990 NE 100 St (16)■ �� PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 6// Job Address qq2 NE /D 2l ST Tax Folio
Legal Description Historically Designated: Yes No X
Owner/Lessee / Tenant 17D/7 e (Wd "lC iS /() R1 yh f - Way) Master Permit # ` 7s--
Owner's Address Phone
Contracting Co. ,414 S7T C - Church Towe/' f j r / /SO all
Address 70 %o /l/tv I t/ Cr / /p„„ / FL 33/ 7ff
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer / v e/ hd C v,r c7
Address 9090 Nw zit ST M lam / i l'L 33/
7 1
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
8S7 3043 41 /m2 3 S 0'1'1/v
WORK DESCRIPTION ac/r7 «-.
FENCE SIGN
/ c'! -wa of ,v' /O' 4 v6
Cv t1`y`nJc /c'Shjr/ qsf Q(t c l(A/ewa y s . See ske p-Ov /ded
Square Ft. 2 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 contractor to do the work stated.
Signature of owner and/or Condo President
My Commission Expires:.
FEES: PERMIT
APPROVED:
Zoning (,tGg
\ - hanical
Estimated Cost (value)
$ 75
/2
Date Sign ature of Contra r or Owner- Builder
Notary as to Owner and/or Condo President Date Notary as
My Commi
444
Building
to Contractor or Owner - Builder
ssion Expires:
SUBSCRIBED AND SWORN BEFORE ME
DAY OF< / Zoo
B Y Mt3NU V• DOwRko — W H 0
PRODUCED A CURRENT Rcvca'Da60531) 71/ im O
AS IDENTIFICATION.
RADON C.C.F. NOTARY "" 0
1/ - 3206 - —S/J°
i e r N k = briel Fe dez
W dr • My Commission CC 772363
Expires September 3. 2002
BOND 3 Qc)
TOTAL DUE yi D ,
Date
ate
Electrical
Plumbing Structural Engineer
PRO
2 -2'
FOR
POW
990
OSED
PVC CNOT
FPL
R FEED
P/L
06/13/2001 09: 48: 49 AM
EOP
1
EASEMENT 10
(ALLEY)
EOP
EXIST
FPL POLE
R/W
NE 99TH ST
70'
R/W
P/L
95'
109'
PROPOSED 3' WIDE
ASPH DRWY
CUT & RESTORAL
999
•
BST
EASEMENT
T
1' 10'
t.
15'
•
PROPOSED
4 -4' PVC CNOT
FOR FIBER OPTIC
& COPPER CABLE
wir
w
(n¢
¢w
CC CC
0 ¢
cn
:n
cc
o ¢
('S) Cc
N ¢
16'
41
56'
O
! )/
0
0
w
0
0
w
I
w
Q
3' WIDE
TORAL
TOTAL LENGTH ON TRENCH:
IN PUBLIC RIGHT -OF- WAY =284'
IN PUBLIC EASEMENT =110'
PROPOSE
ASPH DR
CUT I & R
w
Q
F
'w
z
PROPOSED
ASPH ORW
CUT IA RE
6 k'
(
z
4 ,
EXIT BST
MANHOLE
11A-14
CITY
PF-R
3' WIDE
Y
STORAL
c
NE 99TH ST
CF
u
PARKING FOR
COUNTRY CLUB
/
/
/
/
/
/
/
/
/
vi
IT S
/,
v
RESTORATION IN
ACCORD:aNC,E WITH
DADE COU,NTY
SPECIFICATIONS #R21.1
METHOD' OF TRAFFIC IN
ACCORDANCE WITH
DADE COUNTY
SPECIFICATIONS *R19.5
I SHORF-S
-T' H
/
/
8 HOURS BEFORE YOU DIG
4 G
CALL SUNSHINE
1- 800 - 432 -4770
IT'S THE LAW I N FLORIDA
CONTACT: AMANDA
TICKET No.(s): 15910298
DATE /TIME: 06/08/01 8:15 AM
Stage 3
Construction
Work
Drawing
State: FLORIDA
District: NORTH DADE
Exchange: MIAMI
Wire Ctr: MIAMFLSH
AA, /Taper:
T a ,
x District: 130 22
RZ /CZ: 13/09
Designer:
Manuel Docurro
Phone: 305 - 594 -4029
Records Ref:
DI- 0408 -C
I WORK ITEM *15099 I
Job Description:
site prep for RT3106A 992 NE
100TH ST ploc cndt &
CEC -2000
Job Number: IM235044N
DWG 1
OF 1