601 NE 96 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
o
Date �� _ Job Address 4. � v° " NE ! � ��' ' • Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant I C yY) I ) O r P� Ptrh ch4 (P r I c(, C Mas er hrmit # 4 92 2) 0
Owner's Address j � 9 Phone 00e) 767 ✓ 9
Contracting CogaliZa0 06 stg96 Address 046;ViiM Q/ 't/ i f f /
Qualifier a4E. /v exwa24 ss# Phone I 69/-9,03
State # /' ' 92 —'1 Municipal #.30 -/‘ 0 9 Competency # /7 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION EC7a t
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 perfonned 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 Arork stated -
f -co ✓; t- 1
ture of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning re OiJ.g' �r1ding (1 ( Electrical
Mechanical
DEBRA J. McCLUNE
MY COMMISSION # CC 830214
� EXPIRES: Apr 26, 2003
1- 8063NOTARY Fla Note/ Service & Bonding Co.
RADON
Plumbing
Date
ate
C.C.F3._ b ?). NOTARY
Signa • - • • 1..•• - Guilder
4 -eirtAer‘ e
Notary as to Contractor or Owner - Builder
My Commission Expires:
q h) )
Date
DEBRA J. McCLUNE
MY COMMISSION # CC 830214
Y qj EXPIRES: Apr 26, 2003
1.8O0.3NOTARY na Wary SdNice & Bonding Co.
ate
BOND �° f�
TOTAL DUE / v ----
Structural Engineer
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
018323075 2001 JUN 21 10:53
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address:
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
T ,ID/d frA29t11?-
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
/ T
L=5 / 5,7A4
P4,A2<‘ 60245 .35
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
4 re o Owner nn
Wt. rint Name b
pp Sworn �
and before me this
of lA rU r.1,P 0 /.
Notary Public
Print Notary's Name hp ,i ra, J rn " C.. ILA NC
My Commission Expires: 4 7 1 1 /ZA/ n03
STATE OF FLORIDA, COUNTY OF DADE
1 H. REBY CERTIFY that this is a c y of the
or,i nal filed rn th office on day o
��IV�_. , A D 20 _
t rE S my hand an• Official Seal.
\ EY 6 VIN K, . C' c ui nd
unty Courts
D.C.
DEBRA J. McCLUNE
• ;•: MY COMMISSION # CC 830214
q fi EXPIRES: Apr 28, 2003
1.800.341OTARY Fla. Notary SOwfoe & Bonding i
123.01 -52 2/93
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
OWNER'S NAME:
ADDRESS: t he
* * * * * * * * * * * * * * * **** ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: ;F /
CONTRACTOR & LI NSE (i applicable) /74/O
COMPANY NAME:e4iede 1 �i/� '�J� PHONE
* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** * * * * * * * ** ** * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls G Ai
Fascia
Drip Cap/Dri}r Edge Cviel-1 re
Soffit
Roof
Flower Bins
Shutters —
Awnings —
Chimney
Doors and door jams a/ '
Garage Doors
Railings Gu,4f, 77 T
Fences
Decorative Metal
All brick (simulated or regular) Guc r
Stucco Banding
Any other stucco features
Accessory Buildings
Other
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.,= s
gnature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
ae6e 00/
Building Offic al Date 4/23/01
APPROVED: