445 NE 93 St (9)Contracting Co. 014h4/ 4
Qualifier
State #
Architect/Engineer
Bonding Company
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 • c i • 0 ( Job Address 445 . Tax Folio
Legal Description Historically Designated: Yes No
/ Tenant Lu P.- t'C1'r��c n� E , Master Permit # Y 9 t7
t� eA Address t- RS i-) . G13
Municipal #
Mortgagor Address
Permit Type (circle on :' : B ILD I ELECTRICAL PLUMBING MECH
WORK DESCRIPTION Sfl (.
Address
SS#
Competency #
Address
Address
Square Ft. Estimated Cost (value)
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date Totary as Contr
My Co ssion Ex
My Commission Expires:
FEES: PERMIT 6j 0 RADON C.C.F.
APPROVED:
r 7/10
Zoning t'��� /� Buil
Mechanical Plumbing
Phone aj oS • 'ZS£3 •6c, 4
Phone
Ins. Co.
ICAL ROOFING PAVING ENCE SIGN
— U ktT�i - ta w
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 . 1 work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do,�,•' work tated.
tor o Owner -Bui der
Qre nv PO OFFICIAL NOTARY SEAL
O1 BG ANGELA M BECKER
2 ) =(;' 0 COMMISSION NUMBER
CC786697
ct, MY COMMISSION EXPIRES
OF f� NOV. 15,2002
0 NOTARY .S (-) () BOND
TOTAL DUE
lQt�cal
Structural Engineer
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: .\uL.•( '1 zoo 1
L OWNER'S NAME: ��-� �, Scc�cC -�� PHONE: 5os
_ADDRESS: LMS, 1,.)C 0 13`k I SM , hAens
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
1/ADDRESS OF SITE: WAS N.�c P. IP4k 5 �
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls S}{- z�t��� w��Z� a-,n�s Sc � % 2.QS 7
Fascia w ∎LlrtPase\s Su0lt58
Drip Cap/Drip -Edge 5t-tgQw,,, wiu..tvms Sw t1
Soffit St ,,,,,, U.)\`LiP„s SW ttSB
Roof w►t��°� -rL ��a<c�-c�
Flower Bins _ /A
Shutters Stew . u -r v
Awnings
Chimney
Doors and door jams S _ wk.LL.
Garage Doors 544.1.,e_.
Railings sk+ wt
Fences /p-
Decorative Metal 1--)/16,
All brick (simulated or regular)S+t r . wiu, 1tS 8
Stucco Ban¢ g
Any other st cco features
Accessory uildings l�
Other
OWNER'S AFFIDAVIT: I certify that all the foregoing inf -0 '6 accurate
and that all work will be done in compliance with all applic oc\el regulating
construction and zoning. I authorize the above -named com_actor, if applicable, to
do the • rk stated. Furthermore , the paint colors will be as per the attached
same - / /
l � I eill. -i 4 o ? ,d /A
Sig a u re of Owner D. to Signature of Contractor Date
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building Official g al Dat 4/23/01
SW 1158