800 NE 97 St (14)f
Date I' Job Address d' I6 fl Stat-3► �-'' Tax Folio
a �3g
Legal Description
Own / Lessee / Tenant, ,`W C o Master Permit it 3 7V
Owner's Address, /Vg.." 1 ,S. ,0"7/ 15. d 2 3E1.- - ,v Phoned ` -E 7 — Arg"
** *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
* * *
Contracting Co. ` A /E Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one). BUILDIN�LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION a/l7' a-1-1) d. 7 -- 7 - r �i t/gc fez - E - 6gd (0_1, I -_--
r
Square Ft. Estimated Cost(value)4/5;;;I, ek)
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 bove named contractor to do the work stated.
\," 1 ,c,), c)rt.et '';*
Signature of owner and /or Condo President Signature
Date: Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Electrical
of Contractor or Owner- Builder
er- Builder
iub bey eWARRO 4mtE
fo• 'BR it 410tine.
* COMMISSION NUI BER
; .Mr 7 %,. a CC4 01261
<p P" V CON]EBtSBION .EXP.
° * AUG* 1T,1146 * * **
FEES: PERMIT 1 7, RADON C.C.F. d, NOTARY ) - TOTAL DUE c ��
Fire Other
Zoning Building
Mechanical Plumbing Engineering
PERMIT .APPLICATION FOR MIAMI SHORES VILLAGE
Date �i Job Addressov,6 97
Legal Description rn5 Ste. � y
Tax Folio 4 3c3 D- I y '),77 0
Historically Designated: Yes
No
O wner/Lessee / Tenant ,,.,L�4^/ r /77 0 4"09 £-L. Master Permit #
O Address go 0 ytie" Q, '4r Phone (ao s) 747'2 f e6.
Contracting Co. 177i�)
Qualifier
State #
Architect/Engineer
Bonding Company
FEES: PERMIT
Municipal #
Address
SS#
Competency #
Address
Address
Phone
Ins. Co.
Mortgagor Address
Permit Type (circle one) BUILDING LECTRICAL PLUMBING MECHANICAL ROOFINCr PAVING FENCE SIGN
WORK DESCRIPTION
i zete.fri-e 0 a/La-4e
0
Square Ft. Estimated Cost (value) ". 7®do.
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.
OWNERS 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.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date . t ary ; to Co
My Commission Expires:
9/ / 0�'Gi
1
Signature of Contractor or Owner - Builder Date
!+fie • . J' !-
My Commission
uvnerAltilder o'\ 4 0
• 3 NOS L ,,03 A : p O rd.
L6998L32 a 47•dU
a
H3NO313 V3 V13014V )gn , ?
1v3S AWiOid 1 I3t.4.'O d Aa
RADON C.C.F. / . ?a NOTARY 5-0 6 BOND
Date
APPROVED: TOTAL DUE
Zoning Building q J M5j Electrical
Mechanical Plumbing Structural Engineer
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: / )
OWNER'S NAME vA/tel ,q z PHONE x 7,5-7 —6 ( s
ADDRESS: goo 4/4 7 £r . ), , ,, r;5itlf fr 53 tag - ,7c5' a')
********************************** * * ** * * * * ** * * * * * * * * * * * * * * * *** * **
ADDRESS OF SITE: E op h/, (-7 St-
CONTRACTOR & LICENSE (if applicable) h/) /
COMPANY NAME: -- PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
ants -6 o
Walls
Fascia
Soffit N'I
Roof N A
Flower Bins r ✓ J 14
Shutters fl ` A
Awnings a ,
Chimney`
APPROVED:
Building Official
Date
S
e
Doors and door jams , / A
Garage Doors n/) j)
Railings
Fences (d?)
Decorative Metal R I
All brick (simulated or regular) N I
Stucco Banding / A
Any other stucco features ,v / g
Accessory Buildings I.I I p3
Other a
O
th
O
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
samples.
e '/ /®
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
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