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1140 NE 91 Terr (8)• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 27 FEB Zao i Job Address r 1 y o N Ir qi T EK K Tax Folio II - 3205 -ovl -©'130 Legal Description W^T61IS E12G6 L 0't ! 7?, - E 4 e F LOT 17 Historically Designated: Yes No V Owner /Lessee / Tenant 'k/, L-L- /4 M L L E W413 Square Ft. Z L2 n r, p 60 2Uo/ Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: /�I FEES: PERMIT v RADON Address My Commission Expires: APPROVE ` (y \C\ 3// / Zoning ( Building B � B Electrical Mechanical Master Permit # y g C39 Owner's Address / /e(U AJE °1/ tE'214, 1l)A111 stlotzGs 3313e1 Phon4 C3 00 757 -C7C3 Contracting Col wA/E/ Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I Art lin US& 6K1612101K iv4 -LLS - 7Jc /rc Estimated Cost (value So?) 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 pennit 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 AlF IDAVIT: 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. Furthennore, I authorize the above -named contractor to do the work stated. L IAO' a L. o re re of Contractor or Owner - Builder • 1 PL. .. as t•( ontract. or 27 FcB Zoo Date b er- Ruiltl - I (Da ' PU B ANGE` 1 A M BECKER Z " w s( f r 0 (A14 NUMBER CC38 5S7 -Ff F � O ci WV `. ISSIO 2 00 2 C.C.F. — 0 NOTARY 5 BOND Plumbing Structural Engineer TOTAL DUE MIAMI SHORES VILLAGE APPROVED: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Soffit Roof Pc-40)6G Y2 Flower Bins Shutters Awnings O/A Chimney Doors and door jams Garage Doors T� Railings J /,4 Fences NM Decorative Metal to j gal..I S All brick (simulated or regular) Q Stucco Banding Any other stucco features w�/} Accessory Buildings Gv /ft Other Paint Color Approval and Agreement DATE: 27 r 2 ao/ OWNER'S NAME: w a t C/ A V't Let: iQACS f) PHONE: ( 305) 757-C 7‘ 3 ADDRESS: f / Li° Ng 97 76Kf4 M J�a� � 91(0c63 FL 33)3 & ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: )) qa JuE of tECeIZ, >1J4h( SfickGS L L 33ig8 CONTRACTOR & LICENSE (if applicable) frVA- COMPANY NAME: PHONE: 7 ( Building Off ial /i/ Ork Date � i g c (1c o e-(Or eLi G & 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. '� lc/ Nufcf 2001 Signature of Owner Date Signature of Contractor Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date // 414V q? Job Address \,/ /Ho A/I t - Pf.el cG Tax Folio 1/ 37 o5 - 00 / - o rn o Legal Description WA lc/250 t.c, 7 /4 A. a E /�. a / 7 Historically Designated: Yes } No t/ Owner/Lessee / Tenant Yr/ BLS ' t r Permit # q O L �� Owner's Address / /S /( %L. /f/ /6K/ Phone (3es) 755 Contracting Co. t N19 ) Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION PA /,uy CC PO - CO �U�'— / S 60 Lt: ff / TE Square Ft. Estimated Cost (value) )( 1/ GO 00 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 and/or Condo President Date Notary as to Owner and/or Condo President Date My Conunission Expires: FEES: PERMIT 5- D RADON C.C.F. ` 4 O NOTARY BOND APPROVED: Zoning Building Mechanical Plumbing Structural Engineer N 4 ,cA:9v 'rr of Contractor or Owner - Builder DL 4)%2.0-73,2-7- as to Contractor My Commission Expires Electrical 1 VILLAR NOTARYPUBLIC STATE ON NO. OF '14 FLORIDA CO LMY COMMISSION EXP. MAR. 1 ate TOTAL DUE SS �� PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 \ 02 Job Address \ \yc c T e r Tax Folio Ji/ 3 c Og a/ 6.934 Z Legal Description �e - ��Z�°� /re E yJ /7 WocX / Lessee / Tenant Owner's Address Contracting Co. 1.._Ih. \re - ) ? 4 riw C,nS Address '9111 ' ra.ci i'z2- Qualifier `le . \-Co,u e ------ SS # -- - g Phone ` V- L) State # tica32'\ Municipal # Competency #O��C` l - s Ins Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Pt'` APPROVED: Pft 4 Square Ft. Estimated Cost(value) 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 and /or Condo President Signature 9 Contractor or Owner- Builder Date: Dame: 7/ o nt //cLu7h1 t r � Notary as to Owner and /or Condo Presi fi.o 0. / -- (i L'8ly B to Contractor or Owner- Builder My Commission Expires' Print type or stamp name of T a Sion Expires: v t24- e--tca 4 . Gam/! i Personally known ❑OK Prod�7ce Tpe and number of I.D. produced: NOTARY PUBLIC STATE OF FLORIDA MY OMMISSI9N EXPIRiS 5/09/V ** ** * * * * * * o ITD take a n oath, or " * Bonded thru Stembler-Adams & Swett R'DID NOT take o ` '_�y gyp FEES: PERMIT 'M; `; RADON C.C.F. NOTARY /� Y TOTAL DUE / 1 � Master Permit # 3 Phone • �'SL4 Fire a Other Zoning Buildint�tfq Electrical Mechanical Plumbing Engineering