DRIVEWAYs f PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Ob 3 '0°,-E'• LO ( (,/ Tax Folio I 3 b 013 S3 a
- , , &JAL 39
Legal Description rn -S S ii!)') L R$
)0-qh Historically Designated: Yes
Owner/Lessee / Tenant Iga- '- al 47 Master Permit # 7 os 3 p ? O(/7�
•3f j NI. l'. tO i 0\1' Z�1�A Phone �05) Is . 536 /
Owner's Address � r
Contracting Co. 0,A � Address �°-°-'A G., t�►� `'�
Qualifier r SS#
State # „.-------- Municipal # �_i Competency #
Architect/Engineer Address 'r
Bonding Company Address
Mortgagor Address
Permit Type (circle one):, BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING ' AVING ENCE SIGN
WORK DESCRIPTION '
�C�: �►,N cv�Cu- G1/46- �,w •` •
• • Estimated Cost (value) ` •
Square Ft.
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 in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERM4 0
RADON
Ki i 3 /2l/ /?
Zoning 2( Building
Signature of Contractor or Owner uilder
. - tract Owner- Builder Date
My Notary Co as t . y t�iP on . iresor �Q D. Wl o ,
e COM4SION # G:Cr 7'4614
woo NW ea. itia2
BONDED � RY
C.C.F. a ti 0 NOTARY — 0 BOND 300
TOTAL DUE3WO —
Electrical
Ins. Co.
._ _.,s,
9S
k
thate
Mechanical Plumbing Engineering
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, V e- rq (41'4 l ICDp.`D , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description /folio #: ) 3 c 0 0 13 52' J
Lot Block Subdivision
Tax Folio #:
Y
requests permission to install:
[ ] Asphalt, concrete, brick pavers
[ ] Landscaping
..IaOther «2?Q 7 . 7..��< /J
SIGNED, SEALED AND DELIVERED in the presence of
Yl//iami SIlorQ
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 - 2382
Telephone: (305) 795 -2207
Fax: (305).756-8972
pRlue of y
,APPRo tf
within the public road right of way of
(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 day of )1k--2; 1OCCO
wner)
•
02/23/1996 00:02 305-2290446
•
1
ifi
CO. _
(D TE)
CAMILO J MEJIA PAGE 02
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02/23/1996 00:02
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rt>.-
41■•■•
305-2290446
1: \17.. jCE
_ — — -•.,.
.7 A'I'T)ROVE
CAMILO J MEJIA
PAGE 02
. t. •
GATE
CRITIQUE SHEET
JOB ADDRESS 3 0 0 N= C• i 8 S f r 'ee
APPLICANT
PHONE#
APPUCATLON [f
SHEET OF •
MISCELLANEOUS
2..C9A/ //✓(j COMMENTS
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION DATE
ZONING
ELECTRICAL •
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
BY
1. Subject to compliance vrtth nit Federal, State.
County, YJtage rules tad rogutatSoas. essucaes
no responslblltty for accuracy oflor results fro*
these plans.
2. This copy of plans meat ba available WI
building site or no Inspection wilt be conducted.
INITIALS
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