1259 NE 97 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ± 1 Apr 9fbbAddress 1259 NE 97 Street Tax Folio 11 3205 009 0420
Legal Description Earl ton Shores 43 -80 Lot 17 E112 1 6IistoricallyDesignated: Yes No X
Owner/Lessee / Tenant Hogen L . Grab le , et ux Master Permit # 3
Owner's Address 1259 N.E. 97th Street, Miami Shoreso Phone 754 6403 -1 - Sg
Contracting Co. Owners providing all labor 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 FENCE SIGN
WORK DESCRIPTION Painting exterior walls and trim.
Square Ft. EstimatedCost(value) Materials $350.00
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 authorize the above -named co actor to do the work stat-
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT �vJ RADON
APPROVED:
Zoning
Mechanical
ontractor or Owner- Builder
Sign;
Notary as to Contracto
My Commission Exp
C.C.F. v `C-v NOTARY
Electrical
Date
y/ /94
Owner- Builder Date
sSr;
TOTAL DUE v! D
Building " Cl/-
Plumbing Engineering
BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6239
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl.
Address of
Building
DATE_
195r
Contractor's
License No.
Work to be performed under this Permit
Signed. 4 "
Subdi-
vision
Value of d
Project $
INSPECTOR
1
f
A.rnount 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
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY
In consideration of the issuance to me of this permit I agree to perform the work covered,,Iiereunder 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.
BY AUTHORITY
Signature of owner
Date: 8 June 1992
Notary a
My Commis
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 8 June 92 Job Address
Legal Description Lot 17 & East 1/2 Lot 16 Block 3 EARLTON SHORES 43/80 Dade County, FL
Owner / Lessee / Tenant Hogen L. Grable
Owner's Address 1259 NE 97th Street, Miami Shores, FL 33138
Contracting Co. Address
Qualifier ayiNelt, SS#
State # Municipal 4# Competency # yns.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address Chiffon Yellow (1)
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION Replace damaged roof fascia where needed and paint same.
OWNER'S AFFIDAVIT: I certi y that all t
be done in compliance wit al applia bl
authorize the above - . co tr for
= Condo President
o Owner and/or Condo President
ion Expires:
NOTARY PUBLIC, S,TAT,E OF _F.LORIDA.
MY COM1BSSION EXPIRES:S_EPT. 25, 1993.
PULI
DONDED THRU NOTARY BC UNDERWRITERSa
** * * * * * *
n * *
FEES: PERMIT 3 /, SO RADON C.C.F.
Fire
Zoning
Mechanical
1259 N.E. 97th Street
uildin
Plumbing
Tax Folio 11 3205 009 0426
Master Permit # 34 17
Phone 754 6403
Phone
Square Pt. Estimated Cost(value) $250.00
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.
o egoing information is
ws regulating const
work stated.
Sign
D
ccurate and that] all work will
an zoning Fur hermore, I
s
e of Contractor or Owner Builder
Yjy
Notary( =s to Contractor or Owner-Builder
My Co , ib ssion Expires:
NOTARY PUBLIC, STATE OF FLORIDA.,,,
MY COMMISSION EXPIRES: SEPT. 25, 1993
BONDED THRU NOTARY PUBLIC UNDERWRITER( •,
* * * * *
• NOTARY TOTAL DUE 3 1 .8 0
)+4w
Other
Electrical
Engineering
**