mechanical
WORK DESCRIPTION . 1 /9S0
Municipal #
■111/
i d 2 /2.2FS -q'er
Signature of owner and/or Con. o President Date
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT 11'6 RADON
Building
Date
C.C.F.
Historically Designated: �y
Master Permit "7
Sign
Address
Estimated Cost (value)
Yes
otary as to Con : ctor •
My Commission xpires:
No
Phone (50 5 7c C /0,4</
13A' /ot /0/ t4 so -J.1i "
Bonding Company Address
Mortgagor Address
Permit Type (circle one BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
GU t? a s/ rd- 04 /l) p
4(/
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 with all applicable
laws regulating construction an . zoning. Furthermore, I authorize the above -named contractor to do the works ed.
Contract r or 0
=
1'
GlIAVIS,VELAlit
COMMESION Pio. =4103
Y s," +4 I$STON EXP. MAEt.1
NOTARY
Phone 1,56 lr2 4/
Ins. Co.
/(7P7.
i2- z g qg
uilder Date
v- � �- - 03 / - o
ate
BOND
TOTAL DUE y 5 7
1 ✓ 3 Electrical
Plumbing Engineering
5 rL f . 2,,I' P 1/41 lg
. • .
--71-jcze e
•• .
• ••.-
• ".
•
RAMON F. CAMAYD, R.A.
ARCHITECT . ROOF DESIGN. INSPECTOR
• .
•
4030 SW 99 AVENUE,. NILS11%I _FLORIDA 33173
Telephone (305) 598-5399 •
•
1410
' e r, , •
••■
RAMON F. CAMAYD, R.A.
ARCHITECT . ROOF DESIGN. INSPECTOR
8030 SW 99 AVENUE,*IAMI,,FLORIDA 33173 •
:Telephone (305) 59 &5399
Co . klE. ICI
, 4
•
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.
Date 2 '- 1 ° 198
Owner's Name and Address DO NI G E tz o FF No. 1 3..'o Street N I Q I ST r.
Registered Architect and /or Engineer n ��A
Name and address of licensed contractor e RA l uQ L N CF- Vb . 10 73 1 NW 1 r� TN il`ie I p v\ 1 5 3 4a
l
Location and legal description of lot to be built on: 1/ 3A 0 d r a 3 0D .40 f�
Lot Block 1 Subdivision 1l k M ( S4 (S t3Ply Paz( az( EsT n 1
Street and Number where work is to be done 1 3 -ft t 1. om to 1 S T_ S% 4 'i I ! w1 % Nat j
FS, "LA'
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
IN S TA L L 25L f N i 5 & L. V . C -I A( s t L I 1.114 l' htc e W I Te l e c41.7
and for no other purpose.
New Building Remodeling
To be constructed of Kind of foundation Roof Covering
.3C, , -�®
Estimated Total cost of improvements 5 -� Amount of Permit S
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 undersigned employ on ly such subcontractors, on work to be performed
under this permit, as are licensed by Miami Shores Village. �yyJ7/9 /Al
ti
Remarks (Signed) �/
STATE OF FLORIDA
COUNTY OF DADE.
1 ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Addition
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 foregoing application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No. 02 7 Date Read, Sworn to and Subscribed before me.
Disapproved /� Date
(Signed) 4 e�eK.....
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved 1 ate 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
Repairs No. of Stories
Notary Public, State of Florida
PROPOSA MITTED T
STREET
CITY, STAT ND ZIP oDE
ARCHITECT •
We hereby submit specifications and estimates for:
tif
S*
L3 &) NE /0 41. S2
PAD
t\I r f s -r
Payment to be made as f oll ws:
11,1() Crle•-)
CARDINAL FENCE COMPANY
10731 Northwest 7th Avenue
MIAMI. FLORIDA 33168
Dade 757 -4181 Broward 523 -0116
DATE OF PLANS
3
S..
af.
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accident
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
tir- npusttl
PHON
JOB NAME
JOB LOCATION
7-280o
LoT
Signature
Signature
SS 20 P;
,14;
AY .411e/C t ^� HTe_S.
,E
Page No.
DATE _ J� //
ft-apse hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars ($
of Pages
JOB PHONE
m3
Note: Thi..
awn by us if of . ccepted w ,' n days
)•
Arrrpt nr Df f rnpnsal —The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance'
Nr- lois