15 NE 95 St (3)ELECTRICAL
PLUMBING
Owner of
Architect
Contractor
or Builder
LePti Lot BL s'
on `isite
Ad dress of value.
Buildin 47 49 S .~ holed
'Phis permit is granted to the � or builder named above to construct the
cation herefor in with al ordinances Detaining thereto and with the ° -
or s that ma have been submitted to and
time specifications
is not done in compliance such ordinances or if the plaits ate
is granted the understanding that ., or budder named above aesmese+
to the work coveek' " . shown on the plans'or tirseings or
' his agents, serval*
tion of *e issuance to
seed
Signed: .
_perform work coveted
is or
se .esk agent, severe or
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
t.'
3
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 4643
Work to be performed under this Perini
Lot
0
7. 1 *-
Bl.
Subdi-
vision
Value of
Project
Signed. ' INSPECTOR
BY
Contractor's
License No.
d /
Amt. of
Permit
1'
194
"
J
OS r , /i1 ;. q s i
' This permit is granted to the contractor of builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
Tans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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 the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or i the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. '+ ;+ /
By —� --
In consideration of the issuance to me oftthis permit I agree to perform the work covered hereunder in compliance with..Ijrordinances an r eQ�r�irons.
eto and in. strict cw 1 plans, drawings, statements or specifications submitted to the proper authoriti'Es of Miami Sh r lage
I 'a3sume responsi i itl y tor work done by either myself, my agent, servant or employee. "'•
CONTRACTOR OR BUILDER i
AUTHORITY
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ! Job Address 5 N c t�� ST Tax Folio j \ O C a� b 0
Description d storicall Designated: Yes No
Legal p If`AS S e t. ��� � S
Le � Desi y � k
Owner/Lessee / Tenant F r 1voaor Master Permit #
Owner's Address
Contracting Co.
�S3 Iv E. Q.1 s--
( N/1 4, ek)
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 FENCE SIGN
WORK DESCRIPTION t-Cc.) r' ---?[-; eNNt- ---
Square Ft. Estimated Cost (value) / 049
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 owner and/or Condo President
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
C.C.F.
Date ignature
Plumbing Structural Engineer
Address
e
Phone 'Ao •3 7 5 y '7 3q
03//,
Contractor or Owner- Builder Date
No a o on ' . rtor o i is uild
�' t;I AD' S ] V11,lAR Date
My ssion Expires: NaTARy 1 JI3 IC STATE Cr" FLORIDA
COMMISSION NO. CC714133
wtY CpM 1AISCSON EXP. tAAR. 1 1 2
NOTARY > BOND
Electrical
TOTAL DUE
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: 0 3/ I°1 /c:: 1
OWNER'S NAME: PHONE: 308 '7 S' 4 3c
ADDRESS: 4g. fie 2 3 IV E 2 sr-
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: l S NE_ ` 6
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE: Spj 7 5 f 2439
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls \ ■'sv.1 -- Yt \c 1 / 3 ,S'9
Fascia
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors\
Railings
Fences
Decorative Metal
APPROVED:
Building Offici
All brick (simulated or regular
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
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 Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
3
Date