405 NE 101 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date VI
Job Address 1 05 /\/E ! DI J Tax Folio
Legal Description Historically Designated:
Own = / Tenant `, U j C S l/a (e.) Master Permit # 7O c f7
Owner's Address ge/ E /0 Sf C4 Phone ( 3D 5 J S 7 g Q S< S
Contracting Co. yy�� QA.Cu / /CC Address
Qualifier ee5eX C I,SSeL SS# Phone
State # Municipal # Competency ##S ooal G Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION a -9-Zrh ' �sL
t-IA efil..4A. 9A.4"-d
Square Ft. Estimated Cost (value) � 0 _ 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 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 • or to • • the .: sta d.
ature of owner
r Condo Prescient Date
Notary as to Owner_and/c_r Condo _Presici
My Cgmm}ssiofiE)cpiresvIAL NOTAnY SEAL
U F - SANDRA M EONTIEL'
COMMISSION NUMDER
1-1'.1 . § CC401231
n �.
r< r Q ?` COl'a IISSIOI1 .EXP.
AUG. 971998
APPROVED:
Zoning
Mechanical
r
RADON
Building
Date
C.C.F.
4 ( `Pi� -e• , ran 1,0a, 3 ,L /
l: gnature of Contracto Cull •
Notary
My Co
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on �3resg M MO(�T
� , COCaMIg510F1 WUN79LW
CC409 20
9j (.1‹
MY COMMISSION .EXP.
F OF �� AUG. 97 1998
NOTARY ,r TOTAL DUE
Electrical
Yes No
Date
Plumbing Engineering
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890 57.o0 -
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AFFIDAVIT
I, Sugie Suarez, will remove eight feet of existing
CB block wall on or before July 20, 1996.
property: 405 NE 101 street, Miami Shores
6' max.
Tension
Bond
Standard lc sidontiai Shop Drawing
Roil End
8 Bond
Sire -Is outside dimension
i
I.,
Ti•
Wirt)
10.-0- to t•nt•r
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maximum
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11
Past hole diameter is 4 times the diameter of the poet.
Top Roil
Slo«.
T £RMJNA ` POST
ti
Iz•
W1. pot ft. i
L1NE POST
r
Size
Wt.per ft.
1 5/8 or 2•
TOP RA/L.
Si
. 1 3/8' or 1 we
, Weight- Is oound/ eN
Top Roil
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tafmce
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