504 NE 101 St (8)Permit No
Amount of Permit $
:3 ,t
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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 kcpt at
building during progress of work. 1 - ` L/
Owner's Name and Address 1 ' ' C11AL.) N 1 1 ! t M 4. No 7 / q ° S 727 Street... Q 7 N L /0/
Registered Architect •and /or Engineer ((++II JJ�� . /��� � p
I 4Em pI inL yectriFja 'a Na CL&I .1 �iVM�1 J . S.No... . IW y /.7.Street /SOiY $' / / y a p �
/ .c C 'ITc n d Legal acri n Lot 35 Y! Block / $ Subdivision.. P / 7
APPLICATION FOR ELECTRICAL PERMIT
3,
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
5*- afi
New Building Remodeling Addition N'
Date.... -oa 6 - ( 1
Street and Number where work is to be performed — No J... . 7.... N E 1 Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing... ... B.X.L Metal Moulding
(Signed ). /.4. Off&
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a e ta his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 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 rk such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contracto n work to be p med under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, 1 .0 • 1Fa'°°o.Z 8'g' 9
COUNTY OF DADS. I
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 thet'above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Master Electrician.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
4'
SWITCH
O
LIGHT
OUTLETS
PLUG
RECE'P'T'e
FIXTURES
NO
RUNIC.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
N
d
t
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.1 HP
NEON
TRANS.
RAOIO
�Vi4/
a
TOTAL
CONTR.
LIST
CHECK
Permit No
Amount of Permit $
:3 ,t
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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 kcpt at
building during progress of work. 1 - ` L/
Owner's Name and Address 1 ' ' C11AL.) N 1 1 ! t M 4. No 7 / q ° S 727 Street... Q 7 N L /0/
Registered Architect •and /or Engineer ((++II JJ�� . /��� � p
I 4Em pI inL yectriFja 'a Na CL&I .1 �iVM�1 J . S.No... . IW y /.7.Street /SOiY $' / / y a p �
/ .c C 'ITc n d Legal acri n Lot 35 Y! Block / $ Subdivision.. P / 7
APPLICATION FOR ELECTRICAL PERMIT
3,
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
5*- afi
New Building Remodeling Addition N'
Date.... -oa 6 - ( 1
Street and Number where work is to be performed — No J... . 7.... N E 1 Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing... ... B.X.L Metal Moulding
(Signed ). /.4. Off&
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a e ta his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 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 rk such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•contracto n work to be p med under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, 1 .0 • 1Fa'°°o.Z 8'g' 9
COUNTY OF DADS. I
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 thet'above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Master Electrician.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
4'
STATE OF FLORIDA
) SS.
COUNTY OF MIAMI DADE )
The foregoing instrument was acknowledged before me on by
, who is personally known to me or who has produced
as identification and who did (did not) take an oath.
Signature of Acknowledger:
Name of Acknowledger:
) SS.
COUNTY OF MIAMI DADE )
STATE OF FLORIDA
The foregoing instrument was acknowledged before me on by
, of
a corporation, on behalf of the corporation. He/She is
is personally known to me or has produced as
identification and did (did not) take an oath.
Signature of Acknowledger:
Name of Acknowledger:
(Typed, Printed, or Stamped)
(ACKNOWLEDGEMENT - INDIVIDUAL)
(ACKNOWLEDGEMENT - CORPORATION)
(Typed, Printed, or Stamped)
Title or Rank:
Serial No.(if any):
Title or Rank -
Serial No.(if any):
Lot Block Subdivision
Tax Folio #:
requests permission to install:
Thiarni _ Chore6 VI/age
10050 N.E. SECOND AVE.
MIAMI SHORES. FLORIDA 33138 -2382
Telephone: (305) 795 -2207
Fax: (305)_756 -8972
,,/
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
WHEREAS, /" //GN4FG C, G i 74 /fru , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description /folio #:
A sphalt, concrete, brick pavers
[ ] Landscaping
[) Other
within the public road right of way of ✓2 /6 / Q/ 57224-
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
I . 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 Miamj,Sh6res 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 . / a Do/
(owner)
SIGNED, SEALED AND DE �_ ._ '3�co
„ ;;:,Y'•' , - RODOLFO JUNCO
MY COMMISSION # CC 852366
,' , "r ; = EXPIRES: July 6, 2003
'•'. Bonded Thru Notary Public Underwriters
AY
�P L
tD 3
This property described as:
Lot 5, LESS the East 35 feet thereof
and All of Lots 6 and 7, Block 95,
AMENDED PLAT OF MIAMI SHORES
SECTION NO. 4,
according to the Plat
thereof, as recorded in
Plat Book 15, Page 14
of the Public Records of
Dade County, Florida.
Note: Underground encroachments and
utilities, if any, not located.
FLOOD ZONE: X
Certified To: M and M Title Services,
Title Insurance Company and Universal
its.successors and /or assigns and
Williams, Michael and Leisa.
PROPERTY OF: Williams, Michael and Leisa,
Not valid unless embossed A BOUNDARY SURVEY
with Surveyor's Seal.
I hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Boar and Surveyors pursuant to
027, Fla. St tes. There are
chments, o laps, easements
ring on th , at, other than as
wn hereto.
Fla. Reg. Land Surveyor No Q�
ME /--1iGveSVi ✓ES
its E /0/
—
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pro ;` or1 ��ir
Inc., Commonwealth Land
American Mortgage Company,
504 N.E. 101st Street,
Miami Shores Florida.
L . A N N E S and G A R C I A, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
DRAWN BY
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C' _ 'G /GU/ ' r45V
Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134
Mailing address: P.O. Box 561131, Miami, Florida 33156
DRWG. NO
191 -247