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PAINTDate Legal De! PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7z1 C- Address 7 71/ Tax Folio Owner/) WALL- �j 2 " 17t Owner's Address 7 , W /9 /4-747-2,4-0-74-1-„Address Contracting Co. Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE IGN WORK DESCRIPTION I r ✓�"� o M ' ° `Y r � OF F - W HITE Square Ft. 7 7o 0 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 constructio , a)ad zoning Furth- • • e, I authorize the above-named contractor to do the work stated. a , e o owner and/or Condo President /5,,,A. Notary as to Owner and/or Condo resi e My Commission Exp FEES: PERMIT 4 RADON Date f/S/?e Date OFFICIAL NOTARY SEAL BARBARA ANN FUGAZZI COMMISSION INvMMBER CC723468 PAY COMMISSION EXPIRES MA R. 29,2002 Phone Estimated Cost (value) S1 ° r C.C.F. ° 45 NOTARY 1 APPROVED: Zoning Building Mechanical Plumbing VI . storically Designated: Yes No S Master Permit # 4/2 &. 77 r7 5 , /777 Signature of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder - My Commission Expires: Electrical Phone Ins. Co. BOND Date Date Engineering a ^ • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address \' 1 t 9_S i Tax Folio Legal Description l Historically Designated: Yes No Owner/L essee / Tenant 272/ PIA i/ ! V e G l / e Owner's Address 7 ' Phone,505' 1 // Contracting Co. 9 WO Pr Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one BUILDINt)LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C[ ( 3Z ( /C) y C(A. L IS ' 041 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 (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 zo • g. Further= authorize the abov -named contractor to do the work stated. V?/// / ,or ) tore of oyvner and/or Condo President Date / s Signature of Contractor or Owner- Builder Date X ,i2i/ ? / i e ( '9 b otary I to Ownnr and/or'Coondo President r 6� ate Notary as to Contractor or Owner- Builder Date My Commission E , fire d p 0 - Ac�� ^a BECKER oiri a My Commission Expires: 1 G 2 'l � 'i �O A oa^0� c os cumin �I a FEES: PERMIT © ©7033097 -OF FAO NOV. 10,2002 Master Permit # o t RADON C.C.F. � (o 0 NOTARY 5, - 0 BOND e APPROVED: TOTAL DUE tS Zoning Building .�' Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: I )q(c)c, , OWNER'S NAME: MI l �� 1� _ 1fi re 1 le PHONE: ,305- it5 ADDRESS: c2'/' ),0 t // a ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * **-** * ** ADDRESS OF SITE: 02 / . f. 9 / �d� 7 9'e CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls S h P . Fascia V Soffit Vt ,� q-& Lo, 0 Roof �J Flower Bins V; ,n4-tee Lc( u) Shutters Awnings Chimney Doors and door jams �'`'� Garage Doors Vi Lek Ce_ j Railings Fences 6LC 2 LA Ce- Decorative Metal �l All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 1, I Boa Building !e Date shi e cxi 1 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 . Furthermore , the paint colors will be as per the attached si Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED. WHEN PAINTING IS FINISHED, " I CALL FOR FINAL INSPECTION