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501 NE 92 St (7)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 5()/ 4/6- 9'1 5 Tax Folio Legal Description Historically Designated: Yes No Municipal # Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT Address Address SS# Competency # Address , RADON C.C.F. 'T NOTARY Ins. Co. Owner/Lessee / Tenant 14 v ■ c. (' sA7 @ v Master Permit # Owner's Address S () / 5 'f Phone '7 5 - '7 / 3 (4 9 Contracting Co. 0 (A) ✓) yj Qualifier State # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one) BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK -P Y � o v WORK DESCRIPTION �{/ fa� � �` -- � �� r ` O' �' � �' 5Z)/ N-C 9 •7 P h o n e r) 5 ' ) 1 360 (f Square Ft. Estimated Cost (value) c a) 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. ature of Contractor or Owner- Builder Notary as to Contractor or Owner- : ui : er My Commission Expires: Date OF t�� .. n BOND TOTAL DUE C7 APPROVED: Zoning Building C IA l i V il j i 9 Electrical Mechanical Plumbing Engineering BUILDING ❑ LECTRICAL ❑ 'LUMBING ❑ )weer of _wilding 7 e _1. /r Irchitect ontractor )r Builder 1 - -egal '/ Lot )ascription ddress of ; uilding r i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 4958 // *'ir"` .... B1 Value of Project $ 4 ` © t i BY 0-4/ DA Contract 's License No. Amount of Permit $ AUTHORITY 195 1397 Work to be performed under this Permit Subdi- vision %>y This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the appllcalon ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, lawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough Istiowledge of the ordinances and regulations .ertaining to the work covered hereby whether shown on the plans or drawings or in the s • tements or specificaiionk\and that he assumes responsibility for work one by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered h- under in compliance with all ordinances and regulatlons , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub tted to the proper authorities of Miami Shores Village. In ao- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. PERMIT APP ICATIO FOR MIAMI SHORES VILLAGE o n� 57 Date L 'L/)1 d ! Job Address Tax Folio Legal Description Historically Designated: Yes / No oicl !tU�''2,Sw ( Master Permit # 4 / qj 4 e Owner's Address 1 l b 9 /lig I k ' t&t Phone �' 14 2" Contracting Co. Q1J 91/L(r h) Address Qualifier SS# State # Municipal # Competency # Address Owner/Lessee / Tenant Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): : UILDIN e. ELECTRICAL PLUMBING MECHAANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION DC 4R 1,E -1'e Address Square Ft. Estimated Cost (value) Is C 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that al construction and zoning. Furthermore, I authorize the above -named contractor to do the Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date No My Commission Expires: My FEES: PERMIT 6® / RADON C.C.F. D D NOTARY 5 � BOND APPROVED: TOTAL DUE 6,3. Zoning tkc t .4' Building Mechanical s to Contr4c mmission Expires: Phone Ins. Co. rk will be done in compliance with all applicable laws regulating k stated. /A 7- &/ of� or Owner- Builder / l� 7_ 2--49/ Electrical Date Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement n DATE: 6 I' e L OWNER' NAME: , ► � ( 'v ; 9 PHONE:'"' ADDRESS: 'ii J�Ih ys/IJC r �' ************** * * * * * * * * * * * * * * * * * * * * * * ,** * * * * * ** * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: ,66 c �' >` ; C CONTRACTOR & LICENSE (if applicable) COMPANY NAME: • PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elemeits on the site rpust be listed and indicate the color to be painted. Walls Fascia Drip Cap/Dripe x' Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams j t '-e Garage Doors Railings Fences Decorative Metal All brick (simulated or r- Lulu) Stucco Banding Any other stucco features Accessory Buildings Other 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 consction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached r sa es -- � � /1 0/ r Signature of Owner /Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION River Sand Building Official . Date 4/23/01 Miami Shores Village Paint Color Approval and Agreement Date: Q'(9S/0� Owner's Name: �v�U4 o CC t'1t1 Phone #: � ��b \ . 1 5C1 • Miami -Dade Zip: '5 Job Address (where the work is being done): City: Miami Shores Village County: Is Building Historically Designated ?: Contractor's Company Name (if applicable): Awnings: Chimney: �� Doors and Door Jams: Ca `�\ �b JZ Garage Doors: \ R'z'j2_° Railings: Fences: Decorative Metal: All brick (simulated or regular): q Stucco Banding: Any other Stucco Features: Accessory Buildings: Other: Signature: Date: Owner or Agent APPLICATION APPROVED BY: All elements on the site must be listed and indicate the color to be painted WaIls> 4\ -Q lM may y -'S/ Zy Fascia:' O y 83 (p Drip Cap /Drip Edge:\ y Ni IS VO45 Soffit: 1jG \g5 Z EH`O Roof: Flower Bins: . \5352 - E*) . Shutters: P & Z OFFICIAL YES Phone #: OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and 1 done in compliance with all applicable laws regulating construction and zoning. cAR Date: z "r° o * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** 0