6339 SW 69 ST_GREEN UTILITY PERMIT ;rm CITY OF SOUTH MIAMI
�.: t;i'
6130 Sunset Drive,South Miami,Florida 33143 (305) 663-6300
94 1n;,a"€��s
`��° '�' UTILITY PERMIT APPLICATION a
STREET ADDRESS OF JOB: (� J J ( tl ?
ZONING: k S- L FLOOD ZONE: ?
CONTRACTOR: �� e U 2 TEL NO.
ADDRESS: / 7 9 Sw Sf2�2 S
CITY STATE ZIP
I HEREBY MAKE APPLICATION FOR THE FOLLOWING (BE SPECIFIC):
P e j,\. �-k
.n A'0 1i S�
ESTIMATED VALUE OF THE JOB $ /] SSG • O
WILL THIS CONSTRUCTION CAUSE ANY OBSTRUCTION TO A CITY STREET/SIDEWALK? ❑ YES LEI NO
IF SO, STATE: - DO YOU INTENT TO USE A FLAGMAN TO CONTROL TRAFFIC? ❑ YES ❑ NO
- ROADWAY AFFECTED:
- PART OF THE ROADWAY:
- DATE(S) AND TIME(S):
I UNDERSTAND THAT SEPARATE PERMITS MUST BE OBTAINED FOR ELECTRICAL, PLUMBING, MECHANICAL, ROOFING, AND SIGNAGE; AND
THAT IN SIGNING THIS APPLICATION,I AM RESPONSIBLE FOR THE SUPERVISION AND COMPLETION OF THE CONSTRUCTION IN ACCORDANCE
WITH THE PLANS AND SPECIFICATIONS AND FOR COMPLIANCE WITH ALL CITY, FEDERAL, STATE AND COUNTY LAWS APPLICABLE.
SIGNATURE OF CONTRACTOR(QUALIFIER) NOTARY
REJEIV�'�ED BY: DATE/TIME:
• r . • •
.:.:::.::::.:::::..:.::::::::::::..:::::::.::::.::::::::::::.:::::Y:l:::..:.:. . :::.:..........:.:. ...: :.:.:.::....... ..... ............. .... .... ............. ...... .... .... .................................................. .:.
...................
AU fWRIZATIOTt•••• •
•••••• •• •APPROVED •DATE DISAPPR. DATE COMMENT PERMIT FEES
ZONING' CITY
CODE BNF. •• ••: • COUNTY
BUILDING •:• •: : : FINES
P2J.�Ivi$tNG
ELECTRICAL
TOTAL
MECHANICAL
CONDITIONS/
NOTES:
�Ol l►.SO Y2 . y �OUt1� y2 IC?Lt1 _
1R0►J P1F'E O P1F'E 1.Cop BUT?\
a•20' wE.,T
\.\O \"EST o
►.e
FO\Utio Yz %ec)rx
Pl}c 1.Coo WEST; IN l _K a9 Q
Qc 1 O
'Q v.
89 , •4•q
9 I
0)0 IO'
20.9' m I
T •�, r
r zq.s•
. � 1� 8.Z,• = ao 1 �
� .CO
4.3S'
J Q F=F EL= 11.14 CsAcv- b o.�o
y N •. , • 0
N N r_
15 to•
I LR
(V
FOiUt�p C m . ,• H 'U
car: N LtL a? V) 1 0.10`°0
9 � y
•• .... �= S' oo S3° IR: 1143.25 4eC= \CO.pCO,
• C-kcx = 100.03' Ct � ,tJC = 1�1 SC 12 2q"E
. . ......
• • • • • N \-5
• ••••
�.O%
• w. Cap-1•� ST2EC.T
• •�•• •••i \0.�5 \a ASF�-1AL� PL�✓E M EtuT `O pIo
,
••LDGII`1q' = Mntetline Encr = Encroachment, clr = clear, Typ = Typical, pl = Planter,
to Number, iah.: Radial, & = Delta, R = Radius, A = Arc, Oom = Concrete
� F'ourJO Y2 ��
o coo
O•?A' WE��T
I.g
Fo�Na rz \eo►S sET s� _ PI F
PIF�'c I.Cow') WEST z Ir.11:�.K 0
0.30' , o
cX-5Z = 4.
cp
:L••. •.•4.
CP 10�
1
1
Zo 9' Co
2q.6'
00 _
LP
1 _ ['c C ('
Y IS.4 I N C zo-Sol -(
1 � Co4.35 I 1
Q FF EL= \\.\Q
1 N I , ' ' 0 ONE S�ORy -O Gtl? �a-
d 'q 2ES\oc►JCE ..
N t�10. Co3 - N 0.
N Yi
�4.3s
-40.\C;
v PL N r
o.Cya: = _
l9 N• ' , a
Fautip 'v m .0 ' VC
0.
P'
• • • L= S' oO S3" R= \143.25• 42C= \CC)•OC�
•��:�• C NOP� = 100•D 3' Cf=CC_[� ��t�1G- = 1�1 SG°t 2 2q"E
• • 5'F�\G-WF-LA'S '�
S.W.
• ...• �..� � : ': \p.Og 1�' I�SF�iG-LT Pl��✓E M Et`�T `D 0�
, Encr = a=oachment, Clr = Clear, Typ = Typical, P1 = Planter,
• rb = Nw.mber, Rad = Radial, & = Delta, R = Radius, A = Arc, Q x)c = Q xxxete