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590 NE 96 StC u, Benjamin Moore Paints 1/A Qualifier Architect /Engineer Bonding Company Mortgagor 942 it 1\-)/ giaa State# Competency # Ins.Co. Permit Type (circle one): G x 1Y /4v6/ s� Square Ft. Estimated Cost 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 construc on and zoning. Furthermore, I authorize the above -named contractor to do the wof stet =• AeAli .,d . f Contractor or Owner - Builder WORK DESCRIPTION ( 8eGcAi( 1- Signature of Owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: * * * * * * PERMIT FEE: APPROVED: Zoning ICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) dress O L • q - 'r(-r -ei Tax Folio // ..3 /y 0/1/J ,1 Master Permit # �" "F i4,001/ ketc 3 K. e. F(6 sTh ' e T Phone � O YZ `6 BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN Fire Building chanicai Plumbing Address SS# - - Phone Address Address Address Signatu Date: NoX,� s to Contractor or Own r- Builder Commission Expires: y / * * * * * //� c))11.1/ Other Electrical Engineering t PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date -5 /Y -01 Job Address 590 WC 7 Sr' Tax Folio Legal Description Historically Designated: Yes No tvner/Lessee / Tenant d 1/71 /2DLGt Master Permit # `6wner's Address 5 ?° ?6, 5r, fl / .5'Ef 4/ �, f'CPhone Contracting Co. dA/J r\ 81fitf20,t) /ZO Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one WORK DESCRIPTION vtc.0 (re, & c5luareA, "10--0,,J_, Ze)4& ze-4-e Address LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft.stimated Cost (value) 30-0 75`1 - 6 V 2-6 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 w tated. jef_fie_. S /��l Contractor or Owner- Builder a te FEES: PERMIT ,�j o RADON APPROVED: Zoning (x�' Mechanical Signature of owner and/or Condo President Date Si i j e of 5 L ) c1 al- O r__,. 1 . . A., ii h. ! i -S /[ Notary as to Owner and/or Condo President Date otary as to ontraj I r Own -, TM .-_, My Commission Expires: My Commission Expire : av Po N .; etc %;n Y p Y P 1P ��i A N GEL A .� t1Y ` ¢ F OF f_ G4 NM, 9 C.C.F. 0 NOTARY - 0 C) BOND TOTAL DUE (� 5/0/ Building Electrical Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 5 ^/8-0/ OWNER'S NAME: AI I -r/'J R_AL� PHONE: ( ) 75 ? —' %2 ADDRESS: 51 hl L cic sr /1. /4-,-(i /rfo 2 S ********************************** * * *4 * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 590 Al 0 9 (o $T - /1 l / c5f C RE 5 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be naintori Walls f is £ .r Fascia (A) - Gt - Puy wlu -fie.- Drip Cap/Drip Edge Gc..e- /— /c1-4 Soffit ✓ Roof 71-e P - Gv4< .- W Flower Bins Am- Shutters -'-� Awnings Chin Doc)] Gara Raili Fenc Dec( All Stuc( Any Acce Othe: C� \cam S. �■■ APPROVED: Or /au�(�j V W d L rN 0 L on W 1 = W .WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION • OW? E curate and that all work will be done in compliance 1 ating construction and zoning. I authorize the abov able, to do the work stated. Furthermore , the paint ca � 1 samp Signature of Owner Date Signature of Contractor Date ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Building 0 icial Date 4/23/01 aiami cfhores F L 0 R 1 0 A PLANNING BOARD AGENDA OF AMA— P4 ITEM NO. 3 Name of Owner /Applicant 1- 1 Phone No. Address of Property, and /or Legal Description OD Isla tb 9'r• Nature of Request Armov+A, 0V ItAttrit. tova(k► `.00%co is ?P t41 1> Present Zoning R Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances /Exceptions /Zoning Change Council Action Required Date of Applicant Notification Planning Board Action Pefinte i f tt4 Council Action Director of Building and Zoning 7. / ?I=1iACk DIE re MRnn/& woo MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT [CATION FOR BUILDING PERMIT the detailed statement of the plans and specifications herewith submitted for the building or other structure herein and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the Age and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether and specifications must be kept at building during progress of the work. ? ,4HAI'od /Rni 1 E Subdivision J90 Ak 96 ST. Date c21 19 iiT No. 5 0 Street • 96 57 (AJE - - - T _ p...pvac uc uuiNmg toy floors). state exterior colors (submit samples) PA/N7iNe.9.