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PAINTPERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 • Date 2 \ Job Address gf i /P v(- 1 - Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant A i i+ - t1. Master Permit t ' C/ O 7 :X° Owner's Address / NE qG- - ' Phone ■S -- / -' r 7 3 ‘ - -7 Contracting Co. 1 f LAJK nal ner Address 71 ' / ct i k t I Qualifier SS# - Phone State # Municipal # Competency # - Co. Architect/Engineer Address Bonding Company Address ar ian Mortgagor Address 7 -' ge �o. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �� t�� l' (E' IC a cS Q . C.m_.evli'' n 0 ` AAA4A. T v) o ems - - /C: / AT Square Ft. Estimated Cost (value) 5V0 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. construction and zoning. Furthermore, I authorize the above -named contractor to do the •ik stated. • Signature of owner and/or Condo President Date Building 710 gnature • Contractor OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that a1 •rk will be done in compliance with all applicable laws regulating *1Z+Crej0 b/vtr' Notary as to Owner and/or Condo President Date Notary ; s to Contractor or =- - - - - C� ' e r . 9 _ ate My Commission Expires: My C.mmission Expires: c..- : T gira, A t I ; c! Ne. rl14:1i' •�� ' ^'f ^die nJ ^:' _7;SI$3 . rAlt. FEES: PERMIT Q. RADON C.C.F. ib ® NOTARY S BOND Electrical TOTAL APPROVED: Zoning Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date #P-1/0 D Job Address �i 0 AA G 7 Z Tax Folio I l - 362o6- bO (d - o 0 S 0 • hy b PL col G-n-i- Pf'- Ps tor /p Legal Description 4. N1 Pr or i 1,1- 9 in/ g or ' Historically Designated: Yes No >C 1315cf iJt 124 p ( r t A s P P S - P t 3 Loi 5t2 - 7357 so F' '. Owner/Lessee / Tenant 'F, €fl-1 6 tx..i E c, 4- Master Permit # 4 1‘• /00 �asj ( , 1 3-- ? IAJo`�'I�_, Owner's Address 9/ q 2 N � Phone 3037 7 .i 1 -S 7 2-V f-�c Et. Contracting Co. � Addres Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENC WORK DESCRIPTION ✓( Sb"c. - � J < &th9-4 , 0 /vv._ . a- tre e, (S v e. pa c o PL) Square Ft. Estimated Co or SE)c) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI 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 certi y a ork 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 Date Notary as to Owner and/or Condo President Date My Commission Expires: l igna e of Contractor or Owner- Builder Date Notary as ontaor Owner - Build or er h Sweet Date 70 FEES: PERMIT ' C� RADON C.C.F. �p � NOTARY 37 _ BOND APPROVED: TOTAL DUE ,0 r f° Zoning Building ''1 S 06 Electrical Mechanical Plumbing Structural Engineer Sit 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. �/��T�T� /�. � Date 03 � / �� n, � . 19 � Owner's Name and Addres I No. �` Street / 1 /� 9,2 v r Registered Architect and /or Engineer Name and address of licensed contractor WVt Location and legal description of lot to be built on: ��� /��i Lot i� Block Subdivisyctn il��+'�+-�✓PAIr �G // 1, , e ®© e© $' Street and Number where work is to be done t/ C State work to be done and purpose of building (by floors), state exterior colors (submit samples) 014 y //, / and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories I To be constructed of �' Kind of foundation Roof Covering g) stimated Total cost of improvements s _,/ / v ` Amount of Permit $ '7rSO I I Zone cubage required Distance to next nearest building 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 per 't; 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 agrees to pla • p such subcontractors, on work to be performed under this permit. as are licensed by Miami Shores Village. �� / Remarks (Signed) La �t 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. Permit No. Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date 9 ,A4e4 ,7 Plan Cubage Size of Building Lot Date Read, Sworn to and Subscribed before me. Notary Public. State of Florida 015 WARM SANDS - B 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 and/or workmanship. PERMIT APPLICATION CATION FOR MIAMI SHORES VILLAGE Date L5 , Job Address C ?,� ., l Tax Folio If- 7 . 2 - Q (s Legal Description col !D 6,9 f ��,t/ g7-4,142.17- 7 9f Owner ant Owner's Address e Contracting Co. C C0t e k - Qualifier (\?- State # Municipal # /\ FEES: PERMIT APPROVED: Zoning Mechanical Signature of owner and/or Co do 'resident Date RADON zadav C.C.F. CP Historically Designated: Yes No g`l a, Address SS# Competency # Address Square Ft. Estimated Cost (value) Master Permit # Phone `74 46/ T1Z1 v0— Architect/Engineer Bonding Company Mortgagor Permit Type (circle on : BUILD PLUMBING MECHANICAL �..,..�•,.::, :..... _,i IGN Address Address 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 Contractor or Owner- Builder Date Notary as to Owner and/or Condo esid Date Notary as to Contractor or Owner - Builder Date My Commission Expires: - - - = ---- -_ - - - -- My Commission Expires: gy p. Y '°U Gi:,- iC!!':L NOTARY SELL k U, �i SARDA�JA ANN FUCA�?i f N V,/-177..''); ) 2} CO�1�� "ISSIOi� R1U ?ciBE a Q CC33O ii ti r Q l 7 �� � :V COMMISSION E.V. 1,,._. O F Cv , 4 7-9 . - - NOTARY TOTAL DUE Building' Electrical Plumbing Engineering BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ KOG FING ❑ Owner of Building MIAMI SHORES VILLAGE. FLORIDA DATE i t 195 PERMIT N? 6358 Contractors 7 // License No. Architect Contractor or Builder Legal Lot Description 31 Address of Building CONTRACTGR OR BUILDER Work to be performed under this Permit i Subdi- vision Value of Project Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time 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 granted is the understanding that the contractor or builder named above assumes t}le responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings- ox in the statewents or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed - -BY ^`_ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered her in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted tb - -the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. r• BY AUTHORITY