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PAINTPERMIT APPLICATIONN FOR MIAMI SHORES VILLAGE Date 1. (' I 2 &1• Job Address /6 11.1 `7 37 - Tax Folio Legal Description TA-; pi( evicreit oP Historically Designated: Yes No Owner/Lessee / Tenant frit C 6 6f-P/ Goa6tn-1 /4. ' Master Permit # I _ Owners Address / 4 I J JE q S " g + Phone S - Y6 - 6 /6 - 2 Contracting Co. Coi.)$T ?A.4 nfrt II A- Address Qualifier c0 J t s • c,'►J SS# Phone (3E6) 7g7 -7( 6 4 ( State # Municipal # //- .9 C Competency # $56c: `( Ins. Co. ZO ( / Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL :PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) 4. Ott) WARNING TO OWNER: YOU MUST RECORD A NOTICE O1r COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER TY (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 installati an as indicated above, and on the attached addendum (if applicable). I certify that ll,work will be performed to meet the standards of all laws regulating construc Lion 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 oning. Furthermore, I authorize the above -names l contractor to do the work stated. ature of Contrac , _.r • I er -Build Notary to - and/or Con • o President REBECCA L. LORD MY COMMISSION # CC 702286 � "cc► �p EXPIRES: August 10, 2001 1 48003NCTARY Fla Notary Service 8 Bonding Co. m My W z(, / / ture of owner and/or Condo President Date FEES: PERMIT APPROVED: Zoning Mechanical co (1,.AL ?kr,✓T E�ao, tea Avi) RADON Building 4° Da e Notary My Commission Ex Electrical der NCWARY SEAL ANGELA a1BECKER n ooraIJSSION PU 9ER -4..4.91. CC786697 OF f10 MY co ti' EXPIRES NOV. 16,2002 C.C.F. 1 , 2%o NOTARY S ,, 0 v BOND TOTAL DUE Date ate Plumbing Structural Engineer Date U Job Address l ( 75 SL . Tax Folio Legal Description / Lessee / Tenant e 1 ctCtd'dl c4 1 1CI V1 Master Permit # 36 7/3 Owner Owner's Address 10 l'O 9 ?UI tniAl >1/\0/0 , FC___ Phone (D `1'lpb5 Contracting Co. OLL- Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer 'K Address Bonding Company OM Address Mortgagor �■■'`�\ l0Y1 O A vi ck0 /410,AA . Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION a_. 01 Il •I Square Ft. ' 3 -2 00e WARNING TO OWNER: YOU MUST RECORD A NO'rICE 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 auth• ' the above -naffed co tr =A?.r to do the work stated. off ..• _ ,., - s1 Signature of o er Date: a 'q PERMIT APPLICATION FOR MIAMI SHORES VILLAG d / or ondo President cam £2 , /h /o Notary as to Owner'and %orCondo President My Commission Expires slY PU OFFICIAL NOTARY SEA.- 3 0 e (1 BARBARA ANN FUGAZZ1 V T COMMISSION NUMBER �, ar' Q CC36Q.191 ** * * * =v "�" . "' iO MY COMMISSION EXI e OF F■. MAR. 29 1998 PEES: PERMIT APPROVED: * / o 0 C.C.I !- Estimated Cost(value) O ©CD Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * ** 0 SD TOTAL TOTAL DUE 3. NOTARY Fire Other Zoning' Buildin ktieta Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE Paint Color Appro A. and Agreement DATE: W20/ OWNER'S NAME: A i01ie-e/ 6f io 2-- 1 PHONE: ?di 7S/ /3i5 ADDRESS: (6 NF 9Sh 5+ . * ; crc**acM **ac3,c********** * * ***icie* etc****** * * *** ******** ** * ************ ADDRESS OF SITE: (O CONTRACTOR & LIC NSE (if a livable) ��sso° 1/ COMPANY NAME: V(Sc„?kr . 64 Ain PHONE: 3 7.57 ` *************** ***********k********************* ** * * * * * **** All Elements on the site mus e listed and indicate the color to be painted. Walls $16( a.a ' 2 �e,/m _1 /6 54o(Alni &AI C G Fascia 1st Drip Cap/Drip Ed,e B A't 4� Soffit 15 5TLC.LO �(° )2 t Z ItMULk Roof N/#6, �- 15 CoLoK. arm v�laTE• - Flower Bins$AA • 3a 64 J 0A) a' Shutters NIA Awnings ' n1 /� Chimney t•( //te Doors and door jams • \,./1.14'1'6" Garage Doors W i Railings 1.1 Fences nf(� Decorative Metal $,w4 iL- &w i All brick (simulated or regular) 146 ;ES ,aML) Stucco Banding , Any other stucco feat res Accessory Buildings - Other Signature of Owner * * * * * * * * * * * * * * * * * ** APPROVED: r �a pat>e 1A11-1-4 E • OWNER'S AFFIDAVIT: I certify that all the forew;:ng information is accurate and that all work will be done in compliance with al; ppii•cable laws regulating construction . nd zoning. I authorize tl above- named contractor, if applicable, to do t ta ed. Furthermore, the pai . • • rs wil be s p,gr the . ttached ZO/ 6 • ZFS• of Date Signature of Contractor Date **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official . Date 4/23/01