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PAINT PERMITI PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date U Uh r ZLf qS Job Address \COO NR. c 2„. S 7 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant X T 1 6– Q, Q OA 2- Master Permit # 9 3> 0 Owner's Address k8O N E. q2-ST. PhonX 750 -6603 ( / AddresX `• / ?(Js(,R/ U 7 --.o4Oe SS# ‘' (k 2 «I /g Signa ary as to 0 My Commission Contracting Co Qualifier D.C) State # Municipal # Competency # Ir Architect/Engineer Address Bonding Company Address Mortgagor Address Collonade Gray TWT SW2136 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAV!Poi FENCE WORK DESCRIPTION G / ��` — S �` %�-toY Square Ft. Estimated Cost (value) President i �id611 Dote {JI;It CSI IVISEC N i CP. e L9.. 2X..P. FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing 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 INTENT) 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. ilder. S R31(a ' X71 ° A a Notary as to Co : • ' fir th"fddvc riaIDA VVM[S;:Ob ? C.C.F. /A 20 NOTARY BC)ND 'USSywillow vv SW2135 TOTAL DUE Date ` Ectrical Engineering Date `� / ' Job Address /28 ,oT Tax Folio 3a o 021 ofb0 Legal Description eatd n ..UN!/ Owner / Lessee / Tenant a44 Owner's Address / We: 4 7L Contracting Co. 0 4/ N/ /i+/,5 Address /0 7 A/ a je .e,4L rv // � Phone /-(500 q/09 State # Municipal # Competency # c51<55 Ins .Co . Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 7 i? &J.S G /�E C b--/w t� 7 Square Ft. v` COO PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 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. 4• :. JOSEP►it Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo Presiden My Commission Expires: ** * * * * * * FEES: PERMIT 1 6 APPROVED: Zonin RADON C.C.F. /. D/0 NOTARY 5 740 TOTAL DUE 13 4 5 o Estimated Cost(value) o G . Sign Da Master Permit #11/ Phone Other Wet/5 Electrical Mechanical Plumbing Engineering Location and legal description of lot to be built on: Lot / Block \ 1 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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. L% wner's Name and Address °lE K • F ESS€ g6.71 Registered Architect and /or Engineer �ame and address of licensed contractor O(aJ tco est) Subdivision and Number where work is to be done 1 080 fJe qZ ate work to be done and purpose of building (by floors). state exterior colors (submit samples) 14, Ettvt L& Mzef1M/cy, No. /©f0 9.10 s ?1:4 _n1i 4X11eecz tact- WALLS I9 ¢-ooP - et 1-0 ()4 Date d+il A2C t-( 8 19 8 / // go 5 of `7 7'f I' 1RESSc1 E+E. C � ! — SAt. AeJ and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S z b ' d Amount of Permit S �/ ' -549 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent 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 or notices as are required by the Act. The undersigned agr &4 employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. 1•7 Remarks (Signed) \ J 1�-- C �� ! • t-4 ss E STATE OF FLORIDA COUNTY OF DADE. ss. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. DaJ /O/ Permit No. °2 eU / / n Disapproved �� �j �, G / Date (Signed) Building Inspector Read. Sworn to and Subscribed before me. Notary Public, State of Florida Street 5 1 e.3 ,o( to me well known, My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship.