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PAVERS/SIDEWALK• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 ' ?Job Address 7 0 c) NC 1 0 t P Tax Folio `o .5' Legal Description � '3 ("C � I 11 f_1 Historically Designated: Yes No b`` � Owner/Lessee / Tenant iV 6 cr r I ©�^t ' Master Permit # `T 3 OS:3 Owner's Address ' 7 0 f> ►' t~ 1 1 3 + �.-{- Phone Contracting Co. ) - e � • L-� frt.: o T ( Address Qualifier)41442rt 1 1) (_ � '� !LiO ; ty SS# r7 4 9.00 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL OOFING, PAVING FENCE SIGN ff l e_ �� C' � L% = W i- U� b; 9� 5 Lit WORK DESCRIPTION e P Y `)r %, ek (Pot)-r/6 Square Ft. Estimated Cost (value) 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 o do FEES: PERMIT Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: RADON e work stated. ary My Co TOTAL DUE e ,∎ f ontractor or Owner- Builder ate o 7 - . 35-O 4 , // f/-3a-frP to o ; : ►' ;7t' �"cT,`"�f ssion = Cs� V ' i .r, to : ' °'stt C' Date C.C.F. '-' NOTARY � BOND APPROVED: Zoning Building Mechanical Plumbing Engineering Electrical A- All OIATAla 0YL WOW KM- Within, C- Cone L a - caCa IMF C.1 l - COWL ROOT CTNL[TU< O F Chem Wilma O4- MOM 111,1114 C.- MIN C/L- COMM Low BEARINGS ARE BASED ON AT PAGE s 9.55 19.0' 4sphalt x 9.15 60. 0' TOTAL R/W 30. o' rip 1/2 w /cap kii /15 flp 1/2' no cap. np1/2' Y /cap 43609 b" id b u B.90 LL /.- 0I■10 LINK MCI CON .- cQ0lff1 M'.- CILPATIOI CT.- CORT /.l- IMO NIL alL- MINCE L NIIITOWCC /al - nue NIL 1010 1.7 R. -RR 1 UCT La • ust EMT.- t.1ri , I W.- mOnMert Lim /.al -IrIO MALL NO.0 lL - I[TuL Ta. Om I. r. L- IINIOI FLOOR Tina Tla N- NOON I. 1. I.- IOL.O IIOI FIR Il. - 'WM 0- 01IRTG i • 0/71X10. MOO AN ASSUMED NERIDIAN C/L OF BEARS MAP OF BOUNDARY SURVEY SCALE: 1' - 20' nt Chord Curve • Radius Delta Len•th Tan CI 25.00' 90'00'00' 39. 27' NE 101st STREET asphalt D 1/2 0 1' C , •3609 1110' 5. BO' 9.8' - wood fence 4' cone. B 100. 00' 10' asphalt 75.0' 9.09 30. B0' B. B. 0. 25. 00' 35. 36' N45-00-0. OE 24. 40' ONE STORY CBS. RES. No. 700 NE 101st. STREET DADE COUNTY, FL. 33138 x 9.37 N LOCATOR: 3250 S NAME: 8 -62 ELEVATION: 8.74 NE 96 STREET - -- 66' NORTH OF C/L NE 10 AVENUE - -- 23. 5' WEST OF C/L 70. 7' NW OF CENTER OF INTERSECTION BRASS BAR IN CONC. NON. r. L /. - RAURJn CORICI NWT C. 1NIN P11.- HINT M CO.00CRRT 111.- 0611011 /.11• re.1a1(111 myrxxce L I.I.- 1A INII IIR .00I07 011 -Ri NILC0101 M 11111 11.L- CMR.AA Na- Nal1l I- TaN1101T 011,1104 Te.l • nswew IU.- RxOO TW.- nMFTWP I. I1CC1000 LC-Mort 1 n TILIIT ort uiepn KL- N,R NW01MN,U1 a 11 re6 a- 1rTNa6 Ml AS SHOWN IN PLAT BOOK 16.0' asphalt 14.5' pkwy cas wall 14.10' >ti 4' A. C. 5' conc. swk. 9.00 s 12. 0' x CO 9. 1 19.47 09.47 flp 1/2' 0 110 Cap. 3. 1' X 3.0' flp 1/2 0 III cap. Ilalted of plat PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 76' i1' qr Job Address '2 // ( /Pf SI Tax Folio Legal Description Historically Designated: Yes No >e- Owner/Lessee / Tenant PO Aro )' a J 100- T i Master Permit # 1'! 7 c 2) Owner's Address `7 b l) A) £ ) D 1 3-71-- o Phone , 3 5 S s s 7s • t 2. 2 k Contracting Co. ' Si ( CL fil -24 c i" (_ 4 Qualifier G r// ,Fs '1 6 S 61 State # C 1 5 C O 3 L2( p municipal # Competency # — Ins. Co. Architect/Engineer i 0 i (h o o Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. I Si afore of owner a d/or Condo : rrsident Date nny Bensimon * *Klly Commission CC718506 • 'q���.r Expires reb'uary 22, 2002 Notary as to Owner and/or Condo President My Commission Expires: / L� FEES: PERMIT ` 1 tJ RADON • Re cce & de (4)c 1(C "b C 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. 2t 7 oN Date C.C.F. Estimated Cost (value) l E U? Address 7z-/ 34- SA) )/7 ss# ) Phone 20 5 APPROVED: Zoning Building Mechanical Plumbing /1/ Signature of Contractor Owner - Builder .s; % Jenny Bensimon * *My Commission CC718506 t. •.,,, r Expires February 22, 2002 Notary as to Contractor or Owner - Builder My Commission Expires: NOTARY Electrical Date Date BOND TOTAL DUE / 1 l( - Engineering !." • 4, • ; • .. ; • ••, . • • „ • ELEVATIONS SHOWN IN FEET REFER TO C & G. S. MEAN SEA LEVEL DATUM. • • . . • 1‘ / / >11 t 'S 5 ( (;) t 3.0' ■ • • ; I r • -30 • r— piif • / !