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PAINTPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date to • (1' o f Job ddress / 3 i `J / ' C' 9 Q 7 � ,/ T Folio Lega% ption L�(� I On deafly Desi . •' : Yes / Tenant Owner's Address Contracting Co. Qualifie 0 State # Municipal # / /. Competency # g955ClebW Ins. Co. ZUR 5 • Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Ali 4 ggc ifri41 7 n� E 9g I5 6o01 -r ?1mJ f4hT4g BI' g r- ioA Square Ft. Estimated Cost (value) p5Z• (Z^j 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. Furth .. •re, I authorize a above -named contractor to do the work stated. l .7 APPROVED: Zoning Mechanical tary as to Owner !. or Condo President Date My Commission Expires: 4 00 Romane Durand 4iik My Commission CC924886 �► Expires April 03, 2004 / /b/ Building Master Permit # — Phone Address 1040 ce,de ahs.- SS# Phon( ) 7s/ (( 61 C ;; HPSIOS • nat oR�State p1?Aeo Oa P Y N0 C Cg2 20 Signature of Contractor or Owner-B Notary as to Contractor or Owner -Buil My Commission Expires: FEES: PERMIT 40 RADON C.C.F. 1 , U 0 NOTARY " t) ^ BOND Electrical TOTAL DUE e /(s o f Date Plumbing Structural Engineer '/4// MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 6 ' //' ©( OWNER'S NAME: ti(tr KILL/ PHONE: ADDRESS: 423 ,,J ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: ra 7 ' i 99-f--‘ CONTRACTOR & LIC NSE (if licable) f SOD o`Zt COMPANY NAME: 1.�,�' � ,(l� PHONE 3 s) 7c1-7/6/{ 15 ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls 01161 -60 Fascia Drip Cap/Drip Edge v\ll/-r7 Soffit v\l E Roof Flower Bins 11(tf Shutters „( Awnings �( Chimney ■,,/ Doors and door jams .‘,0 Garage Doors 1,3 E" Railings t,,1I- r1i Fences Decorative Metal Nni f-Ke All brick (simulated or regular) Ni Stucco Banding t& 6 Any other stucco features 1 1 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 pai -e; • rs wi b 'as per e attached 41.7 J /_ /./_( ek t cs1/0/ sa i1 Signature of Owner Date Signature of Contra or Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: ea - V/K0/ Building Official Date O' 0 WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 0 r kahlua and cream 4/23/01 • Square Ft . Os. 01100 WARNING TO OWNED - SO MAX RESULT I1 TO OBTAIN FINANI NOTICE OF COMME Application is he on the attached ad standards of all 1 permits are requir ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description L or l2, l')lD(k_i 4:a lelvYl wezi ��j 4 - .gQ QJ () � I _ -Rec orac, � c�J / Lessee / Tenant ChVWTO1S2Y c wt - '-P. j I,tAQ E \\ Master Owner's Address 123 (b,3 O % h S t., Ali av \i S1r nve FL- 3 3139 Contracting Co. 1 / D4 '$ e , ',,�)�s�re /Address 7/ 9 Qualifier Arc / 1Weel / aeevn6e: State -1 i7eG85 � Municipal # Competency # 000017373 Ins .Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one : BUILDI ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Th110111.* tINYMinoirt.. EK- lt)V._ C"F {-'o t_x' I n i ee_.- NFU \ \N I- (00{zr. X0-3.\ Zoning Job Address 12.31 t`E aP• 2Q.+ Tax Folio 11 3ZD5 - WQO a * k i /.(t .h►/: di/ _ I /.. 1_ Sign Date OWNER'S AFFIDAVIT: 1_ce'rciry - Liai. all rne ror nr mrrs accurare and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I aut rize t bov -named co ractor to do the work re of own and /or Co do Pr dent __Notary as td Own rand /or Condo President My Commission Expires: NOURYPURRt1Csuas0PP' MYCOMMMOONEMINNWTXUNG SONDED Y HRU GENERAL INL L FEES: PERMIT .6 7' `0 RADON C.C.F. Mechanical -i(1ioz. 'PO- l37 ortiA Fire Other Buildin Plumbing, Permit # 3�1 �,■ Phone '157 -r13Z5 O e- Address Estimated Cost(value) 4.1)0 00 N a stated. Signatu Da a :, Notary as to Contractor or Engineering - UR FAILURE TO DO Y (IF YOU INTEND E RECORDING YOUR ndicated above, and rformed to meet the stand that separate vICAL WORK. � II 11 ljjI l � on act r Owner- Builder • 'w -Bui l My CommissiAiio ipes: OFFICIAL SEAL • Stephanie McLata..Kelley 11, 11 My Oonirntsg'H71L Ewes . •• _ * Oct. 8* 199b * ** Comm. No. CC 234291 NOTARY TOTAL DUE al, Electrical :UILDING :LECTRICAL 'LUMBING .00FING F . . )wner of uilding : ontractor r Builder PERMIT N? 3107 rchitect egal Lot escription ddress of 'ilding ' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit B1 BY DATE 1 Contractor's License No 195; Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ue if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ,rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work .ne by his agents, servants or employees. Signed { 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 and regulations , rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Amount of Permit $ AUTHORITY a