1270 NE 102 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Z 23' fre'Job Address /2? 7 7,€ Ge' / � Z 4 s Tax Folio
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contracting Co. /'r r . /IJ i / % 17 . ��tJl'. Address
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APPROVED:
Zoning
Mechanical
Signatu #e of owner and/or Condo President Date
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FEES: PERMIT RADON
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Building
Date
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C.C.F.
Historically Designated: Yes No
Master Permit # 3qc)--71
Phone
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Qualifier A/ / e,/. SS# ? - Phone
State # Municipal # 47O Competency #67 - &)j gam- - Ins. Co.
Square Ft. _ Estimated Cost (value) _0 23 S v/
gnature of Contractor or Owner-Bu der
otary as to Contractor Owner- Builder
My msm ioxpi re s:
O�p.Ry P1 O��' or L F1O7A M— r
t a : 0 7 cop. i,Na ri ni: .,., , ,„ . 11
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1 4 J NOTARY TOTAL DUE
Electrical
7� 77(_'S
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle onl U ELECTRICAL PLUMBING MECHANICAL ROOFING MG' FENCE SIGN
WORK DESCRIPTION ?c��,LItSTi��i'�!/��/� ^ �l/���ll
e;(
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 - §tandards 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 AFF VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
lags u+a ' nstruction and zoiing. Furthermore, I authorize the above -named contractor to do the w• r : rated.
Date
Date
2— 23
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Plumbing Engineering
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Certified To: M and M
Title Services, Inc., .If
Commonwealth Land Title I
Insurance Company, Millet,
Robert C. and PNC
Mortgage Corporation, its
successors and/or assigns...
Not valid unless'embossed
with Surveyor's Seal:•
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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 Rec.ords of
Dade County, Florida.
PROPERTY Of : Miller, Robert C.,
A t.-
1 hototo terolv Out thr wha, ova,
wrood hereon mew% the ounonoto
let hnoal standards let loath hv the Baked
ot land Stowthror, t hoop. 610
• looda Ad .11.,••• ( pumyant
•••• riF2 . 114 ••■1101e■ r we no
PM IMt b. 4.14,14a enernnt.
app. at% on the- P14 nohri than 4'
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I&OPS 6.4 S
DATE
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DRAWN HY
1270 N.B. 102nd Street, Miami Shores,
Florida 33138.
LANNES and GARCIA. INC.
, -
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
uRvvO.NO
• 28439
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FLOOD ZONE: X/AE,
FLOOD INFORMATION:
Community No.: 120652
Panel No.: 93 Suffix: J
Date of F.I.R.M.: 3-2-94 -
Base Eleuation: +8.00 N.G.V.D.
Note: Underground encroachments and utilities,
if any, not located. Fence ownership by
NJ .‘ a 1, visual means only, legal ownership not
determined.
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OIfi,e adriress: .159 Ak azal Avenue. Coral Cables, I Inrida 33134
Mailing address: P.O. Flo% 561131. Miami. Florida 33156
(305) 666-7909 (305)523-8663
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 Job Address /2 ALE /02 ST, Tax Folio § 1.205 &2f / 1
Legal Description / /
w A (2. L II /t SC ({ V � IL 2
Owner / Lessee / Tenant Master Permit # ` >53 G f
Owner's Address /2 j i 102 Sl
Contracting Co. nRACO M, S Y J 7Wt /w t.
Qualifier CTLA -(t S/ 1'// SS# . Phone 4 53 - 6449
State #t G cos/(..07 M�icipal # Competency # Ins.Co.
