PAINT;UILDING
LECTRICAL
'LUMBING
GOOFING
architect
=ontractor
Jr Builder ' ` n t`"
. egal Lot
Description Bl.
Address of
wilding �'�
D
MIAMI SHORES
PERMIT N°
VILLAGE, FLORIDA
6060
Work to be performed under this Permit
7wner of r
luilding fr , _ r' r - C , -,
, e'
Subdi-
vision
Value of e
Project $
DATE
Contractor's
License No.
195
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
nerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
iime 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 in the st tements or specifications rd that he assumes responsibility for work
done by his agents, servants or employees. j .7 / h,
Signed d %tY-
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered, hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to 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.
CONTRACTOR OR BUILDER
BY AUTHORITY
6 m ," tea
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date o2 0f- 0/ Job Address /O fD /I E• ci6 5• Tax Folio
Legal Description
gser
Historically Designated: Yes No
/ Tenant /L R 4 / S r k Master Permit # 4
Owner's Address /bg 4 61 E . Q r4 51
Contracting Co. VI is l t t+c C. Address
Qualifier O1; \lSCrAir{"( SS#
State # Municipal # Competency # T1g50031 if Ins. Co
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Phone (3o 7 —k)433
/51
Phone
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 6e,t 04-1 1t4
Square Ft. Estimated Cost (value) 1 L{ rr Bp
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
cons tuction and zoning. Furth • ore, I authorize the above -named contractor to dd tll work stated.
Zoning
Mechanical
CASANDRA HARRISON
Nolary Public Stale of Florida
My comm, expires Aril 7, 2004
No. CC924204
Building
Plumbing
tary as to Contractor or Owner -Bu lder D e
Commission Expires:
Electrical
Structural Engineer
.M,.. • *. da ` � - ,� '.i' fl Vic.1 ti fe*' 41
ifigggifiRC - 10 4 0 1 N /AIMS
3
• MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: ,4 0 ° D ( • 0 (
OWNER'S NAME: PHONE( � —M33
ADDRESS: ,og qb S'T
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: /ORk q&-r ST
CONTRACTOR & LICrNSE (if a licable) C q `f t3Soo3 -1 [(
COMPANY NAME: V I CO 0,4- r i,1� PHONE
* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * * * *
All Elements on the site m st be listed and indicate the color to be painted.
Walls g •u aCeilE # o1J p /�
Fascia n/
Fences
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney At
Doors and door jams TA MAAN1 103,E
Garage Doors./
Railings n( -- et.6;
APPROVED:
b1l -
1/A
p
922 i x,
Decorative Metal o
All brick (simulated or regular) N0W /
fU
Stucco Banding DJ
Any other stucco features nion1 E
Accessory Buildings A(o,k
Other W /iii; oc/A( -- s4it/e
eta, 14/4441-
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
co struction and zoning. I authorize the above -named contractor, if applicable, to
do the wo stilted. Fj rthermore , the paint c s will be as er the attached
sa pies.
/r) io
Signature of Owner Date Signature of Contractor / Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
;aka- z • 1Z • °l
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
ievradif
J .3ri6 -SG89r
1�-