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318 NE 102 St (4)Date Job Address 3/ 8 � lV E /42 S ,T Legal Description Co% ! d 4 % k J A 9 Historically Designated: Yes No Owner/Lessee / Tenant ' tL /'l C1 (./1 /77, G /' Master Permit # 4 7 1 2 Owner's Address ,3/ V )J/ • /P s T Phone ..?es 7SY - /7,i z Contracting Co. f4 44,4 4,41 A�o�'Ia Qualifier 4 ieZey- — State # / f .::a Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION o Square Ft. Estimated Cost (value) .306 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. Signature of owner an�ondo President Date Notary as to My Commis er and/or Condo President Emir PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Address Address A1/4 Address BUILDING ELECTRIC PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN Municipal # LAG OD 00 PI Competency # A// 4//2- b GNCIIA LEAL Notary Public - i - of Florida , My Commissi• h•' es Jun 17, 2002 #CC752080 FE , .: PERIv� ��� r � APPROVED: Zoning Building Mechanical —0 ' Date Tax Folio Notary My Co C.C.F. 6,6 NO / / -JQ ©6 — 'ij — r/ 0 Address `4' 9/ / , E /30 74 5 t A7iir est SS# ((' — Phone Y ' 25 - A( Ta ,fix- si,: 6 • ignature of Contrac r or er- Builder ,i / as t ontractor or l -Bui • er ' • . t:.y. �. � bT ✓t D!GNC' A 'LEAL Notary Pun °c - ate of Florida My Coma ssor. ::oca;rcss Jun 17, 2002 Corrrrh #CC752080 Electrical P TOTAL DUE Date / '_c _ b - / Date Structural Engineer A - ARC DISTANCE ASP , - ASPHALT BLDG - BUILDING C.8 C.E. -CATCH BASIN .5 - CONCRETE FLOCK STRUCTURE a G. - CURB AND GUTTER - CLEAR •CENTER UNE ,200 L.C? 4:20: 6 hoe J /O' fr°A% cw/ 'torte d A ia/'lk CV J * ter A DR E V I A T CONC - CONCRETE ENC - ENCROACHMENT ET.P. - ELECTRIC TRANSFORMER PAD F.O.H - FOUND DRILL HOLE F.I.P - FOUND IRON F1PE FN - FOUND NAIL LF.E - LOWEST FLOOR ELEVATION MEAS - MEASURED BEARING SYSTEM WHEN SHOWN REFER TO: 1 s 3.7 � ST 20. °' Vavem 75' VW I O N S .c; f'--1° 4(;,v" aaftIri o Q I j 21. 42' c - 1g�� x.1,5 2. 15.0 '°° 4 M/L - MONUMENT UNE NGV.0 - NATIONAL GEODETIC VERTICAL DATUM OE - OVERHEAD ELECTRIC UNE PAVMT - PAVEMENT PKWY. - PARK WAY P'L - PROPERTY UNE R - RADIUS RAD. - RADIAL tAi 1 0G v I CA° IA c N (6 Ce QES. 1.1$ • ' Q- i4- - 2 - , I1.0N1 /-LLE•( j I00 '- I of �5 1 e- vr) E 1'1 A N D L E G E N D RES. - RESIDENCE R/W - RIGHT OF WAY S.D.H. - SET DRILL HOLE S.I.P. - SET IRON PIPE No. SN- SET NAIL STY. - STORY SWK - SIDEWALK U.E - UTILITY EASEMENT • r 0 0 'VEY; BOUNDARY I SCALE: 1' FPO U.P - UTILITY POLE WM - WATER METER - CENTRAL ANGLE F.R. - FOUND REBAR WOOD FENCE - W.F. -x -Y- CHAIN UNK FENCE - CLF. C as WALL 0.00 OA 0_00 ELEVATIONS co e ed to to install tlk following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. j For a / story Fixtures Fixtures - Se tic Tank PLUMBING PERMIT N9 685 Total aiami chores F L O A ID A Village Plumbing Inspector Received Payment by building at i Y( '�� .1 OWNER LOT BLOCK SUBDIVIS ON f g- ,,c ° l /40■144 p 1 0 . e ed to to install tlk following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. j For a / story Fixtures Fixtures - Se tic Tank PLUMBING PERMIT N9 685 Total aiami chores F L O A ID A Village Plumbing Inspector Received Payment by building at i Y( '�� .1