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1160 NE 102 St (5)MIAMI SHORES VILLAGE 0 BUILDING DEPARTMENT (.1 305- 795 -2204 Buildin: Inspection Request Date b Time CC / Type Insp'n U C Permit No. Name Address / to Company 01' Phone # For Inspector: Approved Correction Re- Insp'n Fee �S Po3- / y2.6 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - 7 2_(a - '..b Address / /!PO AM /02 Vic( T Folio 1/ 0/9- 0/604- Legal Description 1 -01 - DC 11 (o ti''' ' ' G • S Owner / Lessee / Tenant _53 /A0 6'x1 Master Permit #36...s Owner's Address //60 Ne 19 2 57- /44).4.-1/' 4 ),4 -1/' .Sett./ Phone Contracting, ` . ©W 1�Lt %,�— ■ l .A �-- Address Qualifier fJ !h SSif - - Phone State if Municipal if Competency if Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address N ** * C. Permit Type(circle one ( BUILDING/ ELECTRICAL PLUMBING � MEC IC/1L ROOFING PAVING FENCE SIGN - T ' ' dL ,.16IN"rl, -6 , o,4; IAAyc SPuc as t,1paie WORK DESCRIPTION wr IEI) ?t - D2i'J W4 A►Th w4Il/v)Al / 4 C0i'G4611- ;° �„�, ; �� Fr ©bvCW`T b Fhb 0'c To w FT (,,) )c I006'.01/.4 ifsv 3 F ro Square Ft. / y66 • CT Estimated Cost(value) lit6 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 contra •r.-to do the work stated. Signature - 6f owner and /or Condo President Date: a r s Owner / e.ndo t My Commission Expire -'41.•- My Comm. Exp. 12/22/97 1 Commission #CC 338026 " " 0 Zn FEES: PERMIT 0 RADON C.C.F. APPROVED: Fir Zoning B Mechanical Plumbin Signature of( contractor or Builder Date: Notary as My Commission Claire Joseph • a e My Comm. Exp. 12/22/97 , ,,,,,0 %k Commission !/LC 338026 * * * * ** TOTAL DUE v 4 KX Other 7 1 ■ 6 e'1 Electrical Engineering 'this 1)roperLy (l' i11.;: Not F �... E Block 176, REVISED PLAT OF TRACTS 1 7'iA, h 1751'3, 1.75(_:, 1.76A, L7613, 1.76(', 1.77A, ' gig.e03 17713 AND 178A ((I' THE REVD/ E1) l'LA'' OI•' MIAMI k� SI1OR1 ?S ; ;1;( :'I'roN R,accOrd,i nil t r, i lit Plot t.li rceo[, a:; raec(tt di' 1 in Plat nook 43, Pogo 67 of this Public Rte4''OrciS of Dade ('(ttlnI'y, Florid,. A/ E, /OZ r) -/ /3.30' 1.20 : • ( Not valid unless embossed with Surveyor's Seal. A BOUNDARY ' Fla. Reg. Land Surveyor No • SURVEY I hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors pursuant to Section 472.027, Fla. Statutes. There are no encroachments. overlaps, easements appearing on the Plat, other than as shown hereto. yJ�7 t, ry� L fe,‘ / °'SS �%. -,o/e / N (if /2i.vef 7' hr26i 42 Zk, cx" (7 ' Z 'Q 'N , ,hit _ e a . ;s s�o 'r / 4v - a 0 /, /t/6 Vi /7z9. �ower / c *rP „'� m '1/ e -Yv//E ekv 3- ✓ � i e,f /. n;. B-6 2 ,Z 8' 7, t)/)DE Lou „T7 C a . r i er /P I : J• 2 7 E.-�. • / 10 DATE /fz6 '-4 ■ : c. - /. , /en,- /„ e_ X it/ /' /o /7 of M' / �f) • Y� % ,-Qs o cif / 1 ' O ir ,,tic, iF • • GIr' C/ e 0 r /_L I , of,..,e•le/ 1; C_- /,C/'• v.0e,r.)c . /. -?,P.., f . . • 0c/. ,v/ 7.:( ,7 , Ge. / _ , 67/ ff' /1-!;1-. c '')C G0.dCl'( . /7 c-, c i df e., . / c, /� f �,, c© L cU • ! i /e 1Jc)i.(e: (ln(lr!rgt olnrlcl encroachments and ut i .I i_t :ies, if any, n(.Jt located. Fence ownership by visual means only, legal ownership nett determined. r 1,001') ZONE: _ _ AE E LC)t )D INFORMATION: C'omntnni y No.: 1 20652 I No.: 93; Suffix: , Dote or 1' IRM : 3 -2 -94 Base Elevation: +8.00 N.G.V.D. SCALE /'. mo DRAWN BY (2c -tom/ DRWG. NO 22440 4 "Cer.ti_fi('(1 To: t1 and M Title Services, inc., Commonwealth I,itit(a '1'i 1.'.11e I Ili ;ii nee Company, S,.'.1 •;l, Sam iri :Ind PNC Mort: iage Corp. of America, it.: successors and/or assigns. PROPERTY OF: ;;.t 1 iii, ;.11nir.r, 1.16(1 N.I ;. 102nd St Miami_ Snorer; , F' ()rid,' 331.38. CANNES and GARCIA, INC. ENGINEERS - LAND SURVEYORS - LAND PLANNERS Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134 Mailing address: P.O. Box 561131, Miami, Florida 33156