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PAINTPERMITT APPLICATION FOR MIAMI SHORES VILLAGE Date I I" 6 )-C/ t l I q Job Address 5 a q St Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant a o 9 U St t V Roar; 2 Master Permit # V5 6 Owner's Address ` Phone 7 D S' 7s COO 4 / Contracting Co. ( J 1•1(/ - Address Qualifier SS# Phone State # Municipal # Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): (BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION E 5cre rt o c h Square Ft. Estimated Cost (value) . 5 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 Notary as to Owner and/or Condo President Date Notary as to Con My Commission Expires: FEES: PERMIT RADON Date APPROVED: Zoning Building Mechanical Plumbing C.C.F. ► f Q © NOTARY I MITI • 0 OF f\ : OF - CIAL NOTARY S Date i Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE „ /=/ ,9� 11 8(1,9 /5 2//7 / Date J Job Address 3 n c�� Tax Folio Legal Description UP' 4 'da Al 4i/ V'Owner / Lessee / Tenant 1ce04 9 62- j ✓Owner's Address 4 ir/%' _y 6/ 4i&) ' 3 3 13.9 1/Contracting Co. ,/iL4ital Address Oli /�✓ Qualifier SS# - State 4i Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL, ROOFING PAVING PENCE SIGN VWORK DESCRIPTION 7g0.4 A //tl�ii/G- 40 T /_° Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: /�� c /4J6 Square Ft. RpO 5 Estimated Cost(value o f mo ( 49!92/i/9 /�-� 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. .s .�+ , , .. 111i zrmu_� Sign - ure o -: �� er- Builder Date �3 / Ammar S ta .� as to Con >r= y e.Pio 1 }• 1996 My Commission Ex i( No. CC197545 ** * * * * * * * * * * * * * * * ** FEES: PERMIT/ / RADON C.C.F. , .6-0 NOTARY 6 TOTAL DUE /./. ' 449 APPROVED: Fire Zonin: Buildin_J/"� Electrical Mechanical Plumbing Master Permit #1/4- Phone 30,4 /7,577- 0 eAC , � Phone JOSEPHINE CHIiRCH Other Engineering . -'� .� •. C PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) :z e 6 77 � 9 //.W /3 /yY / Job Address T ax Folio Legal Description Wi i ?77 ., 3 // ANIPMaster Permit # Owner / Lessee / Tenant /(-CJs //4/ ,d 54� >/4 / ///5 Owner's Address Pnb gg P2(71V Contracting Co. Qualifier A/A/L State # Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN ORK DESCRIPTION Square Ft. Estimated Cost 5, 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. 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. Furl - hermore, I authorize the above -named contractor to do the work stated. • Si Da e: Not My ture of Owner 4,14o / y a / Owner and /or Co do President Notary as to Contractor or Owner- Builder ommission Expires: y/ /60...., My Commission Expires: * * * * * * * * * * * * * PERMIT FEE: APPROVED: yrier3 o g Zoning chanical Condo Pr Competency # sident SS# �ilding Address Address Address Address phone Ins. Co. Signature of Contractor or Owner - Builder Date: Fire Other Electrical Plumbing Engineering