- OF EXTE/e,a OF NOuSE 44/b Rob" ( 54i1PLE ATTHCHEb) ALSo 6,1 e A & and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 2_ To be constructed of Kind of foundation f Roof Covering Estimated Total cost of improvements S .J 000 Amount of Permit S 4 i5 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to LEON RoLc. , 590 N L^ q fo sr. , M /.9-1 ( Si -1,04 s FL . 33 / 3 The undersigned applicant for this buikling 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 mplied with the prov' ons thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under t , mit: and will post r 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 ploy only such rctors, on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. 1 SS. 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) v lb Date t 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 andlor workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9 7 Job Address Owner/Lessee / Tenant h- d H e— D O w n e r ' s A d d r e s s 1 v 6 ( G ( D $ 7 , 90 /tie S J , Tax Folio Legal Description Historically Designated: Yes No Master Permit # Phone (305) 75? ei Z Contracting Co. \A- I / C � - 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 W0115,RESCRIPTION E ifr4 2 ,2 'eleet4t Pig ( 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 zoning. Furthermore, I authorize the above -named • tractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date `'S' a ature of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Expires: Po FEES: PERMIT /7D RADON C.C.F. . 6 (J NOTARY t_ BOND 4087 Date Date / _ c1 '9 TOTAL DUE APPROVED: Zoning Building j y Electrical Mechanical Plumbing Engineering Page 2 INIPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. • I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA :/s j' ORIDA, COU)TY OF MIAMI -DADE Al ign tune of Owner rnile/O PO Print Name 2 om to and subscribed before me thi gnature o f Florida Print Name Sworn to and subscribed before me this day of PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Signature of Notary Public - State of Florida SEAL: *?r', ( SEAL: c_ V ii -1' ::: .,..........--- Personally known / OR, Produced Identification Personally known OR, Produced 1dett fT - ication Type of Identification Produced: Type of Identification Produced: PROPERTY OWNER New Construction Name�� yY Alteration Exterior Address 54 /1/6 14 �/ � d Vn' Home Telephone 319 s — VZ ° 33, Business Telephone / p� /� tP Relocation of Structure Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address:d /V 5 ®f� Address Apt. City Folio Number ,Description of Work Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work ,50 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No PERMIT APPLICATION 1 tt -,e , _33/3 X' State Zip ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 4 OFFICE USE ONLY CHECK LIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ IMPACT FEE (New Construction) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond $ 6 0 Metropolitan Dade County (C.C.F.) $ 1. 6 v Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review v ISSUING OFFICIAL fJe-u? I' C - c4Ii O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ OTHER (Specify & Attach) . 0 -u 1 0 SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY D TE (sq.ft. = x/1000 x0.60) (4.005 /sq.ft.) (¢.01 / sq.ft.) • PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ S 'REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE. Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wallin. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TyrE A/C Condensate Q . ► .,, TYPE Drains, Roof QTY . Miscellaneous Fixture QT ,. . ► . YP E Soakage Pit Q . ► . V . Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 7 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/3/2002 Applicant: LEON Owner: ROLLE JOB ADDRESS: 590 NE 96 Contractor Local Phone: Parcel # 1132060140660 Description Building Permit Application Fee CCF Notary Fee Total Fees: Approved Permit Expiration: 3/2/2003 EXTERIOR PAINTING AS PER AGREEMENT Fees: FEE2002 -4914 FEE2002 -4915 FEE2002 -4931 Permit Status: Work: If there is no permit package fee is %sn n^ '- Building Permit Permit Number: BP2002 -1527 ROLLE LEON ST Contracto'r's Address: Legal Description: 6 53 42 MIAMI SHORES SEC 2 Amount 1 $60.00 $0.60 $5.00 $65.60 Construction Value: ./ S90✓V gtiti,404.4 ��,py/3d PAY TO THE ORDER OF 4 T(Jc 100 N. 18th Sbort B' 216 166 h 18 . 0 19101 ( 116) .IPh 00 w wv1.01 164 .i 0 Fe /nrl+� mdl®rblku Credit U•lor 1 f DATE MEMO t • 00 2 207400 2tt� ;2360 ? 4 / / 240 2 60- 8766/ 2402 u �m o DOLLARS B "' ° " ux 1 ,,,,lltIactor or Builder) 0 LIBERTY BY: BY: $500.00 Page 1 of 1 PB 10 -37 LOT 1 & 2 BLK 54 LOT SIZE Total Fees: $65.60 Total Receipts: $0.00 trify, there will be no inspections. Re- inspection ction. • the equipment or device described in the application herefor in strict compliance with all with any plans, drawings, statements or specifications that may have been submitted to i not done in compliance with such ordinances or if the plans are changed without tor or builder named above assumes the responsibility for a thorough knowledge of the gs or in the statements or specifications and that he assumes responsibility for work done 7 • ; ompliance with all ordinances and regulations pertaining thereto and in strict conformity Village. In accepting thispermit I assume responisibility for all work done by either MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: "' 3 (-3i 0 OWNER' S N : Ur S /se L PHONE: 3 ADDRESS: S'4` 0 c • c I ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE v hJ C0 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be pE Walls Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal samp, es. APPROVED: All brick (simulated or regular) ( Stucco Banding Any other stucco features Accessory Buildings Other Q < < Ctrs cesoi OWNER'S AFFIDAVIT: I certify that all the foregoing information is a\ 3 c� and that all work will be done in compliance with all appli,eable laws regui frig 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 to-afirvAl 7--sd -0 a nature of Owner Date Signature of Contractor Date ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Building Offfcial Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MIAMI � SHORESVILLAGE I DATE: OWNER'S NAME: t5i4ikkohi 1 [...E Pte► -1.-= PHONE: ADDRESS: 590 KJE- gtel 3 14 17t1 k tra2E r- 33(3, **************************** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 5' o r ) - 9 (;c`' ► , K t , . . r , , K ( rroe_Es, 6 = L 3 3 ( 3 8 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site mus be listed and indicate the color to be painted. Walls ce_p_o „ Fascia Drip Cap/Drip Edge rJ / A Soffit Ni )1-- Roof t.c.> lu—v Flower Bins i' / A Shutters P1 / y1- Awnings ). f ),q Chimney Doors and door jams - V4 Garage Doors Railings Fences tJ / 49 Decorative Metal 111 Pt' I All brick (simulated or regular) )4. Stucco Banding Any other stucco features ^/ / , Accessory'Buildings Other R.V. ,c Building Official Date Stfr -reg. R 7/ °a Ga.ve (f Z aP,l( c . 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 sam A j.e. io .5'74 </- Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: - 3,0 -02 _ OWNER'S AME: // oAJ j LLt PHONE: 30-C 759 24 ADDRESS: £90 nit ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 50 f ` 5% , 7"L€ - a c' CONTRACTOR & LICENSE (if applicable) NM— COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls / 4 Fascia "Wit,,e. - / A.-, M Drip Cap/Drip Edge L. fc..0 i l i' o � — Soffit z Roof `xQ. P w� `n Flower Bins 41 Shutters Nli's Awnings Al /fr Chimney Doors and door jams AMA-, f -' k Garage Doors Railings Fences /17//.- Decorative Metal /V All brick (simulated or regular) Stucco Banding Any other stucco features 4,u 2 Accessory Buildings Other _ \)1( ` 2 (&L � 2 \(415 ( k ' APPROVED: Building Official Date c v -- cLov--r %reoti. 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 sampye�� Siinature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01