1270 NE 102 St (7)Date 40
Legal Description Historically Designated: Yes
Owner/Lesse / Tenant g Be 2 - L- (7 ► 1 1 t° ie Master Permit #
1 7
Owner's Address 470 /l) C /0;2 S T 3 . ) 3 Sr" Phone 75e-5‘ -5 ‘ 7
Contracting Co. 17 9S TA -rA) Address PCB c3 cJX , .0 L crEi
Qualifier A # _ SS# - Phone3d i ' .� O5 II 1
State # 3 6- G� - C ? � 2 Municipal #36- 9 /0? Competency # pr�0OaCi p A 44 b / l Ins. Co. 3
Architect/Engineer /U
Bonding Company
Mortgagor
Square Ft. 6
/: ?Job Address 42 X A) £ AOa .5 T Tax Folio
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 5 C / Fe.,c w /&/ 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 m compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
S:' 4 ii,iM-e_
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/1/ 7
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date Notary ds to Contractor or Owner- Builder Date
My Commission Expires: My Commission Expires:
tia FEES: PERMIT R ADON C.C.F. i 5 NOTARY �� TOTAL DUE
Address
Address
Address
// 3205 0023 Goa /
Estimated Cost (value) l ?�
Signa
n : cto ' ! wner- Builder
No
Date
APPROVED:
Zoning Building lOt
Electrical
Mechanical Plumbing Engineering
i
Dater''. Job Address 4770 /V E /D2 Nal k-WEETTax Folio'' 3-2-D5 0 2-5 Of13
J
Legal Description
/ Lessee / Tenant /W60,'774 /n/// Master Permit 5
Owner's Address / ,0 • 4J /002 R7PeEr' ; 6 :1 19 1: h one (30.5") 75? 5lo7ft
Contracting Co. `-/`/ TA- //1 //l/ & ,/ 2.'Address /9. X &SO
Qualifier )56 1 L . 6 2/ ` - Y SS# - - Phone (,30.5/% / R e5
a q z yes //&5'a.e -SC 45•
State #3 0 - 6 23'd7 /Z Municipal 1tJ0'4 23 /Z Competency #i, ODOOt /P Ins.Co faJSeI
/C26? / & l7 d .
Lmea/ /
Squae Ft.
OWNE
be d
a
architect /Engineer
3onding Company
Mortgagor
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
A/
Permit Type(circle one): BUILDING ELECTRICAL
WORK DESCRIPTION l_ ? 5 / / /�
gna ure of own r and /or Condo President
L / -/7-94--
•
ry as to Owner and
Commission Expires:
;TES: PERMIT
APPROVED:
or Cgpdq� P resident
I Ira JULIE ANN JUTERMAN
V? COMMISSION # CC 335111
OF EXPIRES DEC 8, 1997 Bonded Through
F;OP• ALAN INSURANCE S*
CES*
Mechanical numbing
Address
Address
Address
PLUMBING MECHANICAL ROOFING PAVING
1,/
Estimated Cost(value) U/ 7e
Fire
*
*
Zoning tuilding
..4,I30N C.C.F. NOTARY
Other
Electrical
Engineering.
/.7
TOTAL DUE
/
NC
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 ATTORNEf 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.
IDAVIT: I certify that all the foregoing information is accurate and that all work will
compliance with all applicable laws regulating constructio and zon'ng. thermore, I
l ive -names ontractor to do the work stated.
ff2LL //1 ' l l I
Signature of Contractor or Owri r- ` uilder
Da a -
i
as to Con or Owner- Builder
ommission Expires:
,•`'' "' JULIE ANN LUTERMAN
a4s .10: COMMISSION 11 CC 335111
. ; EXPIRES DEC 5, 1117
* i '•"4-Of � �;- * Bonde$ Througflw
F;.•• ALAN INSURANCE BEAVI�,'�'F
0
rtl
o•4S
G I.
0
0
. t. t'1
D 61
0,7;)
_ r ` = i r- � C � L ! -
-
- -
(=V — ;
(V ) I -a
� c
Certified To: M and M
Title Services, Inc.,
Commonwealth Land Title
Insurance Company, Mille
Robert C. and PNC
Mortgage Corporation, its
successors and /or assigns..
