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867 NE 91 Terr (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 Date 5 1 4 j o 1 Job Address `36;') f 9 Q Tax Folio Legal Description Historically Designated: Yes No X. ,�n I � — Owne / Tenant A �.-0c e 4 L l "17 Master Permit # is Address S14,4 ` P m�one S L^ (Z 60 Co Contracting Co. n W Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle on�B DING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION lz g l D b2— (PPr /dam //46 Square Ft. sE t mated Cost (value) � } p c� v 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 work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: Mechanical Plumbing J No e of C Owner-Builder aS to Dt Contractor or S ate I L rn 1 1 -5 6- 3 11 0 ,,ntracur . o': •;_B '►._ y Commission Exp 1.• 1 , CC786697 p1'.a a r/24- �. N� �,3Y cS}! slot? fxp,RES ` f�0 NOV. 1.1.C(12 A M BECKER comwsvos NUMBER FEES: PERMIT D RADON C.C.F. ' 4 b NOTARYS 07 BOND APPROVED: TOTAL DUE 45 e"' 5/7/ Zoning Building Electrical 7 Structural Engineer MIAMI SHORES VILLAGE DATE: 0 OWNER'S A : (i //Atte - j/ PHONE: .37 / 6 ADDRESS: 53 6.'7 / ' ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) /O COMPANY NAME: PHONE: **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls / l d i r a i e . /S (�- 7 Fascia IA) Drip Cap/Drip Edge Soffit W tt 7 Roof ��vt 1 �rfT ' N61,3 "3 1 1 petwAT —p Flower L 1 ,eL i.,1) Shutters j ?i Awnings N ✓ . Chimney Doors and door jams (-t)HT Garage Doors ,- Railings /(1 Fences A1/4r Decorative Metal G T All brick (simulated or regular) PL/I -Nv r ias Stucco Banding ) � Any other stucco features A- Y} Accessory Buildings Ai/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 t - work stated. Furthermore , the paint colors will be as per the attached sa p - s Other Paint Color Approval and Agreement ts2_1/40, Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: 517/° 1 P Ouilding Of cial Date z AA WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1( I 7,1 / Sr Job Address 1 it `L 9 ) 1 i Tax Folio Legal Description Historically Designated: Yes No X Owner/Lessee / Tenant 0 11120 c6 C `A I - / j 4 Master Permit # � j g 7 / Owner's Address Phone 7 S -R 0{44 // /3 7 2 26 " Contracting Co. ©Ce-)/ g._ 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 /9` / /Y� 7d 6 Square Ft. Estimated Cost (value) L'1 , - cn-v 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 - : ating construction and zoning. Furthermore, I authorize the above -named contractor to do the worlE stated. Notary as to Owner and/or Condo President Date My Commission Expires: Notary as to Contractor or Owner - Builder Date My Commission Expires: U,. i FEES: PERMIT " I ° RADON C.C.F. � NOTARY TOTAL DUE Date APPROVED: Zonin g Building 1 Electrical Mechanical Plumbing Engineering