PAINTf
Date
Legal Description
6wrter /Lessee / Tenant
Owner's Address
Contracting Co. -? P/
WORK
APPROVED:
Zoning
"6a Job Address
ESCRIPTION
k �
FEES: PERMIT 1 \ RADON
/1
•
Signature of owner and/or Condo President Date
Mechanical Plumbing
r
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Tax Folio
Historically Designated: Yes No
Master Permit #
one
Address
Quaiifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle on BU 1 DIN c LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Es 'mated Cost (value) � 'ci fr..;
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 perforated 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.
OWNERS 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 to Owner and/or Condo President Date Notary as to •ntract
My Commission Expires: My Commission Expi
kJ(
ctor or Owner- Builder D to
Electrical
�r or ZSvr�i�rlde• a
•
F es 6, 4, •, -
C.C.F. , U NOTARY l t) BOND
TOTAL DUE a I i
Date
Structural Engineer
MIAMI SNORES VILLAGE
Paint Color Approval and Agreement
DATE: <-2o —01
OWNER'S NAME: �1' �� �,� '� PHONE: 75 •�
ADDRESS: e ;
s rcx *************** ***X*****************
ADDRESS OF SITE: /0,7e, ji ,D 46
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME:
* ** ** ** * *** e *****h c **x 3< scrc**aciesc**$c** ************* **** k * ***********
All Elements on the site must be listed and indicate the color to be painted.
Walls �� &ye
Fascia sec
Drip Cap/Drip
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Doors and door ja
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory Buildings
Other —
APPROVED:
v
Building Offi`Lai Date
PHONE:
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. I authorize the above -named contractor, if applicable, to
do the work state•. Furthermore , the paint colors will be as per the attached
samp)
of Owner Date / Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
X ;C3 3434x9
. MIAMI SHORES VILLAGE'
Paint Color Approval and Agreement
DATE: 7/--00 -® t
OWNER'S NAME: �013 , e
ADDRESS: /Oc2 cil
9,t
R X X X X X X X
ADDRESS OF SITE: _J
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
* 4)C>C 4 ; C $3$>4x* xxxx xSC3494 x s*** s***
5`CXXXxx x X ;t
All Elements on the site must be listed and indicate the color to be painted.
Walls .6/Se-
Fascia 1c
Drip Cap/Drip Edge / "
Soffit Or
Roof i/4.
Flower Bins it'
Shutters ,, e//'
Awnings l(
Awnings
t(
G
p
All brick (simulated or regular/
Banding -
Chimney
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
Stucco
Any other stucco features A/74..
Accessory Buildings = iv 4
Other
PHONE:
X x X X X X%
n
0
0
en ti
PO
CA 0 c
J <,�
Crcamc(I 1 H
H
x
Ft 'OA C (A, t H. I
tcl
Cn
OWNER'S AFFIDAVIT: I certify tha all the foregoing information is accurate
and that all work will be done in compliance with all applicable laws regulating
construction and zoning. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
sam • les.
i • -'atu of Owner Date Signature of Contractor Date
/*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
67- ///46/
Building OfficiC Date
4/23/01
DATE: /f --P'e /
OWNER'S NAME:
ADDRESS:
ADDRESS OF SITE: /6 .26 Nom' ?/ 7
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
xxx).0 4xT4xX x x Si
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
All Elements ,9n the site must be listed and indicate the color to be painted.
Walls ' & , cC I61a.-.2.,
Fascia o
Drip Cap/Drip E
Soffit r i
Roof N 7 -
Flower Bins 6_.0.e. v_
Shutters 1 ') //)
Awnings 41 /A
Chimney ��J -�
Doors and door jams �
Garage Doors
Railings
Fences
*ic xxxxxxxxxx
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory Buildings
Other
>exxxxx)
fcxx *x*xxxxa<x xx xx*x Sa x7sxx; x
Building Official Date r°2--
PHONE - `/G 7
- 'hvztiCQack ,
1Q-fu ip-on
-/-ti 4
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
samples.
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil a ing Inspection Request
Date . t► CJ . / T ime
`w ✓ l
Type Insp'n ■
Permit No. _.
Name Jrs4 "t l►1 -�
Address ) V� cy 1 AkJEi /
Company ACA-i-n/W
Phone # � p 4/-0/),