PAINT PERMITMr. Bradford,
Building inspector
Village of Miami Shores Florida
Miami Shores Florida.
Dear Mr. Bradford;
I am very sorry not to have been able t• complete
the painting of my home because of the illness of my Father which required
most of my working time.
As my Father is leaving soon I will finish the painting as soon
as possible.
Thanking you for your kind consideration •-•I remain
#144 N.E. 91 Street
Miami Shores Florida---33138
Miami Shores Florida
Friday April 25-1975
Respectfully
Jean Pellegrino
fr")\'‘A'
Jean Pelligrino
' 4 144 N. E. 91 Street
Miami Shores Elorida -- -33138
Mr. Bradford
Building Inspector
Village of Miami Shores
Miami Shores Florida -- -33138
J
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PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date — 1 6 J I b Job Address (!X 1 f' hrg. 611 S T. Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 1 44 t-4 C- Q(, 0 s-r, Master Permit # 8 f Q
Owner's Address s Mnvv.,Q, Phone -- 75 ODD 3
Contracting Co. C 11/✓- K6A,cli, ' l OmAvvttt, / Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer '
Bonding Company ANTIQUE IVORY 127, 630
Mortgagor Address -
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ` ou."- , / H° lL Sr= ,
e " —
Square Ft. ( -Q "/ p d/ �,1JI G o Estimated Cost (value) SDO•
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.
Signatur of owner and/or Cond resident Date
APPROVED:
Zoning
Mechanical
Building N 1 \)bJ
ign Lure of Contractor or O er- Builder Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner-Bulb Date
My Commission Expires: My C iP RPJ i. > ; i'Aiti —SEAL
ar .,. r ry
d, Si ^ _ , ) ji * : s;1 ` - - .• !9 P ad: +Ga.,..
�a
FEES: PERMIT 'C IO RADON C.C.F. .• lei ) NOTARY . �' TOTAL DUE �
Electrical
Plumbing Engineering