1170 NE 102 St (5)Date
WORK DESCRIPTION
Square Ft. 9 9'0
Signs
Notary as to Owner
My Commission E
FEES: PERMIT 0
APPROVED:
or Condo President
Zoning ��/ ��f Buildin
S7�d�1O cv2fe6!e Tr
dgefik,, MY COMMISSION ON # CC 852366
H EXPIRES: July 6, 2003
'Pf` Bonded Thru Notary Public Underwriters
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Estimated Cost (value)
Notary as to l . : ctor os
My Commiss • ' Expires:
NOTARY
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
(O- > 4 Job Address // 7 Q NL 40,9- cS7. Tax Folio
Legal Description S, r3 to a/c 176, P3 43 i 6 7 Historically Designated: Yes No
Owner/Lessee / Tenant \ P-' T Z 14 C b fl ( 6
Owners Address ) 1 b hrt: ) Z 'S t
Master Permit # 4" 3
Phone0OS7 —7 0
Address J)-) C 4) f 7/7 .0 Yom- �
3 Z 3 -,t 3.r
- Phone 3 ) SC J X2 �
Contracting Co. 1N .A 57 F a„,/
Qualifier , rGC/LO • O S SS#
State # Municipal # Competency # ! ( Ins. Co. 4--
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Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle o e : BUILDINa PLUMBING MECHANICAL ROOFING i' AVIN FENCE SIGN
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
co orpand zoning. Furthermore, I authorize the above -named contractor to do
of Contractor or
- -tO
Electrical
RODOLFO JUNCO
ti MY COMMISSION # CC 852366
EXPIRES:Ju 6,
Bonded Thru Notary Public Underwriters
BOND D c
TOTAL DUE
Mechanical Plumbing Structural Engineer
cRtuf4
p pe o r4ct
fl //ia,ni Shorei
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, M i TZ A COR►2 =A , hereinafter referred to as the Owner of the
(owner)
following described property:
Legal description /folio #:
Lot Block / 74 Subdivision
Tax Folio #:
requests permission to install:
.4 Asphalt, concrete, brick pavers
[ ] Landscaping
[ ] Other
within the public road right of way of l?DA/L% /02 57/E7
(address)
IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows:
1. 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 Miami Shores 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 2 r day of 5er 7 ,eE ..
SIGNED, SEALED AND DELIVERED in the presence of:
, RODOLFO JUNCO
MY COMMISSION # CC 852366
. EXPIRES: July 6, 2003
Y�RLty
Bonded Thru Notary Public Underwriters
TO:
PATE:
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MIAMI SHORES VILLAGE
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I2GAL D aCanPTIOlit Lot 5, Block 196, OS MIMI BHOSIBB VILLAGE- 1'LOIVID ,
c., aeoordlsej to las Plat thareot, as recorded to Plot book 43, at ?loge
67, of tbo Bub110 Records of Illaml -Dade County, Tlerlda.
.Is
CBR'PIPY WI ISLAND 9'186$, INC.
?MUM num.
LAOIA B. ARNIM AND 11d*i1'lA COM.
NC - 301 - 11J�C1
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c Pa0PIla?Y moms: 1170 me. 107(9D attest, New atom, Plortdn.
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GENERAL NOTES A88REVIATU3NS
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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, whetlh 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._.. //7 O N
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision._
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Permit No-4
Disapproved
(Signed)
APPLICATION FOR BUILDING PERMIT
MIAMI SHORES TILLAGE
BUILDING INSPECTION DEPARTMENT
Street
n�f
1 " an far no other purpose.
New Building v Remodeling A T..ition /._ Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of impro e cents $.. Amount of Permit $
of
Zone cubage required / __.. Plan Cubage
Distance to next nearest bui g Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 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 th e of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, • wor' to be perforaned pu under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. J ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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, and that he did sign the same, and that all facts
therein by him stated ire true.
Date
(tu t u
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Bui1 =lj!'g Inspector My Commission Expires
PLANNING BOARD DATE
Chairman .. Member
Member Member
Member Member
Council Approved Date Disapproved Date
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.
‘0)-efi-