261 NE 102 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 00? Job Address 261 %a 57` Tax Folio
3,6
Legal Description (// (I RAJ Vest 7 �to) l; j'K Historicall Designated: Yes No
Owner/Lessee / Tenant &t (1 A) ri '(i) Master Permit # 9/6r) 11/ 7
Owner's Address to I A) t 10 o� 57 Phone C3 j 7C6 3
Contracting Co. e— Address ^ 3 2 i I ¢L\
Qualifier l� e_1._ / •
State # acx, 1) Si Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD I ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION r ®■
Square Ft. Estimated Cost (value) Y5 CD
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 a work s
c oA3/11
Si gnature downer er and/or Condo President Date
Si
Notary as to 9 er and/or Condo President G ate
My Commission Expires:
OFFIQAL HEN FOX
NOTARY oY PUBLIC STATE OFFLORIDA
MMSSION NO. %.t...-534484 84
MY C OMMISSION EXP. FEB.
_III
FEES: PERMIT •/X 'Pe' RADON C.C.F. • NOTARY
SS# LPhone4 (2;3
—✓ t / 14 , 4 — pc/Mp -d
ignatur� of C�itract6r or Owner - Builder Date
3
Notary as to Con u for or Owner - Builder Date
My Commission Expires:
BOND
TOTAL DUE O
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
Da
Legal
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/ NF
Job Address 26/ /0 d 5'� Tax Folio
ption h ff l g /' O ?rY 1* g " ' ' e Historically Designated: Yes No
Master Permit # e M
Phon
Owner/Lessee / Tenant ! itoK{ fl,z'tIr fir/
Owner's Address to / /OF too? T
Contracting Co. SW Mer PO 6 ( r Address eZ 3 ( w 7 e--(9
Qualifier _. f&) If 4 MOT SS# . Phone (1� ) 371 f d 0>
1-
State # CPC £ )4 t y Municipal # Competency # pA-‘1 `/ Ins. Co. // Architect/Engineer FA S S Address g0' N.4- 29 .( (1T M (k /04-A4 q
Bonding Company Address
Mortgagor Address
Permit Type (circle one : B ILDIN LECTRICA PLUMBING ' ECHANICAL ROOFING PAVING FENCE SIGN
i�rV Sw MIX AO / t°� p u» P('.� -�o Re ;c �l / WORK DESCRIPTION r
Signature of o
1
K Q
Square Ft. 4 (5‘0' 4 1
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 accurat and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -n: i ed co tract.' to d the work stated.
er and/or Co President Date
Notary as to 0 - - an• • President D•te
My Commission E :' es:
,r 'o RONALD J. CAPARDO
=`-. ''. % MY COMMISSION 9 CC475550 EXPIRES
July 15, 1999
'�: •���: o` FAIN INSURANCE, '�,... �:4�` BONDED TFIftU TROY ,
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
Building
Estimated Cost (value)
S
Notary as to Contra
My Commission
C.C.F. l R NOTARY BOND '9 b
TOTAL DUE 41 ► O
7
1
i
Plumbing
e of Contra r Owner - Builder
305 750 7c 3-7
RF
/g/goo
6'
I 24
Date
- Builder Date
RONALD J. CAPARDO
MY COMMISSION # CC475550 EXPIRES
July 15, 1999
BONDED T RU TROY FAIN INSURANCE. INC.
Electrical
5 / t ract 77I 7/741
Engineering
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FLOOD ZONE: X
PROPERTY OF: Minchew, . Michelle,
A BOUNDARY
This property described as --.�E. -...
Lots-18, 19 and the West 1 1 of
_,Lot 20, Block 36,
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.
Note:. Underground encroachments
and utilities, if any, not
located. Fence ownership by
visual means only, legal
ownership not determined.
Certified To: Rapid Title Services Company,
Fund, Inc., Minchew, Michelle and South By
and /or assigns.
FLOOD INFORMATION:
Community No.
Panel No.: Suffix:
Date of F.I.R.M.: 3--2-94
Base Elevation: Not Available
SURVEY
I hereby certify that the survey repre-
sented hereon . meets the minimum
technical standards set forth by the
• o •- nd Survey nutnt to
on 1027• Fla. _gut's.. There are
hments easements
acing on tPlar, other than as
h,�ret •
so.
^y am-- �2s•
..�tcl.E
2S O
•
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6 -1 -94 "Recertified ", Certified To anddname revised.
CO-
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Attorneys! Title Insurance
Lending, its successors
26.1 N.E. 102nd Street,
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LA.NNES -and G INC..
L.P. NI NEE R S$ LAN S UR VEY ic&ttesL A ND PLA
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Office address: 359 Alcazar Avenue, Coral Gables, Florida 33134
Mailing address: P.O. Box 561131, Miami, Florida 33156
CS -4
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.,.23277