230 NE 102 St (3)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Job Address
Legal Description
/ Lessee / T
Owner's Address
Contracting Co.
Qualifier
State#
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 0,A142 fit,
G,s
pirloopo V, Fru-I-Ail-
Estimated Cost \ j
Square Ft. 0
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.
Furt rmore, I author ze the above -named contractor to do the work stated.
ignature of 0 er and / Condo President
ate:
ary /as to Owner and /or Condo President
Commission Expires:4 / /l /f
PERMIT FEE:
2 SF)
Tax Folio f/ J2D4 )3 q7Q
V. 'D),ia ,Cq t=� # Permit 1%Z
enant zo WK.\ 11-
APPROVED:
Zoning
Mechanical
(OWNER TO RETAIN COPY)
Competency #
SS#
Plumbing
Address
Address
Address
E LA M6V e
phone 1 m (612'
Address
phone
Ins. Co.
Signature of Contractor or Owner - Builder
Date:
Notary as to Contractor or Owner - Builder
My Commission Expires:
);S
Other
Building Electrical
Engineering
3
'This property described as:
Lots 8 and 9, Block 35,
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.
Certified To: M and M Title Services, Inc.,
Commonwealth Land Title Insurance Company,
Meyer, John C. and Pamela B. and Sears Mortgage
Corporation, its successors and /or assigns.
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Not valid unless embossed
with Surveyor's Seal.
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John C.. and Parnel
A BOUNDARY 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 o. h •- nts, Overlaps, easements
o6earl ; . they Piat?o er than as
a
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Fla. Reg. Land Surveyor No
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PROPERTY OF:
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ENGINEERS - LAND SURVEYORS - LAND PLANNERS
Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134
Mailing address: P.O. Box 561131, Miami, Florida 33156
DATE SCALE t
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FLOOD ZONE: X
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Note: Under -
yround encroach -
ments and util-
ities, if any,
not located.
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DRWG. NO
191 -7434
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