FLOOD INFORMATION:
Community No.: 120652'
Panel No.: 93 Suffix: J
Date of F.I.R.M.: 3 -2 -94
Base Eleization: +8.00 N.G.V.D.
Note: Underground encroachments and utilities,
if any, not located. Fence ownership by
visual means only, legal ownership not
determined.
1 dr Z - 9, l.Uw i f' -r-), ; — �t, A.-r0. _ _-� :.95%
N OT E
Not valid unless embossed
with Surveyor's Seal.
- T 1 c 3 � � G.4- 1
This property described as:
Lot 4, Block 185
BAY BREEZE SECTION MIAMI SHORES,
according to the Plat
thereof, as recorded in
Plat Book 42, Page 25
of the Public Records of
Dade County, Florida.
PROPERTY OF: Miller, Robert C.,
t )OV/JpnrC. Sl RVI1 ..
n
I hereby ...fly that Ow mosey WW1
welted hereon meets the rntnnnum
let howl atendard, set !urdt In the Board
of land Sun.wors a chaplet 61(;17 -6
I lu t rtda �.1 • l: ..Ir put ant ro
a.. It 7. , 1 1.. Vatteea)1• art•nn
✓ - medal erial. m•u
w•r s
w pm tg on the Pla uthei than as
.htyC hereru I .
11 Reg. I Sun • w
S
DATE
o z -
Q%
2
\
N.E: (01 �T
FLOOD ZONE: X /AE
p_fJllio —LCo ;]op£ Co(j T — J ' IZ.ocL'
9.oc, •
1270 N.E. 102nd Street, Miami Shores,
Florida 33138.
LANNES and GARCIA, INC.
ENGINEERS - LAND SURVEIORS - LAND PLANNERS
Office address: 359 Akarar .Avenue. Coral Gables. Florida 33134
Mailing address: P.O. Box 561131. Miami. Florida 33156
(305) 666 (305)523 - 8663
SCALE
u
•
DRAWN HY
4
0
i
DRWC:. NO
• 28439
MUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of j tuilding
,ontractor
Dr Builder •- I
MIAMI SHORES VILLAGE. FLORIDA
❑
DAT 195_7.
PERMIT
O
4965 Con trac
N. t‘
❑ - - — License o tf ca.► ,a► r 1 ['
, 7 CONTRACTOR (9 ' BUILDER
Architect
1.egal Lot
)ascription
Address of f "1 Value of w,; II Amount of
Building t 7 CS P.} " ►! "" � Project $ " - ' I Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
aerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
Drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances of if the plans are changed without authorization. A further condition upon which this permit is
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorou oyzledge of the ordinances and regulations
'ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or speci ica and'ihat he assumes responsibility for work
one by his agents, servants or employees. •
Signed. LA ` :' . -..a.r f l f�, . B�Y
INSPE " "'--
In consideration of the issuance to me of this permit I agree to perform the work covered herea in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitt to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility forpll w•!'' done by' either, myself, my agent, servant or employee.
Work to be performed under this Permit
..• Subdi -
Bl. 1 4 vision +4 r't- c 1 Z Z
BY
AUTHORITY 8
BUILDING I SPJCTION 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.
Owner's Name and Address. A.., L L 1 Jti G No Street
Registered Architect and /or Engineer 0 CA./ J ? 12,,,
Name and address of licensed contractor
e t
Location and legal description of lot to be built on:
Lot Block l t� Subdivision..... J 7 L EZ f (-) I,
Street and Number where work is to be done / 2 – 7 D A.) • C .. /O `2_ 5
C 1 J L,/ ft /c C
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of ill 1 A t Kind of foundation Roof Covering
Estimated Total cost of improvements $ O v Amount of Permit $
Zone cubage required — _Plan Cubage '
Distance to next nearest building.___ Size of Building Lot __,%^ , 1 7 0 P
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 i G 7 0 A. e . i 0 2- i T
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 the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be .erfo 'ed under this
permit, as are licensed by Miami Shores Village. � / �, , ,
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. 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
of the above described construction, that he h carefull
therein by him �glated are true.
Permit No._
Disapproved
( Signed)
MIAMI S RES VILLAGE
Date d/Q- /L."
2
to me well known,
that he is the_
ing application, and that he did sign the same, and that all facts
ad, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector / y. Commission Expires
PLA INC 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.