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152 NE 101 St (14)• . lSZ �i•E /O/ fffll��r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE i "7 / Date 02/2/40 0 Job Address,Y ,L / cht.R/ C D-C! Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / TenantX oC4 Master Permit # 46'3 3 ® .� Owner's Address / ;J /V'8 1 O/ Jr / Phon OJ 7Y — 70f 7 Contracting Co. 0•Af '4 E_Q 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 PAVING FENCE SIGN 1 WORK DESCRIPTIONX //j G /1 //lr / O IZCi'/ lU l / . ls !l y —/AMR l / /c 404 -414 /11-4( a r CA . 00 ` 00 2 Square Ft. Estimated Cost (value) \7 Signature of owner and/or Condo President My Commission Expires: FEES: PERMIT RADON Address 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 AIHDAVfT: 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. Date ( Signature of Co tractor or Owner - Builder C.C.F. • l0 NOTARY ) BOND 19,i-% Date 2 )f )0a Notary as to Owner and/or Condo President Date Notary a$o Contractor • = . NOTARY SEAL ) ate My Commission Expires GIADYS I VILLAR NOTARY PUBLICSTATE OF 'FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 12002 APPROVED: TOTAL DUE Zoning Building i 41,p41- Electrical Mechanical Plumbing Structural Engineer Miami Shores Village, Fla. OWNER r,a4710.01447 ADDRESS 1 .S O, Q, Sr INSPECTION TIME READY / 01 ttl PERMIT NO. . 6 CONTRACTOR & 14) o e y Pet ravr' TELEPHONE NO. 30 7 7 91 S 10 5-3-V/- 4T,g3 INSPECTOR DATE Miami Shores Village, Fla. OWNER (/ei ' DATE 7 % ADDRESS I S 2, / V E, /O / st INSPECTION /I, -P g TIME READY PERMIT NO. 4 3 Q S TELEPHONE NO ( . 3 4 34'3 INSPECTOR CONTRACTOR DATE 7-7-- DA PROPERTY 01 .Merc.tJ.r NOT :VAL.iD UNLESS EMi3OSSED WITH.- SURVEYOR'S SEAL. o+ Meets minimum to o ' • ! i ical •st j u, • N i '•2 :.forflr i y the 13CY L '• ,L,rkd Surveyor ,pi1r_;5tiant ''to .Sec: Staff This property described as: Lot 8 and the West of Lot 7, Block 15, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade.Cou r IV►- IOO" r LxeDioo MAC 1 11 : Zoo' (2.50 •NOTE:.:Underground encroachments; if any, not located. rev lZ ,yo' 1 Cl 0 rto. oo '(rrt • 6 v; 10.20 r r Certified To: Title Company Of The South, Inc., Mercury, Eardley and Theodora and Carteret Savinys Bank, FA., its successors and /or assigns. FLOOD ZONE: X ha:r 1�H Lo P� 1r� i ? .'i.' y�1L1• 14.g. Iv. 15 t "1U .DO t9.to M v v t4"101-7-\/ . ‘1 - 'd c ?,'L 1 =1 • • J4'/E4' -'r/I- L 4,(/ S ._ -.. 0 - 2,1ct., • rPE 'N�' . I. :,1:irdle and .Thuocl )ra 1.5.2 1J.E. 101: ;t Street A BOUNDARY SURVEY I HEREBY CERTIFY that the survey represented hereon meets the mini- mum requirements adopted by the F.1P.L.S. and the F.L,T.A. and there ere not encroachments, over- !Ws, easements appearing on the plat or visible easements oth than as syrin hereon. , FL. Reg. Surveyor No. 2243 DATE FL. Reg. Engineer No. • 8 -31 -87 "Recertified ", Name Changed and "C rerti ed T - 4 ( 1 5 -9 -90 "Reterttif ied" , "Certified To" Revised.. Miami Shores, - Florida. L ANNES and GARCIA, INC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS 4080 S.W. 84th Avenue - Suite 13 Miami, P.O. Box$6113l 33155 Miami, Florida 33156 ?.7-1 SALE ►I:2 11 DRAWN BY DRWG. NO. 183 -1982 Added. 187 -6727 J90-39601. N(ti l of 51 2 _ —J NE 100 5r LO N rLA J 11'4,1-00' kil Ne• .:.lO\.: �r ?CIST, P.55 No, 1 s'a. 4--11 ;, : HIGH MMvr RY \vpu. ,'15 , Oa ' ki • 3' (3' P roo LO1 8 fin"11- • I/2 or X011 l 1 s. :9=kml:Npl'.D P!-A - T of P1I 'V11 E Hot *S S661100 OooK. i o , PpGE 1 o,'r7e CoUvi Ty r'I,0P • f2 a1 1. t rr VI DI, Ir- or 1He. 511E INOIGb1E6 A mall. carJo1'V t-I 4cSquk:re 46LJPPOI -T . d C0 14I-1 or met P S P, r. 69, . curl o I11exN 6No. N-rr gyp. T H 13t1'. NOTIFIED. 2, caN Fou N DA110 . N.. /2, sco PSI coLuMrJ'4 6 Ms: 3 ,,000 PSI fLeA N(✓QfriM N1, McIM aG 15.6% errix4ros G ExPrl e I A