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PAINT PERMITSAPPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date - -if - 6 - - — ,19_._ c?' Owner's Name and Address i T� 2 t o iL r E 5 i C N E No ' Street 7` S! Registered Architect and /or Engineer Name and address of licensed contractor d c'--- �e (_..A, v,-z..._ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done &-Z-- r'\J - ``=- Er - 7 - � ? 2 Z- i= — I_ State work to be done and purpose of building (by floors) i_fk!_ A `_ 1.3 : ' i t A s -- — -- 2 © , 3— tf0-J Ce.>. iT,o4-✓ Cont C/t-v and for no other purpose. New Building Remodeling r � Addition Repairs No. of Stories To be constructed of Kind of fouliclation Roof Covering n Estimated Total cost of improvements $ t °U � Amount of Permit $ IC) Zone cubage required _Plan Cubage__ Distance to next nearest building t Size of Building Lot Maximum live load to be borne by each floor_ _ - I hereby submit all .the plans and specifications fr said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice under this or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, 9n wor permit, as are licensed by Miami Shores Village. Remarks____ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._____JLt_C_L_X Date (Signe d`r���� Read, Sworn to and Subscribed before me. to me well known, Disapproved Da e,. v�✓ • Notary Public, State of Florida ( Signed) ..., Building Inspec .r My Commission Expires / P' ANNING BOARD DATE Chairman Member Member ____ Member Member Member Council Approved Date Disapproved Date M OTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 'Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 4 li! 1I I F ° M arts ct:o^.. Mailing Address 1. P '(' i :a. .,;. . :411F:ness N:3,:.f • 2. Address at which cq..tipmcn! i:• D1Ca'i:'rl 3. Municipality whrrr ere6twu•i 4. General Nature of iiusi9, S. Pollution Permit issutIC. 6. Pursuant to provisions of :F.r S.dnitur, politan Dade County Peliutirn a ;:.' r- r. a - ,1 hermit t.• operet . : a . ► . _, 1opi:,c^,ion.,m •C r., r, ,.,r ;'. Pc•tuitt f�rync ::P t�i: L Ca <tructinn of [_] Transfer o: :f.noyvt ; n i:. r -- Transfer (.f ' Existing Eetvr-r 8. Type or print name r.c•! ,ifirt; - .t.'1 hes of the operating o 9. Sigrctture The i'FRM('1 PPL.[ti \Ti kO I.. it 1 i _ , t.i :,t1- knd Regulations of Metro- P.., i ttli v f r construct anrI or :;timi.ted Completion Date mom- .• e 1 4, f 4 ‘,/ ‘% 1 - ! , ' • H , c.- /1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 j C _ Job Address.555 557 Air s77 57 Tax Folio Legal Description Historically Designated: Yes No o� Owner/Lessee / Tenant pp A/ , 7 x -77 r Master Permit # V6e Owner's Address, /A 5/1) 71 3e w670 X) V /.F , L7 Phone /Q9i) w2 YS. ? 7 Contracting Co. i Q �� Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION P,/,7 /,/TT ZZ,/J// 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 law.s.rggulating construction end zoning. Furthermore, I authorize the above - d contractor to do the ork stated. My Commission Expires: ,) t r 1t)ithi Signjture of owner and/or Condo President D Notary as to Owner and/or Condo President Date otary as to Contractor or Owner- Builder Date My Commission Expires: 1• S: PERMIT to. - RADON C.C.F. '5) NOTARY TOTAL DUE ` sd ignat e of Contractor or Owner- Builder /)17t Date APPROVED: ` Zoning Building ♦ l% 1' i rki Electrical Mechanical Plumbing Engineering Dat Legal Description Historically Designated: Yes No Owner/Lessee / Tenan Owner's Address A6 ! / ( f '7 / Contracting Co.X Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): UILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION . FO Z i X L=dp u (7 o G' . ot Square Ft. f . WARNING TO OWNER: YOU CORD 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. 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 ::.work stated. Signature of owner and/or Condo President Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT PERMIT APPLICATION OR MIAMI SHORES VILLAGE /6 �/) F S� 5f- `Z / 5 102 (- Fl. 1 1 Job Address �7 Tax Folio �7 / i Estimated Cost (value) ). v � X RADON Address >�L r /i& , %// Date Signa tractor or Owner-Builder _ Date C L C.C.F. at- NOTARY Master Pe Phone Address S� Notary as to ci[{rhttr or Date My Co ssion Exp(res: Phone Ins. Co. BOND A /— TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer DATE OWNER'S N ADDRESS: MIAMI SHORES VILLAGE Paint Color Approval and Agreement D/ grAill,fl&IN/_ €71,7 * * * * * * * * * * * * * * * * ** * * * * * ** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 7 6 v, E. 87S r. CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge P/ Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors V Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 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 stat-d. Furthermore , the paint colors will be as per the attached s.••. =s. � S gn., ture of Owner Date / Signature of Contractor Date ***:******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: A) Building 0 icial Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 uu 14 el—Et' Date Legal Description Owner/Lessee / T Owner's Contracting Qualifier State # Architect/Engineer WORK DESCRIPTION FEES: PERMIT PERMIT APPLIICATION FOR MIAMI SHORES VILLAGE Job Address � 2 / , 3 (p J 7 9 � "' Tax Folio Municipal # RADON Historically Designated: Yes No SS# Competency # Address Master Permit # Phone Phone Ins. Co. Bonding Company Address Mortgagor Address Permit Type (circle one • ' _ 1 DING ELECTRICAL PLUMBING MECHANICAL RO 1 FIING PAVING FENCE SIGN 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- . e• ontractor to do the wore stated. Signature of owner and/or Condo President Date Signatur of Contractor or Owner - Builder Notary as to Owner and/or Condo President Date otary as to Contractor or Owner - Builder / /� © D)� My Commission Expires: My Commission Expires: ,/ p,RY PU O�=PECIAL NOTARY SEAL O ' r re. ;?ACS -URA M MONTcEL ©®'^ €,;� ©Fi IttSY S EF a IIE , Q ©C1912 1 _9. 4Q NJV et3 7i :50 S . 0EZ EXP. F C.C.F. NOTARY BOND z/7 4)1 APPROVED: Zoning Building j yl ' f i v /4 Electrical Mechanical Plumbing Engineering