Architect /Engineer Address
4 •
Bonding Company Address L // �� ���//
Mortgagor aX e!� Address Q. /a /�f'C7b(' ..,
Permit Type(circle one) BUILDING 'LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION fle1,4Iti1 4.4.Acc uz,xt y• Oitiv[_ G./AY ' / 2e'/'/ kf To Ac , Scncr_v
FONC* PLYwond CLG_ ` ScmauaId4) J /.)TISYI.iOL Cce1+0)1,v , * 41.4)`4J4 J It CPI- 4Ct;. $MAIL fat) rd) 4.'04, D/ A
Square Ft. Estimated Cost(value) 7r S PO OCR
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.
s pd, • ,..47,04)
i nature of owner and/or Condo President Signatur o
Date: / f,2 , *
g Fd C.SGoo- 7- y8'b
Date: /0—g--.°
Notary as to Owner
My Commission Expir
** *
APPROVED:
b ndwI. aa,14 . ;` writers
rt, A-,,A L. 33/l i; Phone 7SY roo
¢317 S• fotctu,JE pL
Address w• nnaZ/touaaci�rc• �29Q¢
a a N ry as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * **
FEES: PERMIT I)) op RADON C.C.F. ∎ NOTARY 5 6 TOTAL DUE Z.") /,64
Fire 1 Other
Zoning Building�'1� 1 1 ) ��)/ Electrical
Mechanical Plumbing, Engineering
ROSA M. VELILLA
. s . 0.%
i -•-• .. '''-. MY COMMISSION # CC 183917
EXPIRES: March 2, 1996
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Banded NotaryThru Public Undenvitters
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: / 870 Af t-. lax sT;
M IA,A, Pr 13 /16
2. Description of improvement: i?cPA !RI PUn.t S'Tw,btA. hA- A411 -6,
3. Owner(s) name and address: L/ r4- wl .
/2 70 Ala:.
Interest in property: 1' 2 i. �r7/f'I?
Name and address of fee simple titleholder:
ds Rig-r y� ho/
4. Contractor's name and address: hp A covet S Yf l EW∎ f I,JC -
�F3 j 7 T FOL.Tv f E PL. ) &) T 14? L /?ov/Z4 / / Fc. j zyo4-
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., At /9 Statutes,
Name and address: N - r! id
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida / Statutes.
Name and address: Z/150 , f �J�
- -1- rr
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
zoL„
Signature of Owner �� /
Print Owners Name 4 t`e P d�/ rr
Sworn to and subscribed birfore me this .2 3'` day of JO vnmtl,P'- , 19 9
7 ,
Notary Public ' - a '. . I�
Print Notary's Name it iv l y • , c ,n lSiON EXP. JAN 14.1914
v l', STATE OF FLORIDA
My Commission Expires: BONDED THRU GENERAL INS. U1'ID.
STATE OF FLORIDA
COUNTY OF DADE
1 HERESY CERTIFY that this is a true Davy of the
original filed In thi office on day a7
L A D. Ia 5 �✓
WITNESS my hand and Official Seal.
(boa Ctfauit Court
Foy/ c
S cgt,,z P c_ a r
10,4 sr. i f /4-"m i Fc . 3 31 ?8
arid. Xz /l $edzzr,i
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92R476136 1992 DEC 07 15:39
Prepared by: eitAt 4 t/u/ i if
Address: /92S5" A/C 10 4v4
Al. Mlq..ni ?c4clf rc. 33/7..9
L
MA1151140.1 1..D ER
CLEO
awa ra,v eatte4
R -Camel• 33314
APPLICATION FOR BUILDING PERMIT
State work to be done and purpose of building (by floors)
MIAMI SHORES VILLAGE
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.. / Y) No.. f
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
and for no other purpose.
New Buiiiing Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof CQv ring
Estimated Total cost of improvements $ _ . ___ C` Amount of Permit $ r 3_
Zone cubage required _Plan Cubage
Distance to next nearest building 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 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 v k to be performed 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
(Signed) ___
Date
Disapproved �_ 9 Date
BUILDING INSPECTION DEPARTMENT
r � Y
to me well known,
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
_ a *Ttr�.
Permit No.___,l v J XY
Read, Sworn to and Subscribed before me.
19
Street
Notary Public, State of Florida
B ilding 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
� Th # R 's
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