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170 NE 94 St (9)MIAMI SHORES VILLAGE Paint cCmlof•' ApProvaY a d Agreement DATE: o (-- f- 1 0 • OWNER'S NAME: ' ^ � PHONE B 9 ST ADDRESS: * * * * * * * * * * * * * * * * * ** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 4 /ve 9 CONTRACTOR & LICENSE (if applicable) MA COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls eC'/1/ Fascia t vf (T T Drip Cap/Drip Edge / Soffit vej EPA/ Roof A/( Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences APPROVED: Decorative Metal 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 ples; i cOg Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 Building Offic Dat 3� d 0 c W d EN PAINTING IS IFINISHED, CALL FOR FINAL INSPECTION 4/23/01 D a t I / ! 1 ) Job Address 9 1 " / - S Tax Folio // 0'b - 03 - 6 .2 9 5 f Legal Description ne . Owner's Add _ Contracting Cl Qualifier 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 Square Ft. Estimated Cost(value) � - WORK DESCRIPTION 7 WN 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. • PERMI' APPLICATION FOR MUNICIPALITIES OF DAD COUNTY (OWNER TO RETAIN COPY) SS# - - Phone Signature of owner and /or Condo President Signature of Contractor or Owner- Builder Notary as to Owner and /or Condo es,d t Notary as to Contractor or Owner - Builder Typo of identification 0 DILL take zn oath, or f� DID NOT take an oath. My Commission Expires: n;r , Clutg" i" of Florida At Large ^ o ... is 41 Eitplres Duna 9, 9992 cn a ~ d thru 'Maynard 1 Donding /Agency APPROVED: A9r / Ste. 1 4q/%0 x.13 Zg/ l p. 7 J?/4 .,!df .( tnant thxciipi- , % d /&/%141, Master Permit i!P t/ LO/ 7(7 /1/f 994 7 Phone 75/- t 95 >/ Address .,. ~.. rne,or a :_ :.:i1L!ication: Fire Date: My Commission Expires: FEES: PERMIT ?; RADON C.C.F. c5a NOTARY TOTAL DUE 116 Other Electrical Zoning Building Mechanical Plumbing Engineering WORD IU1ESCII JIIPINON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1Z Job Address' 70 / % Y .r/ ie Tax Folio // — ,3 2_0 - o/3 - 2 So er" ` ✓ u 2-2—Historically Designated: Yes No Owner/Lessee / Tenant (J v Z RE N h' 0 L �? Owner's Address /70 // E .5V fTX' m' /0) Vd C Phone ?Wv 75 Contracting Co. a) f -14 Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Per®nit Type (circle one): BUILDING ELECTRICAL PLUM I:.IING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) 4 S C) WARNING TO OWNER: YOU MUST RECORD A NOTICE OIF COMM1ENCIEMIENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYIING TWICE IFOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU II ITIENIID TO ®c. ;TAIIN FINANCING, CONSULT WM-ff YOUR LENDER OR AN ATTORNEY lg1EIFORIE RIECORIIDIING YOUR NOTIICE 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 Preside Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT 10 0 C' RADON 7/ //O NSF Date Date Master Permit # 'Veil jei)z,L Signature of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: - ,Y O Date 8 ' 2- --9 Date C.C.F. NOTARY Li": o o TOTAL DUE 4(57 s5 APPROVED: Zoning Buil� ��� �' �t (o Electrical Mechanical Plumbing Engineering 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. Owner's Name and Address Registered Architect and Engineer �/� Name and address of licensed contractor �G�i4 "2 Location and legal _ _ � l /� description of lot to be built on: / / JJ /-....? 06 � to /67) / -y Lot � J- Block Subdivision " / /- P � /C' /e - , /70 ii/t 9,Y) 7 State •ork to be. done and purpose of building (by floors). state exterior colors (submit samples) /` �� / ��� /Z ���� �J vom Street and Number where work is to be done 7 and for no other purpose. New Building Remodeling Addition Repairs_ .Zi. O/ / No. of Stories To be constructed of Kind of foundation Roof Covering Total cost of improvements S MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT iW / /,/ 42'/;7/y,41y Amount of Permit S 3 • Date 2 — ! '40 No. � / I1treet__ s$_ - Zone cubage required Plan Cubage Distance to next nearest building _ ` Size of Building Lot _,. //' y %s, g 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 permit: 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 employ only such subcontractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF' DADE. }SS. 4e4v)ac, 7 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) Date 1197er Date Read. Sworn to and Subscribed before me. Notary Public. State of Florida to me well known. Building Inspector 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. 19 v 0 Owner's Name and Address__ Fee {J4C Registered Architect and /or Engineer .08Ear M StiRL) Name and address of licensed contractor TREAT ii /U C Location and legal description of lot to be built on: MI DAM O ❑ V L1 C C BUILDING INSPECTION DEPARTMENT APPLICATD IAN FoR B U O LLDO N C PE MOT 00 2 "js Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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. ( Signed) urlding I1 ector My Commission Expires Date O C-Il_r_ .___/ 6 , 19 fir' No Street Gpo.Ax 24,40c, M /4 aa_o Lot & 7 Block____ Subdivision Street and Number where work is to be done__ P/ %4A State work to be done and purpose of building (by floors)____ C. &7=1 RA L 4 l>2 C- Fr Z) 77 in Ai 6- e2tuE 4 7 & LE.A1,A-,Qg. 6 t4JE 112— " 1 o and for no other purpose. New Building 6''--- - -- . __... . Remodeling Addition Repairs No. of Stories 1 -. . To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $_ ` 06 " - o Amount of Permit $ _ Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to -SDO 1ZE- 1- P Al _4 .4-Li A isk 4 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 permit; 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 employ only such subcontractors, on work to b performed under this permit, as are licensed by Miami Shores Village. f. Remarks ( Signed )'S _' i.- C- 4- ---5 &'- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared __ to me well known, 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 9 C5° Date l? .l. Gt�- — 7Read, Sworn to and Subscribed before me. Disapproved _.. _ Date Notary Public, State of Florida PLANNING BOARD ___________________ DATE Chairman ... -- -- Member Member _ .... Member Member _- . _ __.. .. _ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by impr(, ;. 41. for inspection or faulty materials and /or workmanship.