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301 NE 96 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1C(30 Job Address 3o ( ry E `3( & n- e Tax Folio Legal Description Historically Designated: Yes No Owne Lessee / Tenant wt 5 t M S Master Permit # 7 1 7 79 / l Owner's Address bol /3 � -k"7 ' A Phone 3UG 7 S J4 Contracting Co. U/V1hik Q Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one):ILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN '\WORK DESCRIPTION fLt_YC / 4 G- lAT) � s Square Ft. 3 00 0 Sez . -. 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 AF'F'IDAVIT: I certify that all the oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I au orize the above -named contractor to do the work stated. Notary : to Owner and/or My Co ssi FEES: PERMIT Exp FICIAL NOT GLADYS) VILLAR NOTARY PUBUCSTATE OF FLORIDA COMMISSION NO. CC/14103 MY COMMISSION EXP. MAR. 1,2002 i RADON /P - .5P -44'61 Date Notary as to Contractor or Owner- Builder My Commission Expires: C.C.F. " 6 NOTARY 5 APPROVED: Zoning Building 1 P) 1175 Electrical Mechanical Plumbing Structural Engineer Estimated Cost (value) lib° " Signature of Contractor or Owner Builder h e TOTAL DUE BOND Date Date MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: OWNS 'S NAME:.` W k l 1,°. 03-3‘..A-- PHONE: 1, 0s-15119-4 ss ADDRES 3c i , 't& * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: SF CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the site must be listed and indicate the color to be painted. Walls , Z Fascia 3 Soffit Roof ti • -kt, Flower Bins Shutters Awnings Chimney 3 e Doors and door jams Garage Doors Railings Fences t Decorative Metal >( All brick (simulated or regular) t t3 e r 1Greck Stucco Banding Any other stucco features Accessory Buildings Other �ric,� �d� 1 t A ( ° 3 t5 . t , be Le ..5e4 as In rk' L .1 c c�o•� ld h k e -t use # 3 c rte. pccA t X l'L • 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 sa nn 1 � (S APPROVED: 1s der Building Official Date L0125124 o WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION A ignature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** tifr D 0 5 BUILDING ELECTRICAL PLUMBING ROOFING r '` Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA o ❑ PERMIT 11To 4681 , ,.1t "c rift( ( Work to be performed under this Permit DATE 195 Contractor's License No. Subdi- vision Value of II Amount of Project $ �' C- II Permit $ This permit is granted to the contractor or builder named above to construe 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 furth r condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility jor a thorough kno dge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications d that he assumes responsibility for work done by his agents, servants or employees. / j; Signed. . ' k- r 7 BY _ INSPECTOR \. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances tmad 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. 1 CONTRACTOR OR BUILDER BY AUTHORITY e°490 PERMIT APPLICATION FOR MIAMI SHORES VIL Date 2 /2 - 94 Job Address I NL E. 947 Tax Folio Legal Description Historically Designated: Yes /Tenant a ILL 1- L rsGL- FORL Master Permit # Owner's Addres Phon 75 - (t ) 5,30 - 57/3 Address Contracting Co. t � ne., Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN TT WORK DESCRIPTION 1 /� C �lY't!` f 6j? Square Ft. Estimated Cost (value1 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. FEES: PERMIT 1 /0. RADON Signature of owner and/or Condo President Date Signature of ontractor or Owner- Builder Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder �/ ^ �9� My Commission Expires: My Con- piss C �YiJtl � d Cy,._ , -.. ,_.,,<6 o :rt o, L7 ECMI[ ; 1 C y ©®ll'i': ".SCfOC1 NuL D a' CC (0C 704 .0> 'T? C6:':w::S :`Rl .r n- - 0 C.C.F. So NOTARY TOTAL DUE yc� ' b APPROVED: �/ Zonin g Building j ' ` ' " o Electrical Mechanical Plumbing Engineering