PAINTQualifie l t C..9clN i
vu(�<
No as for and/or Co
My Conunission Expir
FEES: PERMIT
Mechanical
e U w
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address /a- 9 6 Al E _ Tax Folio
Legal Description ?kfd - r
•
/ Tenant , ?(L(, H{.541
Owner's Address /a 7, b AJ � f l g T 1-
Contracting Co. Y r c C.&i t pct /-r ►�
Historically Designated: Yes No v
SS#
Address
Phone (30 1-
Master Permit #
Municipal # // --3 g, E Competency # 9V8.50 -/ Ins. Co.
Address
Address
State # .—
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ?i k5 /OK
Square Ft. Estimated Cost (value) 4/ 00 . 0'7
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 zo ' ' : Furthermore, I au • ' the above -named contractor to work stated.
Signature of owner and/or Condo President Date
OFFICIAL 4OTARV SEAL
e, ANGELA M BECKER
( 5 0 COMMISMON NUMBER
o CC786697
OF F�O� NOV. 15,2002
APPROVED: d
7- OI
zoning k/i/S/
Building
Plumbing
i • MY COMMISSION EXPIRES
RADON
e 0 ontractor OF,
der
F� G Notary
My comm. extIr ', .:.■ 07, e004
No. GCC42 .:-4
i setomer wnenBuilder
My Commission Expires:
Electrical
64o ( a te 4
Phone As) 7 I -1(6
7.-L9044
44-
5 0(
Date
Date
..• •'`..• MY COMMISSION # E C 015 —
C 652281
EXPIRES: June 3,
ROSLINE ,e , Bonded Thru Notary Public Undeiwriters
C.C.F. / , cP 0 NOTARY DO BOND
TOTAL DUE L D (�
Structural Engineer
„.a MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: s 2- 3 • °(
OWNER'S NAME:
ADDRESS:, lZq b =1✓ �, _
********* * * * * * * * * * * * * * * * * * ** * * * * * * * * * * **
ADDRESS OF SITE: I &j. cici
CONTRACTOR OR & LI ENSE (if a licable) 63455 -l'
`f r(� PHONE:
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *�
COMPANY NAME: ' is 6.2 * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls ifL, .q9
Fascia L-f('
Drip Cap/Drip Ede �C f
Soffit
Roof vJL k
Flower Bins NI Jk-
Shutters t - J/C /12-
Awnings
Chimney rJ A
Doors and'door j ms 1 _ �K
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or e • ular
Stucco Banding - .�
Any other stucco features ,,T
Accessory Buildings /
Other
MI
HC -99•
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 b as per the attached •
Q6Ai-V
samples.
APPROVED:
23- o/
Signature of Owner Date Signature of Contrac -' Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building 0 -cial Date 4/23/01
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date `Z'\ -6 ) 2 Job Address \2q la \ O let Tax Folio
Legal Description Historically Designated: Yes No �f
Owner/Lessee / Tenant Ar.\(\ v V . Master Permit # 3 2
Owner's Address �a/Ct-e_
Contracting Co. D -. J \Q C
Qualifier SS#
State # Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Address
w
Address
Phone ,r - co2c.0t
Phone
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROPING PAVING FENCE SIGN
WORK DESCRIP'T'ION ,S1-:k3r
6k EEN
'rP• i M . �f
ern R A- t, U e, ch 19I- TE N.rT/= rf1Sc°L4
Square Ft. Estimated Cost (value) t 600.00
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.
Co.
Date
9..,2.0 ®
It
Signature of owner and/or Condo President Date Signa e : Contractor or cZ er-Buil er
7 9 j6., 266 , J � g.
Notary as to Owner and/or Condo President Date
• o ary as ' on 7 ' Owner- Builder Date
My Commission Expires: My Commissio
OFFICIAL NOTARY SEAL
GLADYS) V1Z LAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CY.7141Ca
MY COMMISSION EXP MAR. 1,2002
FEES: PERMIT L ID , RADON C.C.F. i G.) NOTARY 6 BOND
TOTAL DUE 4fS�'6 O
a
APPROVED: /
Zoning Building L Iv I [ 1 Electrical
Mechanical Plumbing Engineering