160 NE 102 St (16)•PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 4 2, /, ,� ' 47 Tax ,
Legal Description 46 jj/ I 7 aldigh" /
Owner / Lessee / Tenant / AZ *72.?„..1
Owner's Address/A a (
Contracting Co. .4 A / "c /)/ g-'6 Address
Qualifier /3 7,23 SS# -
State Competency# LoWf A(e/
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION
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Signature 0 w Condo President
Date: tz1131Q,1 �TEi � r
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Notary as + ner and / €-a dr'id'V "' i• -p t
My Comm issio3y tir.edd4Y mmission EtpiresSept. 11992
`* • Bonded Jiro 3snhea" s. *
PERMIT FEE: APPROVED: Fire
Zoning
Mechanical
(72 )-0
, A5Q10A4,,,
Building
Plumbing
Address
Address
Address
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Permit # ■10
phone
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Signatur � Co C t actor
Date: /oZh3V,M6T��w V
C�i2�
phone d D` L(. 9
PLUMBING MECHANICAL PAVING
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Estimated Cost / 7 5?) -
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. 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.
Notary as h ntra ner B u ilder
My Commissid � itp e l�omm :c -` � J
* issio�i.: es . 22, 91c .: ,; : • �ru [���:E► �PS
Other
Electrical
Engineering
Owner- Builder
ENCE i SIGN
(305)666 -7909.
This property described as:
Lots 6 and 7, Block 14,
AN AMENDED PLAT OF MIAMI SHORES
SECTION NO. 1,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
PROPERTY OF:
Not v�1l��tih�e ss.etpbossed
, /i S r
✓S •
FLOOD ZONE: X
A BOUNDARY SURVEY
1 hereby.cerlNy that she survey repre
stinted hereon' meets the minimum
technical standards set forth by the
Board of Land Surveyor pursuant to
Section 472.027. Fla. Statutes. There are
no encroachments, over!aps, easements
appeari : on the Plat, other than as
show ' ereto 4
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11 - - "Recertified ", Flood Zone adde
revised;
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Certified To'::• Gulfstream e om any-,
Macera , Frederi s A": and • , y
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Macera ' ederi.c A. and' M r'lerie C'. , , 160 N.E: 102ind`' Street; i.
Kiarai a n d oGeA, R CIA,IN C..
"ENGINEERS '- L•■■D - LAND PLANNERS
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Office address: 466 .W : 84tITAtrerme,-MiamFFlarfc a-33Y5.5
59 Alcazar Avenue, Coral Gables, Fla.
Mailing address: P.O. Box 561131, Miami, Florida 33156
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