• . ,c7.<.•:.G • • . • T 14 --; • Date ,t( rd--Os 'R Job Address Architect/Engineer Ll ti 7 41 G1 ci Bonding Company Mortgagor Square Ft PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description Historically Designated: Yes No )<- Owner/Lessee /Tenant t A l n 4 . /0 ij Master Permit # f ' 7 Owner's Address — 2 O N [ /o / .S% Phone Contracting Co. ( _� �rz v C l �. Address 7/3 6 S /r ? d i 17 / Qualifier 7)1444 '^ 5/0 / yt O Sf SS# 3 " 4 S 0,27 State # kc ( 0 2 1 - 7.2 ( A Municipal # Competency # Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 41-f , /d Pq 112) / 4c i 616 4 L /Q/ S/" Tax Folio Address Address Address Estimated Cost (value) /cc' 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 Signature of o Owner- Builder Date a� Contr Jenny &nsimon * *N►y Comor mr ission CC7tf5� °•.....0 FrN.ey reb Notary as to Owner and/or Condo President Date Notary as to Contractor or My Commission Expires: My Commission Expires: FEES: PERMIT RADON C.C.F. NOTARY BOND TOTAL DUE /0- 2 " t Date APPROVED: Zoning Building L , 4° 1 5 4 4 , 1' Electrical Mechanical Plumbing Engineering .• c c. /1.34 • pof , • .NOTE: • ••‘;', :ALL ELEVATIONS SHOWN !ti FEET REFER TO JS C & G. S. MEtA SEA LEVEL DATUM r- 1 • • xt. war I's 7.35' in 11.70' / --' A/o . 70,9 FL . EL MO .9 .5.95 0 • 4 • -- ; 1 /4 , ' -e0 4 ;,0/ r4e g o z ' BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations 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 kept at building during progress of the work. Date Owner's Name and Address Registered Architect and /or Engineer - - Name and address of licensed contractor. .__".r _____ Location and legal description of lot to be built on: Lot Block Subdivisio Street and Number where work is to be done �' %i ,- State work to be done and purpose of building ( y floors) peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, therein by him stated are true. Permit No Disapproved (Signed) Chai; man Member Member .. - .. . Council Approved ss. Date Date Building Inspector MIAMI SHORES VILLAGE PLANNING BOARD (Signed) Member Member Member No ` - u °`w Repairs and for no other New Building �� Remodeling ., Addition purpose. // p -. -. No. of Stories To be constructed 4idd of foundation toof Covering - Estimated Total cost of improvements $ Amount of Permit $_ _- _ _____- ne cubage required - ° ., -- ° " " - " -- Size of Buildin --.____ -----•-----•-•----- crest buildin g Lot.. - -. " -. ---•- - -- Zo Dista�ice to s...... g __ Maximum live load to be borne by each floor "" I hereby submit all the plans and specifications for said building. All notices with referenc to the bu-ildin g and its constructio ma be sent to -- ---------•----- ----- ----- •----- ------- - - - - -- ------------.._...--------------• •---- •----- -- •-- ••- -- • - -- -'- Y - ----a- - --- - "--"- --• -- The undersigned applicant for this building permit does hereby certify that he un�rstands end of labor under the Florida Workmen's Compensation Act, being Section 5966, Compilet.�enera accepts his obligatio as an and has complied with the provisions thereof, and will require similar compliance from , ntraL a ws of Florida, Perman S „ employer n th wor to be performed under this permit; and will post or cause to be posted for irus a n ofs or sub - contract e mplo�. e' b "'ent or notices as are required by the Act. The undersigned agrees to employ only such sub in eon ac i on site of the work such Y him permit, as are licensed by Miami Shores Village. a ''k to be public notice performed under this Remarks STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmt. pally ap- tometi and that he did sign the same, and that ah Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 19 Street ----------------------- Date