961 NE 96 St (4)WORK DESCRIPTION l i ∎ v\ ► \A_
Square Ft. 5
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date i 2/i /(VJob Address , L 714 5. Tax Folio
Legal Description 2 e-S r eE 2M.C-€- -t C 2 Historically Designated: Yes No A
Owner/Lessee essee / Tenant John Braden, M.D. Master Permit # T ?� o.3
y61 N.E. 96'^ Street ' - 30 � $ � ' G 44 ��
Owner's Address Miami Shores, FL 33138 Phone }( -ADS` 759 " / t+M
Contracting Co. 61 t - n yJ (l f+ r Address
Qualifier SS#
State # (33 2'3 (- VI Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle oney.' BUILDIN ( ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
4,„ 42- (;a40-eat„,
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.
f ,
. ,.
17of owne and/or Condo Presi
j. . 6 35-445
as to s er : j d/o
"" My Commission Expires:
Signa
.1'
FEES: PERMIT LG RADON
1 2 �0
dent Date
6
3,
0 o sie -t ELA M BE
,.. n anmmts ON NUMBER
i N,c 1 C:C7d6697
7 t 0. M♦ c.uw A3S ON EXPIRES
F oF F\P NOV ".2002
AL OT
APPROVED:
Zoning Building
Mechanical Plumbing
Si ature of Con
Notary as to Contract
My Commission
C.C.F. 1 ' ,� �l NOTARY 0 ? BOND
Estimated Cost (value) e °o
Electrical
Structural Engineer
Phone " 2-035
/ 2 der Date
Date
TOTAL DUE
•
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE:
OWNER'S NAME: ;•,,�
ADDRESS: W r� i d G+d , t. ; ;
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: 9 6 1 N 6 ~ - �-
CONTRACTOR & L C , S (if applicable) -12,J
COMPANY NAME: . rZre ' 0 PHONE: 3194----7, S
* * * * * * * * * * * * * * * * ** * * * * * * * * * * *' * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls A rw ;
Fascia ,J/i1 ✓�
Soffit
Roof /x/74
Flower Bins ; "e-
Shutters
Awnings -- Nig
Chimney
Doors and door jams c t- (Y-, -
Garage Doors w k ( - k_
Railings ‘..AAA
Fences GO
Decorative Metal
All brick (simulated or regular) A
Stucco Banding A/Axt
Any other stucco features w//4
Accessory Buildings ../k \ft'°
Other
APPROVED:
1 2/Z`? -' 0 0
Building Official
y
a te
OWNER'S AFFIDAVIT: I certify that all the foregoing inf
and that all work will be done in compliance with all applica
construction and zoning. I authorize the above -named contractor, if app Ica • e,
do the work tated. Furthermore , the paint colors will be s per the atta hed
samples/
Sig�e of Owner Date Signature of .ntr: tor Date
** ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
7 767
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date • Z ‘C Addresscild Oi , Tax Folio,,' f
f
Legal Description /42 r 1 .�
Owner / Lessee / Tenant E Ak V N (> a!1
Owner's Address cktc I ' � d i Q, E • Phoney — 4'7 0
Contracting Co. 0 , &i) 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 PENCE SIGN
WORK DESCRIPTION O U S tc. —
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
autho iz; the above -named contractor to do the work stated.
Signature cpf owner and /or dondo President
Date :9'
2C/ .
A ir fyA JOSEPHINE CHURCH
No / -ry -s to Owner a n q amiliwilaitiat4M 30, 1
M / Commission Expire: '';$ No CC191545
* * * * * * * * * * * * * * **
PEES: PERMIT' 7 '' ' RADON C.C.F. J ` 0 NOTARY � ' TOTAL DUE
** *
APPROVED:
Zoning
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
Fire Other
Buildin_ r / Electrical
Master Permit # 3 97
Mechanical Plumbing Engineering