1266 NE 94 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 6/6/94 Job Address 1266 N.E. 94th St. Tax Folio 11- 3205 -010 -0170
Legal Description Miami Shores Bay View PB 40 -16 Lot 19 and E 15Ft. of Lot 20
Owner / Lessee / Tenant Ri 11 r_ HPnaga r /Wa 1 11 s ('nx- HPnPga r Master Permit # X -1.3 '
Owner's Address Phone
Contracting Co. O tO/Vg � Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION RPr1 are kitrhPn rahinets, mi sr - p1 aster And painting
ti1P wnrk
Square Ft. Estimated Cost(value) $$15,000 00
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
aut5krize the above -named contractor to do the work stated
Signature of owned and /. Condo President / ignature of Contr
Date: / / Da te;.
APPROVED:
asksz All?d;ta
Zoning
Notary as to Owner and /or Condo President
My Commission Expires:
** *
FEES: PERMIT I b T: 15 RADON C.C.F.T NOTARY TOTAL DUE
Fire
Building
* * * * * * * **
tor o Owner- Builder ,/
Notary as to Contractor or Owner- Builder
My Commission Expires:
9 q
Other
Electrical
Mechanical Plumbing Engineering
1
/a
f- --.3C0
_4- - - -
-
�I
,I.
I
/c2&& ivr 94/i' 5/,
_EL r
�.-
j
\
\�
\
,
/
1
/a
f- --.3C0
_4- - - -
-
�I
,I.
I
/c2&& ivr 94/i' 5/,
_EL r
r-
i '
-
- -
/
-
/ --
P2-0 0 2 PL /r)
eve 9f%
•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ;C /i )//o / Job Address. / Z &(v ?7E 9 5t � Tax Folio
Legal Description
/ Tenan bw'5 deg 6 (�tfo 1 7Q -�L' )' • 'lfl Master Permit #
Owner's Address �,w ,a Phone
Contracting Co,,/ t7r rv__
� Wl \\ Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor
Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION/ a l rr l'1 r r 44 " ^ _ )
�1
FEES: PERMIT RADON
C.C.F.
Address
Square Ft. Estimated Cost (value)
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 OF 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.
i
Signature of owner and/or Condo President Date Signature o : • 11 actor or Owner -Bu r Da
Z
6S TZ46636 °
4-/c-o/
Notary as to Owner and/or Condo President Date Notary - to Contractor or Owner- Builder Date
My Commission Expires: My ' •mmission Expires:
NOTARY
APPROVED:
Zoning Buildin
Mechanical Plumbing Structural Engineer
Historically Designated: Yes No
Electrical
BOND
TOTAL DUE
•
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE`(, / / ' 0 /
OWNER'S NAME: ).0 /as d.LL 60-4--o a2- Z.. PHONE:k'
ADDRESS P -1/ k E • 9$ 5 f Ali /r" Sip vij
* * * * * * * * ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:`
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia G -
Drip Cap/Drip Edge Iry 4r✓-
Soffit Vv -
Roof -7 fro
Flower Bins
Shutters
Awnings
Chimney
N
Doors and door jams a
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding fr
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
construction 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
samples.
Signature of Ow
APPROVED:
( v
er Date
Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
uilding 0 lcial Date
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01