PAINT PERMITSPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
q l Off. Y4 et I Sr
Date 2 - Z' cf Job Address _2i:iii,P,1,1_d6elfiTax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
WORK DESCRIPTION
a7\ - Pg.( milr
loz NE al .„rte *-
o oDnev "
Address
Plock 1-1 an e:
Square Ft. Estimated Cost (value)
Master Permit #
7 It
3 qi
Phone -15 86 50 (1) 74-74
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
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 Commission Expires:
APPROVED:
Zoning
Mechanical
FEES: PERMIT C 10, RADON
Building
OA
• I A .JV i i
Signatur= of 1 ontractor or Owner- Builder Date
Electrical
Notry as to Contractor or Owner- Builder Date
My Commission Ex ` , ,
1, ": aa: • . sWYAL
A - S
C.C.F. NOTARY 5 TOTAL DUE 4/
Plumbing Engineering
l
DATE:
Miami Shores Village
Building Department
Acknowledged by
FILE RETURNED TO: INITIAL
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
PLEASE PRINT
TIME:
NAME OF PERSON REQUESTING FILE: U
toDdL
PHONE #: �� nn nna ( YOUR ADDRESS: ?3,0 (0 6, CP fc? 3 3 / 3�
ADDRESS OF FILE REQUESTED: 10P— t 41 z,
INFORMATION REQUESTED: WAN 00 r O
I understand that all documents in this file are property of Miami Shores Village and
that NO documents may be removed from this file. You may get 4 complementary
copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not
including any blue prints. If blue prints are order please be aware that we are not
responsible for the quality of the printed documents.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / Job Address X / O Z N' `:7 S' f Tax Folio X 1/-3/01 - o ° -- o o / O •
Legal Descriptio / W jZ /0 f Z g i-.k 7 ` Historically Designated: Yes No
Owner/Lessee / Tenant JOT Wbk:ki /wt v tAA / / n- C,
Owner's Address n I 29 ✓ Cf IVE 11itj Phone x( 3o v) 8, L —
Contractin Co. ALL -/-Coil -t'H WU. `�� Address ;/ (`) S (1) 63 'A V e . / /qt 'FL .
Qualifier FCJU APO / 0 POD,/ ENL'F Z S 3590
State # Municipal # Competency #arifYifearIns. Co. 11/ 2/ c
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ,Et TED pL P4, ,J77 AJ 6 —
Square Ft. / ;(i ..5� , Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE c)F COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PR( FAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NO
Application is hereby made to obtain a permit to do work and ins
will be performed to meet the standards of all laws regulating col rstand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANIC?
OWNER'S AFFIDAVIT: I certify that all the regoing information is accurate ana rnar aii worx will be done in compliance with all applicable laws regulating
constructio _ ;�a ennore, I a J. rize the above -named contractor to do the work stated.
eside - Dat
APPROVED:
Zoning
Mechanical
Building
D-()
Signature of owner an•'
/ Avi
as o Owner and/o t_01, n Date
My Commission Expires: i g ,t da M. Castillo
} • /'l��AO sion # CC 774382
4. ra: expi OCT. 31, 2002
.' � BONDED THRU
OF F� ATLANTIC BONDING CO., INC.
FEES: PERMIT 5-6 RADON
y
,t�lll'
e : ^ r; qi 0 ARY SEAL
` fires: F �
B ESTHER F ALVAREZ
2 0 COMMISSION NUMBER
( P.4
CC612162
� c� MY COMMISSION
19 20 EXP0IRES 1
C f0 JAN _
7 /J' L^�e it , /
ef- e - e e ‘i' r afore of Contractor or Owner- Builyl6/ Date
t) '
Notary as to Co
My Conunissio
C.C.F. / - NOTARY
Master Permit # 7 l 7
te attached addendum (if applicable). I certify that all work
BOND
TOTAL DUE
D te
0. f tie„c.p4 -k s^ - /�• Electrical
r2 9-6r)
Plumbing Structural Engineer
40 Ci
Signature of owner and/or Condo President Date
PERMIT APPLICATION FOR MIAMI SHORES VII <m
1 p�
Date 0)- Job Address t( N C 1 S Tax Folio
Legal Description Historically Designated: Yes
Owner/Les /Tenant E spe ran z a S an z Master Permit # 1 4 70
Owner's Address 102 NE. 91 Str. Phone (305) 757 - 0244/76 cI -0S"O
Contracting Co. Owner 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 Paint the whole house by the outside.
t /r( t ROO ut httF to h t FE.
Square Ft. Estimated Cost (value) 1 week ($15 0 .0 0 )
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 state
• Signa , e of Contra - :r or •weer -Build
9 2. b'26
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder
My Commission Expires: My Commission Expires:
- p
Date
Date
FEES: PERMIT LiD' RADON C.C.F. ' a" NOTARY S' / BOND
60
TOTAL DUE �S
APPROVED: � I � �
Zoning Building /✓ l Electrical
Mechanical Plumbing Engineering